Register Now!

Ready to Join?

We’re so glad you’re ready to join! To make sure your children are registered correctly, please follow the steps below based on your insurance coverage.

00 --If ANY of your children have Medicaid coverage of ANY kind (including secondary coverage, coverage by a PASSE program, or TEFRA), you’ll need us to send you a special link to join. Fill out the “Need Help Registering?” form at the bottom of this page.

00 --If NONE of the above apply to you, click the “JOIN NOW” button! Once on the registration page, make sure to enter YOUR (the parent/caregiver’s) information FIRST!

JOIN NOW

Need Help Registering?

Fill out the form below, and we’ll reach out to help get you started! Anyone whose children have Medicaid coverage of ANY kind should also use this form to receive a registration link.

Parent Name

First Name

Last Name

Phone

(###)

###

####

Number of Children

Dates of Birth of Children

Types of Insurance Coverage for EACH Child

Detail any type(s) of insurance or health sharing plan(s) EACH of your children has, including any secondary insurance, Medicaid PASSE, TEFRA, etc. Make sure to specify if any of your children have different coverage than the others.