Step 1: BasicsStep 2: About ApplicantsStep 3: Application Fee

Head of Household Information

Please enter the information for the head of your household here, and this person will be designated as the primary contact in your Medi-Share record.

If you are applying for a child(ren) only membership, please call (800) 772-5623 for assistance with completing your application.

Head of Household Address

Head of Household Contact Information

A cell phone number enables us to provide you with text notifications, including password resets.


Please note there will be a $50.00 application processing fee.

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