NEW 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.

This page is for a new membership application or if your membership has lapsed. If your membership has not lapsed and you are here to renew, please click the “My Account” link above and login to renew your membership.

Click here to gift a membership to someone else

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.

Select your state of residence

Select either a household or individual plan

Household – 1 Year insuredIndividual – 1 Year insured

Select a Membership Plan	Your Current Health Insurance Status	Coverage Period	Cost
Household:
Household – 1 Year insured	insured	1 Year	$60
Household – 1 Year not insured	not insured	1 Year	$100
Individual:
Individual – 1 Year insured	insured	1 Year	$40
Individual – 1 Year not insured	not insured	1 Year	$100

Additional ways to register:
Download an application. Download the application and the plan coverage document. Call PHI Cares Membership office – 1.888.435.9744, M-F; 8:00 am – 4:00 pm MST

Select either a household or individual plan

Select a Membership Plan	Your Current Health Insurance Status	Coverage Period	Cost
Household:
Household – 1 Year insured	insured	1 Year	$60
Household – 1 Year not insured	not insured	1 Year	$100
Household – 3 Year insured	insured	3 Years	$150
Household – 3 Year not insured	not insured	3 Years	$300
Household – 5 Year insured	insured	5 Years	$250
Household – 5 Year not insured	not insured	5 Year	$500
Individual:
Individual – 1 Year insured	insured	1 Year	$40
Individual – 1 Year not insured	not insured	1 Year	$100

Additional ways to register:
Download an application. Click to download Call PHI Cares Membership office – 1.888.435.9744, M-F; 8:00 am – 4:00 pm MST

*If you have a coupon code, you can apply it at checkout.

*Coupon codes are only applicable to the $60/year household membership.

*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