Please enter your First Name, Last Name, Date of Birth, Gender, and Member ID #. Please include the three letters that precede your member ID (for example, YXB01234567).
Member ID#
Gender Gender Male Female Non-Binary
I am insured as a dependent
To register as a dependent, please enter the primary policy holder's First Name, Last Name, Member ID#, Date of Birth and Gender. All fields are required.
Date of Birth
Primary Member Gender Gender Male Female Non-Binary
Primary Member Relationship Member Relation Spouse Child Other Adult
MDLIVE is committed to offering you and your family the best in telehealth. Each Family Member must have a separate account as each individual has his/her own unique personal medical record.
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