Study USA-HealthCare™
Student Medical Health Insurance
Printable Application/Brochure
Printable Application
Use our printable form if you:
- prefer to mail or fax in your application and/or
- prefer to pay for this plan by check and/or
- are enrolling only dependents.
Get the printable form for:
- Study USA-HealthCare™ (for all states except Florida)
- Study USA-HealthCare™ (for Florida)
- Study USA-HealthCare™ Preferred (for all states except Florida)
Brochure

Download the Study USA-HealthCare™ brochure (for all states except Florida) (PDF)
Download the Study USA-HealthCare™ brochure (for Florida) (PDF)
Get an instant quote for all plans and enroll now!
This plan is currently not available to insureds that reside in Idaho or Washington and/or insureds traveling from outside the U.S. to Idaho or Washington. Please call us at 1-800-937-1387 to learn about other plans that may be available.
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