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SECURE DENTALONE APPLICATION - Print off this application or go under "Related Links" to apply online. SECURE DENTALONE BROCHURE - Secure DentalOne offer 3 plans! Available to individuals or small businesses! Apply online (go under RELATED LINKS) or print off the paper application.
Aetna Brochure - Learn about every plan Aetna offers in Georgia. Application - Complete and fax to 770-967-0372 for processing.
Lab Result Request - AIG uses Clinical Reference Lab for processing your lab work. Fax this form to receive your report quickly.
Agent of Record - Let us help you through claims or policy questions, rate increases and making changes to your policy at NO COST TO YOU! Print off and fax this form for immediate service! (Must have had your BCBS policy for 12 months.) Application & Change Form - Health - Paper App (not for employer/employee use) for faxing or mailing. Call our office for processing instructions. Bank Draft - Set up bank draft or change your current draft. (One is included with the application.) Brochure - HSA Compatible Plans - High deductible plans that your CPA has recommended for tax savings! Brochure - Tonik PPO Plan - Newest plan for young adults who live life to it's fullest. Includes dental and vision benefits! Dental - Brochure - Monthly Rates: Individual $27 Family $76 Dental Application - Use only if adding dental to your current heath plan OR if applying for dental without a current health plan. Medicare Supplement App - Med Supp App for individuals 65 years and older. Medicare Supplement Brochure - For 65+ individuals with Medicare Parts A & B. PPO SmartSense & Premier Plan Benefits - BCBS's newest plan options. Call us to help compare against their Blue Value and Tonik plans! Short Term Medical Application - Faxable application for immediate short term plan. Short Term Medical Brochure & Rates - Immediate coverage up to 12 months. Vision for Singles or Families - New VISION PLAN only $10 for single policyholders or $24 for the entire family! Vision Information - Detailed info about how the Vision Plan works.
Brochure - Portrait Plan (BEST!) - The personal health plan with concierge-level service and benefits you’d expect from big employers. Brochure Comparison - Quick look at the three basic plan structures... Portrait, Autograph and Monogram.
Application - Complete and fax to our office at 770-967-0372. We'll take it from there! Balance Plan Brochure & Rates - Basic HMO Plan - Very cost effective. Has no maternity. HMO Plans Brochure - Learn more about GA's only HMO plan available to individuals that includes MATERNITY! HMO Rates - Rates for effective date of Oct., Nov., or December 2008. HSA Plans Brochure - New High Deductible Plans offering tax advantages.
Application - Application for faxing. Call office for more info. HSA Brochure - Complete HSA booklet. United Healthcare is affiliated with Golden Rule.
