Electronic funds transfer (EFT) enrollment form
How EFT works
- On the 1st or 10th day of the month, we will automatically debit the checking or savings account that you name on the form.
- You will no longer get a bill by mail each month.
Change your EFT information
Send us an EFT request form by the 25th day of the month. Automatic premium payments will start on the first of the upcoming month.
Cancel EFT payments
We need 30 days' advance notice. Send your notice to:
Priority Health, MS 1190
1231 East Beltline NE
Grand Rapids, MI 49525
Or, call the Customer Service phone number on the back of your member ID card.