MEMBERSHIP APPLICATION
Having this important emergency medical transport benefit, will protect you and your family from any unexpected ‘out of pocket’ expenses associated with your PHI Air Medical transport.
- Select Membership Plan
- Enter Member Details
- Enter Billing Details
*Definition of Household: All members of a single family residing together, including up to three non-family members, if any.
- California
- Arizona | Indiana | Kentucky | Maryland | Michigan | Mississippi | New Mexico | Ohio | Tennessee | Texas | Virginia
 Select your state of residence

Select either a household or individual plan
Available Plans | Coverage Period | with insurance | without insurance |
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Household | 1 Year | $60 | $100 |
Individual | 1 Year | $40 | $100 |
Additional ways to register: |
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Select either a household or individual plan
Available Plans | Coverage Period | with insurance | without insurance |
---|---|---|---|
Household | |||
1 Year | $60 | $100 | |
3 Years | $150 | $300 | |
5 Years | $250 | $500 | |
Individual | 1 Year | $40 | $100 |
Additional ways to register: |
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*If you have a coupon code, you can apply it at checkout.
*Consistent with the NFPA 1 Uniform Fire Code 2003 section 3.3.138.19
For questions call PHI Cares Membership Office – 1.888.435.9744, M-F; 8:00 am – 4:00 pm MST