Join Our Association to Receive Members Only Medical Discounts and Access to Free Doctor Consultations 24/7

Join as an individual (single), individual plus 1 other member of your household (Co-Member) or the whole family (family member).  Agreement: By becoming a member and completing the form on our partner broker's secure web page I elect to become a member of MedCard and agree to pay the monthly fee of $14.95 for individual membership, co-membership or for family membership beginning immediately from the date of my enrollment and every month thereafter that I choose to remain a member.  The Membership includes (1) 24/7 TeleMedicine access  (2) PAP Drug Cost help (3) Patient Advocate Service(4) Free Rx Help Discount Card.  Telemedicine benefits can take up to 72 hours to be activated.  Cancel anytime by emailing member ID to membersupport@medcardmember.com.  Your card will be billed monthly within 72 hours of your enrollment date.  So for instance, if you enroll March 31st, your future draft dates will be between the 28th - 3rd of each month.  If you don't have a referral ID enter NA in the text box.
Schedule your member dues to be automatically charged to your credit card monthly.  Just sign this form to get started!

Here’s How Recurring Payments Work:

You authorize regularly scheduled charges to your Visa, MasterCard, American Express or Discover card.  You will be charged the amount indicated below each billing period.  Each charge will appear on your statement.  You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected (unless being billed later for a previously failed payment).

$14.95 / Monthly

By signing you agree to the information below:

You authorize Medcalf Advisors to charge your credit card $14.95 on the same day of each month that you enrolled in your membership with us. 
By signing below you agree that:
I authorize the above-named business to charge the credit card indicated in this authorization form according to the terms outlined above. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date.  If the above-noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day.  If a payment fails to be drafted on the due date the payment will be collected at a later date within 31 days of the failed payment.  If payment is not successfully collected within 31 days of the due date your membership will remain canceled and no further attempts to collect the payment will be made unless requested in writing by you.  This payment authorization is for the type of bill indicated above. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; provided the transactions correspond to the terms indicated in this authorization form.  Our address is 2387 Grand Fir Dr Greenwood, IN  46143 USA