Monthly Contribution Calculator

1
Select your program* This field is required.
Please Select
Please Select
Solidarity 3000
Solidarity 6000
Solidarity 9000
Solidarity 12000
Solidarity Premier (Legacy)
2
Select your Solidarity 3000 household size* This field is required.
Please Select
Please Select
Single (1 Member)
Couple (2 Members)
Family (3+ Members)
3
How old will the oldest active Member in your Single, Solidarity 3000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
4
How old will the oldest active Member in your Couple, Solidarity 3000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
5
How old will the oldest active Member in your Family, Solidarity 3000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
6
How many active Members in your household are participating in Solidarity Well?* This field is required.
Please Select
Please Select
None
1
2
3
7
Are you currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes
8
Is any active Member in the household currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes, 1 Member
Yes, 2 Members
9
Payment Method* This field is required.
Please Select
Please Select
ACH
Credit Card
10
New Estimated Monthly Contribution (Solidarity 3000, Single)
11
New Estimated Monthly Contribution (Solidarity 3000, Couple)
12
New Estimated Monthly Contribution (Solidarity 3000, Family)
13
New Estimated Monthly Contribution

${Sol3000SingleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
14
New Estimated Monthly Contribution

${Sol3000CoupleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
15
New Estimated Monthly Contribution

${Sol3000FamilyMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
16
Select your Solidarity 6000 household size* This field is required.
Please Select
Please Select
Single (1 Member)
Couple (2 Members)
Family (3+ Members)
17
How old will the oldest active Member in your Single, Solidarity 6000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
18
How old will the oldest active Member in your Couple, Solidarity 6000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
19
How old will the oldest active Member in your Family, Solidarity 6000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
20
How many active Members in your household are participating in Solidarity Well?* This field is required.
Please Select
Please Select
None
1
2
3
21
Are you currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes
22
Is any active Member in the household currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes, 1 Member
Yes, 2 Members
23
Payment Method* This field is required.
Please Select
Please Select
ACH
Credit Card
24
New Estimated Monthly Contribution (Solidarity 6000, Single)
25
New Estimated Monthly Contribution (Solidarity 6000, Couple)
26
New Estimated Monthly Contribution (Solidarity 6000, Family)
27
New Estimated Monthly Contribution

${Sol6000SingleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
28
New Estimated Monthly Contribution

${Sol6000CoupleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
29
New Estimated Monthly Contribution

${Sol6000FamilyMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
30
Select your Solidarity 9000 household size* This field is required.
Please Select
Please Select
Single (1 Member)
Couple (2 Members)
Family (3+ Members)
31
How old will the oldest active Member in your Single, Solidarity 9000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
32
How old will the oldest active Member in your Couple, Solidarity 9000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
33
How old will the oldest active Member in your Family, Solidarity 9000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
34
How many active Members in your household are participating in Solidarity Well?* This field is required.
Please Select
Please Select
None
1
2
3
35
Are you currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes
36
Is any active Member in the household currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes, 1 Member
Yes, 2 Members
37
Payment Method* This field is required.
Please Select
Please Select
ACH
Credit Card
38
New Estimated Monthly Contribution (Solidarity 9000, Single)
39
New Estimated Monthly Contribution (Solidarity 9000, Couple)
40
New Estimated Monthly Contribution (Solidarity 9000, Family)
41
New Estimated Monthly Contribution

${Sol9000SingleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
42
New Estimated Monthly Contribution

${Sol9000CoupleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
43
New Estimated Monthly Contribution

${Sol9000FamilyMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
44
Select your Solidarity 12000 household size* This field is required.
Please Select
Please Select
Single (1 Member)
Couple (2 Members)
Family (3+ Members)
45
How old will the oldest active Member in your Single, Solidarity 12000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
46
How old will the oldest active Member in your Couple, Solidarity 12000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
47
How old will the oldest active Member in your Family, Solidarity 12000 Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
48
How many active Members in your household are participating in Solidarity Well?* This field is required.
Please Select
Please Select
None
1
2
3
49
Are you currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes
50
Is any active Member in the household currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes, 1 Member
Yes, 2 Members
51
Payment Method* This field is required.
Please Select
Please Select
ACH
Credit Card
52
New Estimated Monthly Contribution (Solidarity 12000, Single)
53
New Estimated Monthly Contribution (Solidarity 12000, Couple)
54
New Estimated Monthly Contribution (Solidarity 12000, Family)
55
New Estimated Monthly Contribution

${Sol12000SingleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
56
New Estimated Monthly Contribution

${Sol12000CoupleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
57
New Estimated Monthly Contribution

${Sol12000FamilyMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
58
Select your Solidarity Premier household size* This field is required.
Please Select
Please Select
Single (1 Member)
Couple (2 Members)
Family (3+ Members)
59
How old will the oldest active Member in your Single, Solidarity Premier Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
60
How old will the oldest active Member in your Couple, Solidarity Premier Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
61
How old will the oldest active Member in your Family, Solidarity Premier Membership be on September 1, 2023?* This field is required.
Please Select
Please Select
0-24
25-34
35-44
45-54
55-64
65+
Please select the appropriate age range from the list above.
62
How many active Members in your household are participating in Solidarity Well?* This field is required.
Please Select
Please Select
None
1
2
3
63
Are you currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes
64
Is any active Member in the household currently receiving a senior discount?* This field is required.
Please Select
Please Select
No
Yes, 1 Member
Yes, 2 Members
65
Payment Method* This field is required.
Please Select
Please Select
ACH
Credit Card
66
New Estimated Monthly Contribution (Solidarity Premier, Single)
67
New Estimated Monthly Contribution (Solidarity Premier, Couple)
68
New Estimated Monthly Contribution (Solidarity Premier, Family)
69
New Estimated Monthly Contribution

${SolPremSingleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
70
New Estimated Monthly Contribution

${SolPremCoupleMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
71
New Estimated Monthly Contribution

${SolPremFamilyMCA}

Monthly Contribution pricing may vary based on active enrollment in Solidarity Well or application of senior discounts. See your Member Care Portal for exact pricing beginning on your September 2023 Share Notice.
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