MEMBERSHIP APPLICATION

This application could take several minutes to complete. You should have ready birth dates, Social Security numbers, and detailed medical history for the applicant and each dependent applying for coverage. Applications are processed immediately - 24/7. At the end of the application and before you commit to purchasing coverage, you will know if you have been approved "standard" or "with limitations". This instant underwriting process allows you to shop before purchasing. Within two weeks of purchasing coverage, you will receive a welcome email, a welcome packet with membership information, membership cards, and a request for your first monthly contribution.

NOTE: Some individuals may not be eligible or have a membership limitation due to certain past or present medical conditions.

 

The following link to the Altrua HealthShare Plan online application MUST BE OPENED within GOOGLE CHROME or MOZILLA FIRE FOX browsers.

 

After setting up your login and password, you will receive an email from Altrua HealthShare containing a link to your online application.

 

Please click on the link below to begin your membership application: