Welcome to ACD Insurance Patient Registration

Quickly register for your 1-year health insurance coverage with just a scan!

At ACD Insurance, we strive to make health coverage accessible for everyone. If you’ve scanned the QR code provided by your home health aide, you’re in the right place! This simple form will help you get the health insurance you need to ensure your well-being for the coming year.

First Name *

Last Name *

Email *

Phone *

Age *

Select Medicare Plan *

Choose Your Action *

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ACD Insurance

Making healthcare accessible for all.

ACD Insurance

Making healthcare accessible for all.