MYGLOBAL™ MEMBER PORTAL REGISTRATION FORM
What is MyGlobal™?
MyGlobal™ offers patients access to their personalized health insurance information over a secure Internet connection.
Who Can Enroll?
To use the MyGlobal™ Member Portal you must:
- Be over 18 years of age
- Have Internet access
- Have a compatible web browser (see disclaimer below for requirements)
- Have a participating primary care provider
How Do I Register?
First, please read the MyGlobal™ Terms and Conditions statement. Next, you may either fill out and submit the form online, or print out this page, fill in, and mail/fax. You must also check the box confirming that you have read, understood, and agreed to the items detailed in the Terms and Conditions.
MyGlobal™ Registration Form
What Happens Next?
You may submit this form by clicking "Submit," or you may print, sign, and send the form to:
Attn: Customer Care
PO Box 2328
Oklahoma City, OK 73101-2328
Once we receive your signed consent form, we will send access instructions and a personalized secure access code to your home address via US mail.
How Can I Contact GlobalHealth?
Please feel free to contact us if you would like the consent form mailed to your home address or if you have any questions about this program. Members of our MyGlobal™ support team are available to assist you Monday through Friday from 9:00 a.m. to 5:00 p.m. CST at (877) 280-5600.
Browser, System and Connection Requirements:
You must use one of the following Internet browsers to access MyGlobal™:
- Internet Explorer 6.0, 7.0, 8.0 or 9.0
- Mozilla Firefox 2.0, 3.0 or 3.5
- Session Cookies must also be enabled.