Attention: Recently, security researchers have identified vulnerabilities in the TLS 1.1 encryption used by most websites to secure information online. Starting Friday, December 15th, 2017, Allegiance will require users to utilize a web browser with TLS 1.2 or later enabled. These advanced protocols offer increased security for your health information. Please update your browser to a version that supports TLS 1.2 or later or to the most current version; older browsers will be unable to access Allegiance websites.

Debit Card Enrollment

Contact Info
( ) - x
Cardholder Use Acknowledgement
  • I may only use the card to pay for eligible medical expenses.
  • I may not use the card for expenses already reimbursed.
  • I may not seek reimbursement under any other health plan for expenses paid with the card.
  • I will acquire and provide documentation for expenses paid with the card.
  • I have been provided an explanation of the fees associated with the debit card.
As a security measure, your card will be mailed in a plain white envelope. Please be careful not to throw it away with the junk mail!