MyPhysicianPlan New Member Registration

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ROUTINE MEDICAL CARE PLAN (PRIMARY CARE PLAN) FEATURES:

(This plan is for both US residents and Visitors)

Dedicated Primary Care Physician
Unlimited in-person or televisits
Copay: $35 for in person visits and $25 for televists
Lab Tests: 20% of Lab Test Fees (80% adjustment /discount)
Prescriptions: Up to 90% savings with Rx discount

COMPREHENSIVE CARE PLAN FEATURES:

(This plan is for US residents)

Routine Medical Care + Healthcare services beyond primary care, including large and unexpected medical needs through medical cost sharing (Hospitals, Specialists and other healthcare Costs).

COMPREHENSIVE TRAVEL PLAN FEATURES:

(This plan is for international Visitors)

Routine Medical Care + Specialist /Hospital Care. For additional details or SignUp Click Here

ENROLLMENT:

To enroll, please scroll down and select your preferred plan and the plan start date and click next to add member information.

Get your money back (before doctor visit) if we are not able to get you an initial appointment you like

Appointment Request

Preferred Provider:
Appointment Type:

Preferred Appointment Timings

Option 1:
Option 2:
Option 3:

Earliest Available Appointment

Member Comments:

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Initial Unshareable Amount (IUA)*
Plan Pricing
* This is the maximum amount you will pay out of pocket first per episode for nonprimary care services, i.e., hospitals, etc., before sharing/contribution

Is anyone in your household a Tobacco/Vape user? No Yes

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* By providing Member phone number and email address, Member consents to receive text message and email correspondence from MPPI, including but not limited to products & services, appointments, claims, partners, maintenance, and support. Message and data rates may apply. Member may opt-out at any time by replying to any text message or email with the word “STOP” or by contacting MPPI support directly. By opting-in to receive text message and email correspondence, Member acknowledges that Member is the account holder or have the account holder's permission to enroll in this service.

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How many members in your family excluding you will be a part of this plan? Set Family Size

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Address

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Last Name*

Date of Birth*

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Gender
Male Female

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Email*

Mobile Number*
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Address

Apartment, Unit, Suite, or Floor #

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Last Name*

Date of Birth*

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Gender
Male Female

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Address

Apartment, Unit, Suite, or Floor #

City*

State*

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Plan Name

Plan Start date

Plan Duration

Visit Fee

Plan Amount
$

Plan End Date

Enrollment Fee
$

Payment Schedule

Renewal Amount
$

Recurring Fee
$

Terms (No. of payments)

Plan Decription

First Name*

Last Name*

Date of Birth*

Gender
Male Female

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ZIP / Postal Code*

Password*

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Enable 2-factor authentication

Discount/Referral Code

Discount: $

Please enter Card Details :

Amount * $ Plan Pricing

Card Number*

Name (as it appears on the Card)*

Expiry Date (MM/YY)*

CVV*

I Accept the Terms & Conditions for Member Participation and the Plan Terms