}
Performance Kitchen Benefit
Welcome to Performance Kitchen
See if you qualify for meals covered by your insurance.
Get delicious, ready-to-eat meals with real, wholesome ingredients paid for by insurance and delivered directly to your home.
Pages
5
Time to answer
< 1 min
Help us get to know you better.
1 of 5
Which option below best describes
your current insurance?

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2 of 5
Who is your current insurance provider?
What primary insurance company are you interested in?

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3 of 5
Have you ever been diagnosed with a chronic disease?
What chronic diseases are you interested in prescribing for?

Help us get to know you better.
4 of 5
Personal Information
Have you been hospitalized within the past 3 months?
Some benefits include groceries as well, would that help you?
If you could only receive one, meals or groceries, which would you prefer?
How often during the last 12 months have you worried that your food would run out before you got money to buy more?
How often during the last 12 months did the food you buy not last and you didn't have enough money to get more?
Primary grocery store
Have you ever ordered from this grocer online?

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5 of 5
What is your zip code & contact information
Biological Sex*:
Get Results

By clicking on the 'Get Results' button above, you are expressly agreeing: (i) all information entered above is complete to the best of my knowledge, (ii) I allow Performance Kitchen “PK” to contact me via the contact methods listed above, and if you are an applicant other than a Healthcare Professional, (iii) I authorize PK to verify this information with third parties to confirm the above including accessing my complete digital health record (EHR) and all diagnoses, lab results, treatment, allergies and billing records for all conditions for past, present and future periods to verify the above and provide PK services. I understand that I have the right to revoke this authorization at any time by contacting PK directly and (iv) I authorize PK to submit my application for any benefits my plan offers on my behalf to my insurance company. I acknowledge that Performance Kitchen has no authority or obligation to approve or disapprove my benefit. In addition, please reference our Privacy Policy here.

Help us get to know you better.