> Legal Topics > Health Care > Medicare I want to start, stop, or change bank accounts for automatic monthly deductions of my Medicare premium (Authorization Agreement for Pre-authorized Payments form/SF-5510) (from Medicare.gov)
This information last reviewed: Apr 11, 2017
Legal Services of New Jersey
P.O. Box 1357
Edison, NJ 08818-1357
Contact Us
Regional Programs
Statewide Legal Assistance Hotline
Call or apply online for free legal assistance:
1-888-LSNJ-LAW (1-888-576-5529)
www.lsnjlawhotline.org
Use of this website signifies your agreement to our Terms of Use and Privacy Policy