Preliminary Application

Please take a minute to complete the form below.

Our agents cover all of Southeastern Pennsylvania. We’ll contact you for an appointment at your convenience. If you’re not in Southeastern Pennsylvania we’ll arrange a convenient time to discuss your Preliminary Application over the phone.

You have the freedom to choose any doctor, specialist, or hospital nationwide. You have the freedom to choose Calendar Year Deductibles
You have the freedom to choose benefit options to fit your budget.

You have the option of participating in the MultiPlan / PHCS  Network (You can search the provider / hospital directory) Here

The majority of our policyholders have chosen:

  • Calendar Year Deductible – $2,500
  • Maximum Covered Benefits per person – $250,000.
  • Our policyholders are saving thousands of dollars -on premiums, deductibles, and other out-of-pocket expenses.