Medical City PlanoMedical City Healthcare 2025

1. Click ‘Get Form’ to open the Medical City PlanoMedical City Healthcare application in the editor.
2. Begin by entering your full legal name in the 'Employee Information' section. Fill in your first name, middle initial, last name, email address, work phone, marital status, home phone, SSN, sex, birthdate, state, zip code, and address.
3. Next, provide information about your spouse if applicable. Include their first name, middle initial, last name, SSN, birthdate, sex, employment status (yes/no), and any other insurance details.
4. In the 'Dependent Information' section, list each dependent's relationship to you along with their first name, middle initial, last name, birthdate and insurance details.
5. Select your preferred medical plan option from the choices provided: Accelerate Plan or Access Plan. Ensure you understand the eligibility requirements for each plan.
6. Review all entered information for accuracy before submitting. Once complete, return your application to your employer within the open enrollment period.

Start filling out your Medical City PlanoMedical City Healthcare application today using our platform for a seamless experience!