Create Account
Please use your Alliance member ID card to help you fill in the following information. Enter your first and last name, date of birth and Member ID number exactly as they appear on your ID card. Do not include your middle initial. You will also need to enter your email address so we can verify your account. | |||
First Name | Last Name | ||
Date of Birth | Member ID Number (example: 91234567A) | ||
Email Address | Verify Email Address | ||
Cellphone Number (Optional)
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Username
Username must be 8-15 characters long and can include uppercase letters, lowercase letters or numbers. |
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Password
Password must be 10 to 25 characters long and must include at least 1 uppercase letter, 1 lowercase letter, 1 number and 1 special character from the list: ( ) , . * + - / ! $ & ; ]. |
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Verify Password | |||
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If you are an Alliance Medi-Cal member and are 12 years of age or older, you can create an account. Members under the age of 12 will need an authorized representative to create an account. | |||
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Recover Account
Please use your Alliance member ID card to help you fill in the following information. Enter your first and last name, date of birth and Member ID number exactly as they appear on your ID card. Do not include your middle initial. Your username and/or temporary password will be sent to the email address we have on file for you. | ||||||
First Name | Last Name | |||||
Date of Birth | Member ID Number (example: 91234567A) | |||||
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Change Password
Enter your username and password to log in to your account. Once logged in, you will be able to change your password and update your information. | |
Username | |
Password | |
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