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Essential Plus

Ultra-Med Health Care

$20/month
$8,000 limit
Individual/Family
Dental
Optical
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Application Form

Apply for Medical Aid

Complete the form below to apply for the Essential Plus plan from Ultra-Med Health Care.

Optional, but recommended for communication.

Select your date of birth

Optional information

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Optional information

Your information will be handled according to our privacy policy.

Important Information

  • All information provided will be kept confidential
  • You will receive a confirmation email after submission
  • A representative will contact you within 24 hours
  • No obligation to purchase

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