Premium refunds

WellFirst Health — Provided by SSM Health Plan —identifies premium credits on your account if you have overpaid a premium or if you have terminated coverage that causes a credit.

  • If you have current coverage with us under the same contract, the credit will be applied toward the amount due on your next premium invoice.
  • If you prefer a refund check instead you may contact our Customer Care Center to request a refund.
  • If you have a new contract with us. the credit will be transferred to your new account and applied toward the amount due on your next premium invoice. If you prefer a refund check instead, you may contact our Customer Care Center to request a refund.
  • If you have terminated coverage, and you do not have new contract, we will automatically send the refund check to you.

If benefits are overpaid

If we pay benefits that exceed those you are entitled to, you must repay the excess as soon as we notify you of the overpayment. we may, at our option, recover some or all of the overpayment by reducing subsequent benefits payable or by applying premium refunds due you. We have the right to charge reasonable interest on the delinquent amount.


This information pertains only to our QHP plans