MyPhysicianPlan New Member Registration

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PRIMARY CARE PLAN FEATURES:

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 FEATURES:

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

ENROLLMENT:

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

Find a Doctor:

To find a doctor near you please enter your zip code and search or click on location icon.

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:

Select Plan
Find a PCP

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

First Name*

Last Name*

Date of Birth*

Relationship*

Gender
Male Female

Email/Username*

Mobile Number*
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Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

* 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.

Login Credentials

Password*

Confirm Password*

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

First Name*

Last Name*

Date of Birth*

Relationship*

Gender
Male Female

Copy Primary Member data

Email*

Mobile Number*
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Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

First Name*

Last Name*

Date of Birth*

Relationship*

Gender
Male Female

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Email*

Mobile Number*
-

Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

First Name*

Last Name*

Date of Birth*

Relationship*

Gender
Male Female

Copy Primary Member data

Email*

Mobile Number*
-

Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

First Name*

Last Name*

Date of Birth*

Relationship*

Gender
Male Female

Copy Primary Member data

Email*

Mobile Number*
-

Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

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

Email/Username*

Mobile Number*
-

Address

Apartment, Unit, Suite, or Floor #

City*

State*

ZIP / Postal Code*

Password*

Confirm Password*

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