Direct Short-Term Health Insurance

Up to 3 Years of Coverage | Enroll Anytime

Nationwide PPO Networks
Premiums Up to 50% Less Than ACA
Coverage as Soon as Next Day
Prescription Drug Coverage Included
No Open Enrollment Required

Fill out this short form to see your personalized options

First Name *

Please enter your first name

Last Name *

Please enter your last name

Email *

Please enter a valid email

Mobile Phone *

Please enter a valid phone number

About You

This helps us match you with the right plan.

Date of Birth *

Please enter a valid date of birth (MM/DD/YYYY)

Gender *

Female Male

Please select your gender

Zip Code *

Please enter a valid 5-digit zip code

Desired Start Date *

Please select a start date

Add Spouse / Partner

Spouse / Partner Details

First Name

Last Name

Date of Birth *

Please enter a valid date of birth (MM/DD/YYYY)

Gender *

Female Male

Required if adding spouse

Add dependent children

Health Profile

Just a few health details to find your best rates.

Your Details

Height *

Please select your height

Weight (lbs) *

Please enter your weight

Tobacco or Nicotine Use *

Never used Last used over 12 months ago Used within the last 12 months

Please select your tobacco use status

Had major medical insurance for at least 9 of the last 12 months? *

Yes No

Please select an option

Spouse / Partner

Height *

Please select spouse height

Weight (lbs) *

Please enter spouse weight

Tobacco or Nicotine Use *

Never used Last used over 12 months ago Used within the last 12 months

Please select tobacco use status

Had major medical insurance for at least 9 of the last 12 months? *

Yes No

Please select an option

A Few More Questions

These help us find you the lowest possible rate.

Does the applicant lease or own a motorcycle?

You

Yes No

Any DUI/DWI citations or more than 1 moving violation in the past 2 years?

You

Yes No

In the last 5 years, has the applicant received treatment or medication for:

High Blood Pressure or High Cholesterol
Anxiety or Depression

You

Yes No

Please answer all questions to continue

Almost Done

Choose your preferred coverage term.

Coverage Term *

Please select a coverage term

Would you like us to text you when your quote is ready? *

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Texts from Curl Insurance Services about your quote and service updates. Msg/data rates may apply. Reply STOP to end, HELP for help. Privacy Policy.

Please select Yes or No

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We're Finding Your Best Rates

Thank you! A licensed agent from Curl Insurance Services will review your information and send you a personalized quote within 1 business day.

Check your email at for your quote details.