Best Doctors Premier Plus Apply

Unfortunately we are unable to offer an online application for this plan at this time. We sincerely apologize for this inconvenience. You may still apply for coverage by contacting us or by following the directions below.

To apply for coverage, follow these simple steps:

(1) Open the Application
Click here to open the Application PDF for Best Doctors Premier Plus.
(2) Print the Application
You will need to print out the application from your printer.
(3) Fill Out / Complete Application
With your printed out copy, fill in and complete the application with your information.

If at any point you have questions, please contact us so that we may help and assist you.
(4) Send Us Your Completed Application
Once you have completed your application, you must send it in to us. You may fax in the application, scan & email us the application (via the internet through email), or you may send your application to us via postal mail.
Fax: 480-753-1330
Postal Mail:
ASA, Inc.
1300 N. McClintock Dr. Suite A
Chandler, AZ 85226-7240
Email: insurance@asaincor.com

We will begin processing your application as soon as it is received. Enjoy your new peace of mind!

Want Help with Your Application?
Contact our us with any questions or problems you may have. Whether via the web, email, phone, fax or even postal mail - we are here to help you find peace of mind! » Contact Us