Applying for Premier Plan Made Easy
It is easy to apply today. You may fax, mail, or bring your form in to any one of our offices.
1
Download the application
Print and fill out the Premier Plan application form. Available in English and Spanish.
Application PDF coming soon — call 1-866-600-3222 to have one mailed to you, or pick one up at any American Care medical center.
2
Submit your application
Choose one of the following methods:
- Fax: 786-235-0145
- Mail: American Care, 12171 SW 268th St, Homestead, FL 33032
- In person: Bring your form to any American Care medical center.
3
Receive your membership card
Once your form is completely filled out and submitted, you will receive a membership card via mail.
If at any time you have questions about filling out the application form, please call our offices at 1-866-600-3222 or, if calling locally, 786-430-4444. A Premier Plan Representative will assist you.