Village Healthcare

To get started please provide the information below. We'll be launching soon. In the meantime we do require a one-time $10 sign up fee.

New Member Location
New Member Info
First name*
Last Name*
Email*
Phone*
Street Address*
City*
State*
Zipcode*
Choose a plan
What plan interests you?*
Telemedicine Option
- Add the $14 a month telemedicine option.
Payment Info
*

American Express
Discover
MasterCard
Visa
Card number Expiration date Security code Cardholder name
Contact me
- Have a Village Wellness Consultant contact me regarding options for major medical policy and health savings accounts.
Sign Up Fee
Total: $10 sign up fee

New Member Info