What type of health insurance are you looking for?
Individual Family Group/Employee Senior Citizens Not Sure
What coverage level do you prefer?
Basic Standard Comprehensive Premium Customized
Which features are essential in your health insurance plan?
Hospitalization Outpatient Care Prescription Drugs Dental & Vision Mental Health Services
How important is the network of healthcare providers to you?
Very important Moderately important Not important I prefer telemedicine services
What is your preferred method of premium payment?
Monthly Quarterly Annually Biannually Variable based on income
Do you have any specific pre-existing conditions that need coverage?
Yes No
All set, how can we reach you?
Name
Email
Phone
(Details here)
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