Choose a billing method - Monthly Bank Draft, Monthly Direct Bill or Quarterly Direct Bill.

If the applicant chooses "Monthly Bank Draft," BlueCross BlueShield of South Carolina will automatically draft the monthly premium from the applicant's bank account on the 3rd or 15th day of each month to coincide with the requested effective date. If the applicant chooses the 1st of the month as his or her effective date, BlueCross will draft the account on or after the 3rd of the month. In order to accept the application, the applicant's name must be on the account in order for this application to be accepted via the Web. If the applicant is not on the bank account, please choose "Monthly Direct Bill" instead. To authorize Monthly Bank Draft, BlueCross BlueShield of South Carolina must have a paper copy of the checking account owner's signature. If you need an authorization form, one is available via the Web. If you choose this option, the system will direct you to the form when the application is complete.

Enter the applicant's personal banking information on the second page of the billing section. The bank routing number is the first nine numbers located on the bottom of the applicant's check. The checking account number is the next set of nine numbers located on the bottom of the applicant's check following the routing number.

Please list the routing and checking account numbers with no dashes (-) or slashes (/). Enter the full name of the applicant's bank. You must enter the "primary" name on the account exactly as the applicant's name appears on the applicant's check. All fields are required.

If you chose a monthly or quarterly direct bill, please indicate if we should send the premium bill to an address other than the applicant's home address. If you choose a different billing address, please note we will send all correspondence to this address, including Explanation of Benefit (EOB) notices.