NEXTERA HEALTHCARE

Step 1 of 4

$89/month = 18+ years
$49/month = 0-17 years

Discounted 2025 pricing is only if you/your family enrolls prior to June 1, 2025. On January 1, 2026 the monthly membership prices will go up to our standard retail membership rates as outlined on the membership form.

Individuals (18 and over)

Individuals under 18

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Total members

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Payment Method

Credit Card Details

Your card will be charged by NEXTERA HEALTHCARE

Credit Card Type(Required)

Visa

MasterCard

Discover

Card Number(Required)

Expiration Month

Expiration Year

Security Code(Required)

Cardholder Name(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Daytime Phone Number(Required)

Consent(Required)

I authorize NEXTERA HEALTHCARE to automatically charge my credit card the amount(s) indicated on this form.

ACH Option

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Daytime Phone Number(Required)

Bank Name(Required)

Account Type

Routing Number(Required)

Please Confirm Your Routing Number(Required)

Account Number(Required)

Please Confirm Your Account Number(Required)

Consent(Required)

I authorize NEXTERA HEALTHCARE to automatically pull from my bank account the amount(s) indicated on this form.

Membership Agreement