OptumHealth Allies

Member Enrollment

Enter your information, then click CONTINUE.

Your Information

First Name:		MI:

Last Name:		Suffix:

Mailing Address 1:

Mailing Address 2: (optional)

City:		State:		Zip:

Home Phone:

Work Phone: (optional)

Fax Phone: (optional)

Gender:

Birthdate: (MM/DD/YY)

Family Enrollment

Would you like to add a spouse to your account?

Yes No

Would you like to add dependents to your account?

Yes No

Yes! I want to sign-up for the monthly OptumHealth Allies e-newsletter to receive timely member information and special discount offers.

Form Enroll-1

For more information, call (800) 377-0263 , Monday through Friday, 7 a.m. to 8 p.m. (Central time)
Para asistencia en espanol, marque (800) 377-0263 , Lunes-Viernes, 7 a.m.-8 p.m., hora Central.

The OptumHealth Allies Discount Program is administered by HealthAllies^®, Inc., a discount medical plan organization located at P.O. Box 10340, Glendale, CA 91209, (877) 426-2559. OptumHealth Allies is NOT insurance. OptumHealth Allies provides discounts at certain health care providers for medical services. OptumHealth Allies does not make payments directly to the providers of medical services. The program member is obligated to pay for all health care services but will receive a discount from those health care providers who have contracted with the discount plan organization.