Ready to apply for your individual or family health plan?

When you're ready to apply for individual or family health insurance coverage, you'll find it helpful to have the following items in front of you.

You'll have an easier time if you have each applying family member's:

• birth date
• height
• weight
• social security number
• residential address
• mailing address
• prescription medication information (dose, frequency, dates of use, prescribing physician's name, address, telephone number, reason for prescription and results of treatment).
• Doctor visit, procedures and referral for procedure(s) and/or treatment(s) information (date(s); name, address and telephone number of physician or hospital; reason; description; results).
• Last doctor's office visit information (reason for visit, results, name, address and telephone number of treating physician)
• Abnormal lab, MRI, and/or x-ray information (date(s); name, address and telephone number of physician or hospital; reason; description; results).
• ER visit and/or hospitalization information (date(s); reason, results, name, address and telephone number of facility).
• Details of prior insurance coverage (dates, carrier, id number)
• Payment information.
  

*Please note, having these items in front of you will help you fill out your application accurately and should help make the process easier.

For more details, you can download and view health insurance applications on www.WinnerQuotes.com

For questions, please contact WinnerQuotes Insurance Services, Inc. (CA Lic. #0G11965) at 805-804-5288.