Automatic bank withdrawals
Download, complete and send us the pre-authorization form below, and we can automatically withdraw your monthly premium payment for you on the 3rd of every month. (If the 3rd falls on a weekend or a holiday, the withdrawal will occur on the next business
Download the form
Creating an online account makes it easy to pay your bill.
- Pay your premium bill by credit card, debit card or e-check.
- Set up convenient automatic payments. Remember to update your automatic payments if your premium amount changes or your health coverage is terminated for any reason.
- View your online transaction history.
- Please note: if more than one person in your household is enrolled in Sharp Direct Advantage, each person will need to set up their own payment portal account.
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