Elite Health USA — Enrollment Application
Step 1 of 6
Coverage
Applicant
Questions
Payment
Broker
Review
Read what the plan covers before you start.
Schedule of Benefits (PDF)
Your selection
Pick your coverage tier below to see your monthly price and effective date.
Coverage
List Bill Group ID (only if your company set one up — 6 or 7 digits)
Member
$438.38/mo
Member & Spouse
$695.64/mo
Member & Children
$712.17/mo
Member & Family
$1,002.13/mo
Coverage effective date
*
December 1, 2026
January 1, 2027
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Questions about this application?
Fage Financial Services
(845) 499-2255
info@fagefinancial.com