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Please Identify Yourself

Step 1 of 3 All fields are required.



MyCare Activation Code
xxxxx
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xxxxx
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xxxxx
 

Enter your activation code. You use this code just once to sign up for MyCare- you will not need to use it again. If you do not have an activation code, click the [Request Online] button below.

nnnn

Please enter the last 4 digits of your Social Security Number.

Date of Birth
mm
/
dd
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yyyy

Enter your date of birth in the format shown, using 4 digits for the year.

No Activation Code?
Request Online