Enter Your Email
Note:This will become your Username.
The First Name found on your ID Card
The Last Name found on your ID Card
Social Security Number
The SubscriberID found on your ID Card
Member Birth Date (mm/dd/yyyy)
Note:Password must consist of 8 or more characters, include both upper and lowercase, at least one number and non-alphanumeric character.
Enter Mobile Phone Number
By activating your account, you are agreeing to receive your monthly statements electronically. If you'd prefer to receive paper statements, please update your settings in your profile once you are logged in.
By Activating your account, you are agreeing to
Healthez Terms and Conditions