Financial Education Services

RepPhoto
Name
Ivee Capital
Title
Regional Sales Director
Call
(713) 410-1134

1. Enrollment Information

Email*

Verify Email*

DOB*

Title*

Gender*

First Name*

Middle Initial

Last Name*

Address*

APT / Suite

City*

State*

Zip Code*

Cell Phone*

Alt. Phone

2. Payment Information

ProductSetup FeesMonthly FeesTotal
My HealthCare2Go$29.00$25.00$54.00

Payment Type

Card Type*

Card Number*

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Expiry Date*

CVV Code*

Show
Billing address and credit card address must match in order to proceed

Card First Name*

Card Last Name*

Billing Address*

City*

State*

Zip Code*

3. Terms & Conditions

Please Review and Check Off on the Following Terms:

Please accept my application and enroll me in the FES Protection Plan Plus.

I have read and understand the Terms and Conditions of Enrollment.

Pref. language*

Agent ID*

Agent Name*

* Discounts(like Dental, Vision discount) on hospital services are not available in Maryland Customers

Dental, Vision, Hearing, Chiropractic, Labs, Imaging, Diabetic and Home Medical Supplies Disclosure. This plan is NOT insurance. This plan is not a qualified health plan under the Affordable Care Act (ACA). Some services may be covered by a qualified health plan under the ACA. This plan does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. This is not a Medicare prescription drug plan. Discounts on hospital services are not available in Maryland. The plan provides discounts at certain health care providers of medical services. The plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount plan organization. The range of discounts will vary depending on the provider type and services provided. The licensed discount plan organization is Coverdell & Company, Inc., at 8770 W. Bryn Mawr, Suite 1000, Chicago, IL 60631, 1-800-308-0374. To view a list of participating providers visit www.findbestbenefits.com. You have the right to cancel this plan within 30 days of the effective date for a full refund of fees paid. Such refunds are issued within 30 days of cancellation.

Discount Health Services

  • Dental: Save 15% to 50%* per visit, in most instances, on services at any of the many available dental practice locations nationwide.
  • Vision: Save 10% to 60% off eyeglasses, contact lenses and other retail eyewear items as well as 10% to 30% off eye examinations and 40% to 50% off the national average on LASIK.
  • Hearing: Save 17 – 40% off retail pricing of digital hearing aids starting at $945
  • Imaging: Save on imaging services such as MRIs, CT Scans, and X-Rays.
  • Laboratory Services: Provides access to major clinical labs nationwide with confidential results available online in as little as 24 hours for most tests.
  • Diabetic & Home Medical Supplies: Enjoy access to fast, reliable, and affordable diabetic, health and wellness, and pet health supplies.
* Actual costs and savings vary by provider, service and geographical area.

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