Welcome to our Applications Page.

The fastest way to join AmeriPlan® is to signup online. However if you prefer, you can easily print an application from this page and mail or FAX the completed application to the AmeriPlan® Corporate Office. Feel free to contact us at 1-888-670-5190 with your questions or to complete an application on the phone.

Print & Mail In Applications

US Mail - Dental Application

US Mail - Health Application

Faxable Applications

Fax Application - All Programs

IBO Applications

Start Your AmeriPlan® Business < Online Enrollment

Fax Application - IBO

IBO Agreement Terms

Online Brochure
Print Online Brochure

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Discounted Dental and Medical Fees:

To see the Discounted Dental Fee Schedule for your area, please enter your
ZipCode and click the button to Submit.

ZipCode:

*100% Satisfaction Guarantee - Refund Policy

If you are not satisfied within the first 30 days of becoming a member, you may cancel your membership in writing to AmeriPlan® Bank and Credit Card Services by mail to 5700 Democracy Drive, Plano, Texas 75024, FAX to (469) 229-4595 or email to stop@stopmembership.com. In order to receive your membership fee refund you must return the membership identification cards. The one-time registration fee and money paid for healthcare services and products are not refundable. After 30 days membership fees are non-refundable. You may cancel your membership at any time by written request and the return of your membership cards. Attempts to cancel by telephone will not be accepted.

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Discount Dental Programs available in:

AL Alabama AZ Arizona AR Arkansas CA California CO Colorado CT Connecticut DE Delaware FL Florida GA Georgia HI Hawaii ID Idaho IA Iowa IL Illinois IN Indiana KS Kansas KY Kentucky LA Louisiana ME Maine MD Maryland MA Massachusetts MI Michigan MN Minnesota MO Missouri MS Mississippi NE Nebraska NV Nevada NH New Hampshire NJ New Jersey NM New Mexico NY New York NC North Carolina OH Ohio OK Oklahoma OR Oregon PA Pennsylvania RI Rhode Island SC South Carolina TN Tennessee TX Texas UT Utah VA Virginia WA Washington Washington DC WV West Virginia WI Wisconsin
NOTICE TO RESIDENTS OF Connecticut, Illinois, Indiana, Nevada, Oklahoma, South Carolina and Utah: This website is not authorized for use in your State. To view the web site authorized for your State, CLICK HERE.

More on sites on AmeriPlan® Dental Discounts

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Other Popular Dental Discount Sites:

www.dentalplans.com www.insurancecompany.com www.healthplansplus.net www.dentalhealthplans.com www.alphadentalplan.com

Connectingbenefits.com

Welcome to our Applications Page.

Print & Mail In Applications

Faxable Applications

Discounted Dental and Medical Fees:

Discount Dental Programs available in: