American Care Premier Plan Premier Discount Plan Organization

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.

Enroll online

The fastest way to join — fill out the form and we'll set up your membership. You can add family members on the same form (each is enrolled individually).

Enroll Online

Prefer to apply on paper? You can also:

1

Request a paper application

Call 1-866-600-3222 to have an application mailed to you, or pick one up at any American Care medical center. Available in English and Spanish.

2

Submit your application

Choose one of the following methods:

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.