Join the Alliance Now and Start Saving

The Value Plan offers our most popular benefits at only $[]/month:

Teledoc

24/7 Doctor Access

Alliance Family Members get 24/7 phone access to a licensed physician, even if you're away from home. Physicians are even able to diagnose and prescribe common remedies in many states.


Legal Club of America

Legal Club®

Access to free and discounted legal services from a nationwide network of qualified attorneys through the Legal Club Family Plan.

Roadside Assistance

Roadside Assistance

Simply call the provider of your choice anywhere in the United States, Canada and Mexico and use the convenient new AMP BAC mobile app to simply upload the receipt for reimbursement up to $125 per event.

ID Theft Resolution Serviced

ID Theft Resolution Services

Members have access to America’s premier provider of identity theft resolution services and proactive tools.

Global Emergency Assistance

Global Emergency Services

Assistance 24/7 when traveling more than 100 miles from home including medical consultation, emergency medical evacuation and more.

Alliance Scholarship Program

Alliance Scholarships & Grants

Offering $2,000 first-year scholarships and $1,000 renewal scholarships up to 3 years, and $1,000 one-time grant for Members who attend a 2-year trade or technical school.

First choose your resident state:

Alliance Value Membership Package

Benefits include 24/7 telemedicine, roadside services, legal assistance, ID theft resolution service, travel emergency assistance and access to educational scholarship and grant programs

Value Get our top benefits for your whole family in one affordable package.See details* []

Add Optional Benefits:

Dental Savings PlanSave 15-60% on dental procedures with access to one of the largest dental networks nationwide
Individual
 
Family
 
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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.
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Dental Savings Plan Save 15-60% on dental procedures and choose from nearly 200,000 providers nationwide.
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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.
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Dental Savings Plan Save 15-60% on dental procedures and choose from nearly 200,000 providers nationwide.
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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
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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
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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)
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Join the Alliance

Selected Plan:
Family Plus Plan
$45/month
 
Optional Dental Savings Plan
+$12/month
 
Total
$87/month

Enter your information

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Please enter your state.
Please enter a valid zip code.
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Please select your gender.
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Note: Start date cannot be in the past or more than 60 days in the future.


Please enter Agent Number.

If you are applying for an Alliance Family membership, please enter the dependent information so they have full access to membership benefits. If applying as an Individual, please click Continue below


    Add Dependent

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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.

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Join the Alliance

Choose your billing method

Pay annually and SAVE
Please enter first name.
  • Value: []
  • 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: []
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Credit card information

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Please select relationship to applicant.

Terms & Conditions for Credit Card Authorization

Electronic Check - Bank Account Information

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

How do I find my account and routing number?

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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.

Dental Plan Disclosure

I understand that will be the covered person on the Dental Savings Plan - Single. If another family member should be covered, please contact Alliance Member Services for change request assistance.

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

You must agree to the terms and conditions.

Please enter your name below to electronically sign your application.

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Please re-enter to confirm your application.

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Pressing Submit will process this membership request and charge the account 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.

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Confirmation

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.

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I authorize the Alliance to charge the account provided for the amount specified for the payment of Alliance products I selected. I understand and agree that the initial charge will be made immediately upon Alliance receiving this authorization. I further agree and understand recurring payments for the products selected will continue against the account entered, at the billing period selected, until I notify Alliance to change or stop the recurring payment, at least 5 business days from the next scheduled billing date. I certify I am an authorized user on this account, and will not dispute recurring transactions, as agreed to in my electronic signature below.

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Value Plan Benefits

Get our top benefits for your whole family and save with an annual membership. Only $[]>14.40/month when billed annually and $[]>14.40/month when billed monthly.

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You will need to contact your bank for further information regarding this transaction.

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