Value Health Plan Apply  

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To apply for the Value Health Plan, fill out the Application, the Consumer Form, and the Billing Form, and mail them to us along with a check for the first months premium, payable to GEM Administrators.

Please note that this plan will not cover anyone that has in the past 24 months had chest pains, disease or disorder of the heart, liver, kidneys, or lungs, uncontrolled high blood pressure, albumin or sugar in urine, uncontrolled diabetes, cancer, tumors, or ulcers.

Not Available in AK, MN, NH, NY, or WY

Value Health Plan brochure	Value Health Plan Application
Consumer Form	Billing Form