Please complete the form below to setup your Online Account

Member Identification The Security and Privacy of your health care information is our highest priority. Please fill in the following fields so that we may correctly identify your account.  
Subscriber ID
Social Security Number
Date of Birth   (mm/dd/yyyy)
Account Creation Please type in a Username and Password combination below (8 -15 characters) that is simple for you to remember, but hard for others to guess. Your username and password cannot contain any of the following characters: (%, #, &, {, }, |, [, ], and `).
Select a Username
Select a Password
Retype Password
Email Notification
Your Email Address     

By giving us your email address, you are agreeing to view your monthly statements on this web site instead of receiving paper statements in the mail. You'll receive email notification when you have a statement ready to review.

If you'd prefer to receive paper statements, you can select that option by logging in, clicking the "Your Profile" link in the left menu, and checking the appropriate box in the Paperless Statements section.

You're also agreeing to receive information via email from HealthEZ concerning your online account or your benefits.