USIB Inc Benefits Card
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USIB Inc Benefits Card

How can we do this?

These discounts are available to you for one reason.........the purchasing power that comes from vast numbers of people all buying from the same source. You are being given the opportunity to benefit from that buying power!

Fill out the form below to apply for your free USIB Inc Benefits Card

  • PRINT OUT YOUR CARD ON THE NEXT PAGE REAL TIME


  • YOU CAN USE IT IMMEDIATELY


  • EXPERIENCE THE SAVINGS TODAY!

Who is Eligible?

  • SIMPLY EVERYONE !
Fields marked with * are required.
 
* Member (First-Last Name):
Zip Code:
Phone:
* Email:
* Date of Birth (MM/DD/YYYY): / /

Spouse (First-Last Name):
Dependent (First-Last Name):
Dependent (First-Last Name):
Dependent (First-Last Name):
I understand that this FREE discount card is not insurance, nor is it intended to replace insurance. I am obligated to pay for all health care services at the time of service but at the discounted price. I understand that the discounts on medications will vary based on the medication and may also vary by pharmacy. By presenting this card to the pharmacist with my prescription, I agree that I am authorized to use it, and that the number of prescriptions and the types of medications I purchase may be collected, but will not be associated with me individually. None of my personal health information will be shared, distributed or sold to anyone. I also understand that the sponsor of this card may contact me with additional opportunities specifically for people without prescription drug coverage.
* I AGREE :
 
-- This Card is not affiliated with Medicare --