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SSA Deduct Form

You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on August 1st.

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to:  Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

3. The first time SSA deducts your premium from your Social Security check, they will deduct either two or at most three months' premiums, depending on how long it takes them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
 
 
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on September 1st.

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to:  Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

3. The first time SSA deducts your premium from your Social Security check, they will deduct either two or at most three months' premiums, depending on how long it takes them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
 
 
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on October 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
 
 
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on November 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on December 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on January 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on February 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on March 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on April 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on May 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on June 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on July 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on August 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on September 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on October 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on November 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
You can sign up anytime to have your monthly Priority Health Medicare Advantage plan and/or Medicare Enhanced dental and vision package premiums deducted from your Social Security Administration (SSA) check.

How it works: 

If you enroll today and your request is approved:

1. The Social Security Administration will start deducting your premiums on December 1st, pending acceptance of your request. 

2. You will need to pay any outstanding premiums prior to the month listed above by sending payment to: 

Priority Health, 3915 Momentum Place, Chicago, IL 60689-5339

Please include your payment coupon or write your subscriber ID on your check. 

3. The first time SSA deducts from your Social Security check can be up to three months' premiums. This is based on the time it takes for them to process the request.

If for any reason your request is not accepted or is delayed longer than three months, Medicare will stop your request. Then Priority Health will notify you and bill you directly for your premiums.
To request Social Security Check Deduct, click Next below.