We want to make it easy to contact us regarding any of your membership billing questions, issues, or cancellations. You can Call Us, Email Us, Cancel using the easy Cancellation Form below or use the contact form below or in your Member Portal. There are additional forms that can help you with your billing needs: Change of Bank Draft Form, Change or update Credit Card Form, and Secure Email Upload where you can send back forms securely to ensure you keep your information private.
HAA Membership and all optional Subscription membership products are a monthly subscription. You will continue to be drafted every month until you cancel by either using the cancellation form below, emailing us or calling us. We showcase the name UBAGAP8664384274 on all transactions on your account statement, and it is your responsibility to check the transactions occurring on your account every month and to cancel with us when desired. Every month we pay for the membership services and any insurance premiums for any applicable group or individual insurance programs on your behalf, whether you use the membership services or file a claim with the group or individual insurance programs (if applicable). Please refer to our Refund Policy for details on refunds. Please note that HAA Billing accepts Bank Draft monthly billing or Credit Card monthly billing (MasterCard, Visa & Amex). We do not do any direct mail billing.
Important: If there is an issue with a draft on either Bank Draft or credit card, you will receive an email requesting you to Contact Us in order to get the payment issue resolved. Please make sure to respond to these emails on a timely basis to avoid any lapse in membership, subscription, group or individual insurance coverage.
When you change from credit card to eft / bank draft, or you want ot use a different account than listed on your original enrollment application, please use this form below in order to submit the request. Once you have the form completed, save it to your computer and then attach it using the Send Forms Back Securely link to send it encrypted and to protect your information. You can also fax it to 817-335-1720. Make sure to get the form turned in before your next bill date to avoid any lapses in your HAA membership product(s).DOWNLOAD FORM
When you change from bank draft to credit card, have a new credit card number, new expiration date and CVV codes, please use this form below in order to submit the request. Once you have the form completed, save it to your computer and then attach it using the Send Forms Back Securely link to send it encrypted and to protect your information. You can also fax it to 817-335-1270. Create a reminder to update with HAA when your credit card expires to avoid lapses in your HAA membership product(s).DOWNLOAD FORM
We've made it simple to send back forms & attachments securely. With Sharefile through Citrix, you can rest assured that docuemnts sent through this link will be transferred to us using bank-level data encyrption services. Files are kept secure during transfer with SSL/TLS encryption protocols. In the cloud, storage of your files are kept safe using AES 256-bit encryption. Use this method for uploading any private information like EFT & CC Change forms. Make sure all secure and private data is not written in the body of an email.UPLOAD SECURELY
Below shows you the fastest ways to get your questions answered with regards to membership billing.
Contact our main cusomer service number
below for immediate help & answers.
Depending on the state, the TPA for HAA is either
H A Partners, Inc. or HealthyAmerica Insurance Agency, Inc.
409 W Vickery Blvd, Fort Worth, TX 76104 | 866-438-4274
TPA handles Billing, Fulfillment & Customer Service for HAA.
Ask your question and we will work on getting you
the best answers as quickly as possible.
Group Billing Form for numerous members
using the same billing / payor information.
Add Dependent to HAA Membership and
optional membership products.