Save Time, Money, and Stress with BOST Advantage Card
Save Time, Money, and Stress with BOST Advantage Card Is your family struggling with high out-of-pocket healthcare costs and fewer services covered by insurance? BOST Advantage Card has good news. With this program, you and your immediate family will not only save money on essential healthcare needs, but also gain peace of mind with our convenient benefits.
Benefit Highlights Telehealth Did you know that 72% of doctor visits are for common conditions easily treated over the phone? With Telehealth, you can call a board-certified physician who can diagnose illnesses, recommend treatment and even call in a prescription to your local pharmacy when needed. There is no cost to call the doctor. Health Advocate™ Services Health Advocate gives you access to an insurance and healthcare expert who will work with you to research treatment plans, help correct billing mistakes, sort insurance claims and get access to specialists. Plus, advocates will negotiate with health providers on medical bills over $400 on your behalf. Pharmacy Members save 10% to 85% on brand-name and generic prescription drugs at over 60,000 participating pharmacies nationwide. In 2012, members saved an average of 41% on their prescriptions. Dental Members save 15% to 50%* in most instances on everything from general dentistry to orthodontia at thousands of participating dental practice locations nationwide. *Actual costs and savings vary by provider, service and geographical location.
Vision Care Members save 10% to 60% on eye exams, frames, lenses, contacts and LASIK. Legal Care Direct Free initial phone consultation on new legal matters, simple wills, document review and more, plus discounted services such as traffic ticket defense, name change, simple divorce, simple trust and more. ID Experts You’ll be protected against identity theft through an early detection system that scans thousands of financial and non-financial sources to find attempts to steal your identity. My eWellness This benefit gives you the tools to reach personal and wellness goals with access to individual home fitness programs, guidance on nutrition, weight loss and exercise, health risk assessments, daily wellness articles, and more. Financial Helpline Accredited and Certified Financial Counselors can help you with issues related to debt, healthcare expenses, housing, credit card spending, taxes, college funding, retirement planning and more. Pet Assure Members save 25% at network veterinarians on all medical procedures. They also save 10% to 35% on pet products and services.
Discount Medical Plan Application – Choose Your Package
Form #16106-P
Producer Code:
Agent Name:
*Plus one-time processing fee of $3.95
Payment Information Group Number _________________________________________________ First Name __________________________________________
Date _____/_____/_____
MI _______
Last Name __________________________________
Address ____________________________________________________________________________________________________________ City ___________________________________________________________ State ________ Daytime Phone (______) ________________________
Zip ________________________________
Evening Phone (______) _____________________________
□ I choose to pay by electronic draft. ACCOUNT HOLDER: __________________________________ TYPE:
CHECKING
SAVING
NAME OF BANK (include city & state): _________________________________________________ ABA # (#s at bottom of check) |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| ACCT # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| □ I choose to pay by credit or debit card. VISA MASTERCARD
DISCOVER
AMERICAN EXPRESS
Credit Cardholder _______________________________________________________ Acct # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Exp. ____/____/____
Confirmation I authorize New Benefits to initiate debit entries electronically to my account indicated above and I authorize the depository institution named above to debit same to such account. This authorization remains effective and in full force until New Benefits has received notification from me of its termination in such time and in such manner to afford New Benefits and the depository/institution a reasonable opportunity to act on it. SIGN HERE ______________________________________________________________
Date
/
/
(signature required)
Scan/Email to [email protected] or Fax to 972-991-5218
Your membership is effective upon receipt of membership materials. Disclosures: This plan is NOT insurance. This discount card program contains a 30 day cancellation period. The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after the effective date. AR and TN residents: A refund of all fees will be issued if membership is cancelled within the first 30 days. Discount Medical Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 671309 Dallas, TX 75367-1309. Not available in KS, UT, VT or WA. Form # 16106-P
Benefit Highlights Telehealth Did you know that 72% of doctor visits are for common conditions easily treated over the phone? With Telehealth, you can call a board-certified physician who can diagnose illnesses, recommend treatment and even call in a prescription to your local pharmacy when needed. There is no cost to call the doctor. Health Advocate™ Services Health Advocate gives you access to an insurance and healthcare expert who will work with you to research treatment plans, help correct billing mistakes, sort insurance claims and get access to specialists. Plus, advocates will negotiate with health providers on medical bills over $400 on your behalf. Pharmacy Members save 10% to 85% on brand-name and generic prescription drugs at over 60,000 participating pharmacies nationwide. In 2012, members saved an average of 41% on their prescriptions. Dental Members save 15% to 50%* in most instances on everything from general dentistry to orthodontia at thousands of participating dental practice locations nationwide. *Actual costs and savings vary by provider, service and geographical location.
Vision Care Members save 10% to 60% on eye exams, frames, lenses, contacts and LASIK. Legal Care Direct Free initial phone consultation on new legal matters, simple wills, document review and more, plus discounted services such as traffic ticket defense, name change, simple divorce, simple trust and more. ID Experts You’ll be protected against identity theft through an early detection system that scans thousands of financial and non-financial sources to find attempts to steal your identity. My eWellness This benefit gives you the tools to reach personal and wellness goals with access to individual home fitness programs, guidance on nutrition, weight loss and exercise, health risk assessments, daily wellness articles, and more. Financial Helpline Accredited and Certified Financial Counselors can help you with issues related to debt, healthcare expenses, housing, credit card spending, taxes, college funding, retirement planning and more. Pet Assure Members save 25% at network veterinarians on all medical procedures. They also save 10% to 35% on pet products and services.
Discount Medical Plan Application – Choose Your Package
Form #16106-P
Producer Code:
Agent Name:
*Plus one-time processing fee of $3.95
Payment Information Group Number _________________________________________________ First Name __________________________________________
Date _____/_____/_____
MI _______
Last Name __________________________________
Address ____________________________________________________________________________________________________________ City ___________________________________________________________ State ________ Daytime Phone (______) ________________________
Zip ________________________________
Evening Phone (______) _____________________________
□ I choose to pay by electronic draft. ACCOUNT HOLDER: __________________________________ TYPE:
CHECKING
SAVING
NAME OF BANK (include city & state): _________________________________________________ ABA # (#s at bottom of check) |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| ACCT # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| □ I choose to pay by credit or debit card. VISA MASTERCARD
DISCOVER
AMERICAN EXPRESS
Credit Cardholder _______________________________________________________ Acct # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Exp. ____/____/____
Confirmation I authorize New Benefits to initiate debit entries electronically to my account indicated above and I authorize the depository institution named above to debit same to such account. This authorization remains effective and in full force until New Benefits has received notification from me of its termination in such time and in such manner to afford New Benefits and the depository/institution a reasonable opportunity to act on it. SIGN HERE ______________________________________________________________
Date
/
/
(signature required)
Scan/Email to [email protected] or Fax to 972-991-5218
Your membership is effective upon receipt of membership materials. Disclosures: This plan is NOT insurance. This discount card program contains a 30 day cancellation period. The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00. Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after the effective date. AR and TN residents: A refund of all fees will be issued if membership is cancelled within the first 30 days. Discount Medical Plan Organization: New Benefits, Ltd., Attn: Compliance Department, PO Box 671309 Dallas, TX 75367-1309. Not available in KS, UT, VT or WA. Form # 16106-P
