Ordering a Long Term Care Enrollment Kit is as simple as completing the brief questionnaire below. You are also encouraged to use our toll-free hotline for assistance with any aspect of your Long Term Care Program. Simply dial 1-888-PERA-LTC toll-free to be connected with a knowledgeable Benefits Specialist. 



First Name:
Last Name: 
Street Address: 
City: 
State: 
Zip Code: 
Telephone: 
FAX: 


 
Please verify that the above information is complete and accurate, then click on the "Submit" button. Your enrollment kit will be sent within 24 hours via U.S. Priority Mail. Thank You! 



U.S. Care, Inc.
3130 Wilshire Boulevard
Santa Monica, CA 91403

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