MyPhysicianPlan New Member Registration

Member registration for Plan or Free Rx Card

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Referring Member

Referring Member ID

Member Details

First Name*

Last Name*

Date of Birth*

Gender
Male Female

Email*

Mobile Number*
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ZIP / Postal Code*
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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 acknowledge that Member is the account holder or have the account holder's permission to enroll in this service.

Login Credentials

Username *

Confirm Username*

Password*

Confirm Password*

Enable 2-factor authentication

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