Essential Membership Add-ons Name* First Last PhoneEmail Membership ID (If applicable)Membership Type*Select Membership TypeMemberMember & SpouseMember & Child(ren)Member & FamilyEssential Membership Price: Add-ons (M)* Preventive Sharing: Preventive and screening services. Rx Share: Discounted prescriptions. Teladoc: Virtual office visits. LifeWorks: Mental wellness care and counseling services. Tobacco: Surcharge mandatory for tobacco users. Add-ons (MS & MC)* Preventive Sharing: Preventive and screening service. Rx Share: Discounted prescriptions. Teladoc: Virtual office visits. LifeWorks: Mental wellness care and counseling services. Tobacco: Surcharge mandatory for tobacco users. Add-ons (MF)* Preventive Sharing: Preventive and screening services. Rx Share: Discounted prescriptions. Teladoc: Virtual office visits. LifeWorks: Mental wellness care and counseling services. Tobacco: Surcharge mandatory for tobacco users. Total $0.00 Option Network: Access to PHCS Network discounted service rates. Δ
