Choose how you want to pay your premiums

TakeCareRX Plus and/or TakeCare+Plus Members are able to enjoy the convenience of automatic monthly payments through your bank account or credit/debit card. With automatic payments, you won’t have to worry about remembering to pay your premium each month.


To sign up, you can:

  • Download the form through the link below, then complete and submit the form to TakeCare’s Customer Service Department

>Download the Automatic Payment Form

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Need help? Meet with a local sales agent

Please contact a licensed TakeCare sales agent for help selecting the Medicare product best for your needs.

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