HealthGuard Insurance - Member Portal

Plan Status

Active

Plan Type

PPO Gold

Deductible Used

$750 / $2,000

Next Payment

Jan 15

Open Enrollment Period

You can make changes to your coverage until January 31, 2025. Changes will take effect February 1, 2025.

Personal Information

Primary Member

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security Number * Last 4 digits shown for security

Gender *

Email Address *

Phone Number *

Preferred Contact Method

Address Information

Street Address *

Apartment/Suite/Unit

City *

State *

ZIP Code *

Coverage Options

Plan Type *

Coverage Level *

Additional Coverage Options

Dental Coverage (+$45/month)

Vision Coverage (+$15/month)

Supplemental Life Insurance (+$25/month)

Short-term Disability (+$35/month)

Primary Care Physician You can change your PCP once per quarter

Preferred Pharmacy

Dependents

Dependent 1 - Name

Relationship

Date of Birth

Dependent 2 - Name

Relationship

Date of Birth

Supporting Documents

Upload Documents

Click to upload or drag and drop
PDF, JPG, PNG up to 10MB

Upload proof of dependent status, marriage certificate, or other required documents

Additional Information

Special Requests or Notes

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