Reviews
Blog
FAQ
Contact Us

Call Us Toll Free at 469-361-4032

About Us
Shop For Insurance
Resources
Health Care Reform Explained
Get A Free Quote
Reviews

Individual/Private Health Insurance
Family Health Insurance
Short Term Health Insurance
Group/Small Business Health Insurance
Health Savings Accounts (HSA’s)
Christian Cost Sharing – Medi-Share
Fixed Benefit Health Insurance
Dental/Vision Insurance
Life Insurance
Senior Health Insurance
Check Out Our Reviews

660 AM THE ANSWER

Listen Now

You are here: Home / Customize Quick Quotes

Customize Quick Quotes

Step 1 of 3

33%

Name*
First Last
Phone*
Email*
Zip Code*

Primary Information - Name:
Primary Date of Birth
Date Format: MM slash DD slash YYYY
Primary Tobacco Use
- Yes
- No
Spouse Information - Name:
Spouse Date of Birth
Date Format: MM slash DD slash YYYY
Spouse Tobacco Use
- Yes
- No
Do you have Dependents?*
If Yes, How many?
Dependent 1 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 1 Sex
- Male
- Female
Dependant 2 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 2 Sex
- Male
- Female
Dependent 3 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 3 Sex
- Male
- Female
Dependent 4 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 4 Sex
- Male
- Female
Dependent 5 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 5 Sex
- Male
- Female
Dependent 6 Date of Birth
Date Format: MM slash DD slash YYYY
Dependent 6 Sex
- Male
- Female

Are You Currently Insured?*
If yes, Please pick one:
Other Insurance Carrier
When would you like your coverage to begin?
Date Format: MM slash DD slash YYYY
What is your current budget?
Gross Adjusted Family/Individual Annual Income (applies for subsidy quotes only)
Anything you would like to add for this quote?

Share this:

Tweet

As seen on:

Get a Free Health Quote

Shop for Insurance

Short Term Health Insurance
Fixed Benefit Indemnity Health Insurance Plans
Health Savings Accounts
Individual Health Insurance
Family Health Insurance
Group Health Insurance
Senior Health Insurance
Dental Insurance
Life Insurance
Cost Sharing / Medi-Share

Learn More

Get a Free Quote
Shop For Insurance
Health Care Reform Explained
About Us
Careers
Contact Us

Resources

Frequently Asked Questions
Health Insurance Glossary
Reviews
Contact An Agent
Affordable Health Insurance
Site Explorer

Custom Health Plans

4601 Old Shepard Place Suite #104 Plano, TX 75093
469-361-4032 (local)
877-749-2241 (Toll Free)
972-758-2900 (Fax)
Email Us

Custom Health Plans on Alignable

Texas Health Insurance

Dallas Health Insurance
Fort Worth Health Insurance
Austin Health Insurance
Houston Health Insurance
San Antonio Health Insurance

Copyright © 2020 Custom Health Plans, Inc | Site Map | Privacy | Terms

Trust
BBB
Norton

Copyright © 2020 Custom Health Plans, Inc.

X

Request A Quote!

Get A FREE Quote NOW

Call Us at (469) 361-4032

Request a custom quote now! Licensed insurance brokers are standing by!

All fields are required.

First Name * Last Name * Email * Phone (include area code) *

Website

Custom Health Plans – Insurance License: 1263435