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
  1. Select Membership Plan
  2. Enter Member Details
  3. Enter Billing Details

*Definition of Household: All members of a single family residing together, including up to three non-family members, if any.

Up Arrow  Select your state of residence

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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
Down Arrow
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