Register

If you are already registered login here

Complete the following form.

When you are done, you can print your discount card and begin saving money today.

* Required

Your information

Title

First name

Last name

E-mail address By providing your email address, you may receive email communications from Univision

Confirm e-mail address

Password

Confirm password

Date of birth

*Zip code

Dependents

Add members of your family that you'd like to include in the program. You can add children, grandchildren, your spouse, parents or grandparents.

Dependent

First name

Last name

Relationship

Dependent

First name

Last name

Relationship

Dependent

First name

Last name

Relationship

Dependent

First name

Last name

Relationship

Dependent

First name

Last name

Relationship

Add dependent

Remove dependent

Phone and Poll

Mobile number

Do you want to receive special offers and notifications from Univision?
I accept offers and notifications from Univision via SMS. Carrier charges per message may apply Terms and conditions

How did you hear about us?

I accept the Terms and Conditions, the Privacy Policy of Univision and the Privacy Policy of Holadoctor. I confirm the provided information is correct and that I agree with the Terms and Conditions of the program.

I verify that the provided information is correct and that I agree with the terms of the program.

The Member agrees that he or she does not participate in or have drug coverage through a government program, such as Medicare, Medicaid or Tricare and is not submitting these claims for reimbursement to any carrier.

Submit

Confirm your address

We don’t recognize this address.

Please click to edit your address and check the following:

- You are using your mailing address (dirección postal)
- The first address line should ONLY contain Residential or Urbanization information. Do not include Cond.
- The second address line is for street name and number, house or apt #, PO Box, HC and Box or RR and Box only. Do not include Res or Urb or Cond on this line
- Include a space between street name, apartment name and any apt or house #s
- If an HC address, include a space between HC and the #; use “Box” instead of "Caja"; remove the first 0 from your HC number. i.e. HC 022 should by typed in as HC 22.

Address validation

You entered:

Click here to correct it

Click here if you want to keep this address

Address submitted

Your registration is being processed. Please wait.

desktop

tablet

phone