LifeWise HSA Plans
Please run an instant quote for LifeWise HSA health insurance plans, rates, and applications in your area.

Supplemental
Accident Coverage
The perfect complement to any HSA
How To Apply
Please note: All applications will be submitted in the name of Wiley Long, the president of HSA for America. If you have already been working directly with one of our advisors, then that person will be noted in our system as your personal contact.
Before
you apply for a LifeWise HSA plan, be sure to view the Outline of Coverage
of the plan for which you are applying. You can find the most recent
Outline of Coverage pdf by running an instant
quote and selecting the plan you are interested in. Each
Outline of Coverage contains important information regarding benefits, exclusions,
limitations, renewability, and other terms of coverage.
Apply Online:
The fastest and easiest way to get your coverage in force is to Apply Online, using the link below. Gather the following information before you start the application in order to speed the process:
Gather the following information before you start the application in order to speed the process:
- Your doctors names, addresses, and phone numbers
- Medications you currently take or recently took, including dosage and frequency
- Dates of hospitalization
- The name of the plan for which you are applying
- Your requested effective date
- Your credit card information to cover the initial premium
Apply by Fax or Mail:
To print out your application, simply run an instant quote, then click "Apply" next to the plan you are interested in and select "download an application." When the Adobe Acrobat reader opens with the application, use the menu bar at the top to save the application to a file or simply print it out right from the reader. Follow the instructions on the first page and complete the entire application.
Please fill out the application completely and include all pages. Any unanswered questions will delay the processing. If you have any questions about filling out the application, call application processing department at 866-749-2039, or email us at info@HSAforAmerica.com, leave your name and phone number, and someone from our office will call you back and answer any application questions you have.
Fax your application toll-free to 1-866-284-0082. Or Mail it to:
HSA for America
1001-A East Harmony Road, #519
Fort Collins, CO 80525
Note: All policies come with a money-back guarantee. After receiving your policy, you have 10 days to review it. If for any reason you decide not to keep the policy, you will receive a full refund of your initial premium. Remember that you also have access to the guaranteed lowest life insurance rates available, with easy online quotes and applications.
"The attention you pay to your customers is remarkable"
We chose to do business with you because your website was so thorough and explained HDHP's and HSA's so well. The service has been above and beyond my expectations. You guys are awesome! The attention you pay to your customers is remarkable. I already have and plan to continue to recommend you to others.
Glenn
Robinson
Carpenter
Breckenridge, CO
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