How do you plan to pay?
Upload a photo of your insurance card
Enter the member ID number on your insurance card or type NA if you plan to pay out of pocket for services
Enter the Group ID as listed on your insurance card or type NA if you plan to pay out of pocket for services
Enter plain ID as listed on your insurance card or type NA if you plan to pay out of pocket for services
Please enter the copay listed in your benefit packet or insurance card or type NA if you plan to pay out of pocket for services
If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.