Join the Alliance Now and Start Saving

Alliance Members get dozens of money-saving benefits including:

  • 24/7 Access to a real doctor on the phone
  • Savings on lab testing and diagnostics such as MRIs and Xrays
  • Savings on business expenses, hotels and rental cars
  • Emergency Roadside Assistance
  • Identity Theft Resolution
  • Education Benefits including Scholarships, Grants and Resources
First choose your state so we can show your available options:

Choose your Membership Package

Our membership options were created specifically for small-business owners, the self-employed, and other individuals who are responsible for providing benefits for themselves and their families. Our packages focus on discounted products and services for your professional, personal and health care needs.

Individual Membership Get savings and additional health benefits for you or your Small Business. []
Family Membership Family Membership lets your whole family share your Alliance Benefits. []

Add Optional Benefits:

Health Superpack Includes the Association RX Discount Card, Accident-Only Emergency Room Benefit and the Hospital Accident Benefit.
[]
Dental Savings Plan Save 15-60% on dental procedures and choose from nearly 200,000 providers nationwide.
[]
Small Business Superpack Get protection for your home office, plus assistance with monthly expenses if you are unable to work.
[]

Limited Time Offer: Sign up online now and your $25 Activation Fee is waived!

Add Optional Benefits:

Health Superpack Includes the Association RX Discount Card, Accident-Only Emergency Room Benefit and the Hospital Accident Benefit.
[]
Dental Savings Plan Save 15-60% on dental procedures and choose from nearly 200,000 providers nationwide.
[]
Small Business Superpack Get protection for your home office, plus assistance with monthly expenses if you are unable to work.
[]

Limited Time Offer: Sign up online now and your $25 Activation Fee is waived!

Continue

Health Superpack

Save on prescriptions and help cover expenses in case of an accident with our optional Health Superpack.

  • Association RX Discount Card saves up to 65% on prescriptions at over 60,000 pharmacies nationwide
  • Accident In-Hospital benefit pays you up to $650 per day when you are hospitalized due to an accidental injury
  • Accident Emergency Outpatient benefit pays up to $300 for treatment due to an accident
×

Dental Savings Plan

Save up to 60% on virtually all dental procedures at thousands of dental providers nationwide.

  • Save 15-60% on dental procedures through one of the largest dental networks nationwide, CAREington International
  • All dentists must meet highly-selective credentialing standards
  • Unlimited access to care with no limit on the number of visits
×

Small Business Superpack

Protect your home office equipment, and get financial assistance in case of injury with our Small Business Superpack.

  • Business Overhead Expense benefit provides assistance with monthly expenses in case of a disabling injury
  • Home Office Protection benefit provides coverage for your home office equipment that is lost or damaged by fire, wind or other perils (not flood)
×

Join the Alliance

Enter your information

Please enter your first name.
Please enter your last name.
Please enter your state.
Please enter a valid zip code.
Please enter date of birth in mm/dd/yyyy format.
Please select your gender.
Please enter your email address.
Please enter phone number.

Note: Start date cannot be in the past or more than 60 days in the future.


Please enter FSR pin.

Enter dependent information

Please choose dependent.
Please enter first name.
Please enter last name.
Please enter date of birth in mm/dd/yyyy format.
Please enter gender.

Note: Dependents age 19 to 28 must be full-time students.

Age requirements for some benefits may vary. You may list no more than 7 dependents.

Association Rx Card

You may choose dependents to be covered below.

Covered Family Members

(Member)

By enrolling in a plan, I authorize the Association, the Pharmacy Services Administrator and its participating pharmacies to share only information necessary to the fulfillment of prescriptions.

Member is required to pay the entire amount of the discounted rate. The purchase price may vary by drug and by pharmacy. Discounts are available only at participating pharmacies. No portion of the drug cost or dispensing fees for drugs purchased by members under this program is paid by Association Rx Card or EnvisionRxOptions. Pricing and tier positions are subject to change without notice. Pricing and tier positions are only for quantities stated; additional quantities may incur higher costs. May not be available in all states. Members may cancel the Association Rx Card program within thirty (30) days of joining the program, and shall be refunded any and all program fees paid during the initial program membership. Visit www.AssociationRXCard.com for more details on drug pricing and participating pharmacies. For additional information and assistance, please contact Alliance at 1-800-733-2242. This application is not a contract. For complete details, consult your fulfillment materials.

Continue

Join the Alliance

Choose your billing method

Pay yearly and SAVE
Please enter first name.
  • Individual Membership: []
  • Upgrade Options amount: 0
  • One-time administration fee []
    WAIVED if applying online
    WAIVED if applying online
  • Enter any promotional code here: Re-Calculate the Price
  • Total First Payment: []
Please select payment method.
Please select payment method.

Credit card information

Please select card type.
Please enter cardholder name.
Please enter card number.
Please enter expiration month.
Please enter expiration year.
Please enter cvv.
Please enter billing zip code.
Please select relationship to applicant.

For the purpose of honoring debits or credits for collection of initial dues initiated by Alliance I authorize the Alliance to charge the credit card or debit card account identified as the 'Account' for up to the amount specified and to receive payment of such amount from the Account for payment of initial dues, administration fee and Association products selected to join the Association. I understand and agree that (i) Association membership will not become effective unless and until payment of the full amount of initial dues shall have been received by the Association, (ii) any charge made pursuant to this authorization will be made for payment of the initial dues & fee only, (iii) reversal or contest of, or objection to, any charge made pursuant to this authorization shall constitute failure to pay initial dues in full which will automatically terminate and void the Association membership, (iv) the issuer of any credit card or debit card to be charged pursuant to this authorization is not acting and will not act as an agent of either the Association or me in accepting and paying the charge authorized hereby and (v) charge will be made immediately upon Association receiving this authorization.

Electronic Check - Bank Account Information

Please select account type.
Please enter name on account.
Please enter account number.
Please enter routing number.
Please enter bank name.

How do I find my account and routing number?

×

I authorize the Alliance for Affordable Services to debit entries to my account with the depository named for the purpose of honoring charges initiated by the Alliance. This authorization will remain in effect until the company has received notification from me that it is to be terminated in such a time and manner for the company to act on it. I have the right to stop payment of a debit entry by notification to Depository at such time as to afford Depository a reasonable opportunity to act on it prior to charging account. After account has been charged, I have the right to have the amount of an erroneous debit immediately credited to my account by Depository, provided I send written notice of such debit entry in error to Depository within 15 days following issuance of the account statement or 45 days after posting, whichever comes first.

Initial Payment: The Draft will be made immediately upon Alliance receiving this authorization.

Ongoing Payments: If any day above 28 is selected for the membership start date the ongoing draft day will be the 28th.

By checking the box and entering my name below, I am indicating my intent to electronically sign this application and warrant that all of the information I have provided is true, complete, and accurate.

Terms & Conditions for Membership Application

I wish to make application for membership in the Alliance for Affordable Services (Alliance). I understand the benefits are offered at the sole discretion of the Alliance and may vary by availability, vendor or state of residence of the Member. Vendors reserve the right to withdraw or change their offers without notice. The benefit descriptions have been taken from the benefit providers’ marketing material and members should carefully examine benefit information before choosing any benefit. The Alliance makes no affirmation of fact or promise relating to the goods and services and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to Alliance benefits, you must be a member in good standing and dues must be paid current. The Alliance does not verify eligibility status on benefits. Each vendor has the responsibility and right upon claims or services submitted against a benefit to honor or deny service. Monies collected prior to cancellation are non refundable. Should I choose to cancel my membership, I understand I must contact Alliance at 1-800-733-2242 or write to Alliance at P.O. Box 612547, Dallas, TX 75261-2547 or via facsimile to 1-800-847-8889.

You must agree to the terms and conditions.

Please enter your name below to electronically sign your application.

Please enter first name.
Please enter last name.

Please re-enter to confirm your application.

Please enter first name.
Please enter last name.

Pressing Submit will process this membership request and charge the credit card entered.

PLEASE NOTE: If you press the "Submit" button twice, you may be charged twice. After submitting the form, it may take several seconds to process your payment. You will see a confirmation page after your application has been processed.

   Processing Membership ... Please Wait

Confirmation