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Activate Your Online Account

If you did not provide an email address at the time of your enrollment and would like to access our Internet services, you may automatically activate your online account by providing the following information.

1. Identify Yourself
Please enter your name and member ID number, along with your birth month and day so that we can verify your identity.

Name:

Membership ID Number:

Month of Birth: Day of Birth:


2. Set Your Online Account Profile Information
Your email address will be used as your login ID. It will also be used by the system to send you AgelessCare health newsletters and other correspondence related to your account.

Your Email Address:
Your Email Address Again:

Please specify a password between 6 and 20 characters in length.

Your password:
Enter password again:

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