Secure Messaging

Secure Premium Payment

Please use this secure form for sending personal or confidential information. You may use this form to:

• Send personal credit card or bank account information.
• Provide updates on your health condition or changes in conditions.
• Make change requests to your current plan or account information.
• Submit confidential medical records.

All information will be stored in an encrypted and secured database until it is ready to be accessed by a support representative. You will also receive a confirmation email along with a unique reference ID which can be used to track your message.