Members
Solutions
Benefits Pros
Employers
Investors
Contact
Login
Menu
Members
Solutions
Benefits Pros
Employers
Investors
Contact
Login
Employee Request Card New
Home
Employee Request Card New
Wellify
ME
Benefit Card Request
Employee Card Request
Please schedule an appointment with your practitioner (less than 30 days) before requesting a WellifyME card.
*Allow 5-7 business days for processing.
Please adjust your appointment date to allow processing time.
*Virtual cards can be processed in less time than physical.
Please try again when your appointment is closer.
*Allow enough time for processing (5-7 days).
Appointment Date
Current Date
First Name
*
Last Name
*
Days until appointment *Try again when less than 30 days
# Days until appointment *Try again when greater than 5 days
# Days until appointment *Try again when greater than 7 days
Employee Email
*
Employer ID
*
Employer ID can be obtained from your employer.
Type of Card
Virtual
Physical
Submit
I WANT TO:
FIND A DENTIST
— or —
CARD MANAGEMENT
— or —
CARD INSTRUCTIONS
— or —
AVERAGE DENTAL FEES