How do I sign up for automatic withdrawal?

You need to complete the MO HealthNet Premium Automatic Withdrawal Form.

Make sure you mark the box that says “START,” complete and sign the form, attach a voided check, and return the form to the address on the form. When you start or change automatic withdrawal, please allow 30 days for the automatic withdrawal form to be processed. You will continue to receive monthly spend down invoices until the automatic withdrawal is effective.

While you continue to receive an invoice, you must send a payment for that month. You must do this until the automatic withdrawal becomes effective. Once effective, you will get a reminder each month that the payment was taken from your bank account. 

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