FINANCING APPLICATION FORM

Apply for healthcare financing in seconds.

How it works: By partnering with physicians and hospitals, MedPlan is able to provide affordable payment plans for patients with high deductibles or other large out-of-pocket medical bills.



You must select an amount.
  • 6
  • 12
  • 18
  • 24
  • 30
  • 36
  • 42
  • 48

Payments over months selected.

Estimated Monthly Payments: $

Are you currently employed?
I understand that I am applying for credit and I hereby authorize Medplan Credit to obtain my credit information.


Please provide the Cosigner's Name and Email address. An email will be sent to them containing a link to complete the application.