Pay the policy


HOW TO PAY YOUR PREMIUM


You can choose from among the following payment options:

1. Online payment by credit card (MasterCard, VISA, American Express, or Diners Club) through our web site www.bupalatinamerica.com

2. Personal US dollar check payable to a U.S. bank, cashiers’ check, postal money order, travelers check

3. Wire transfer:

  • - Automated Clearing House Collection Automated (ACH)
    Wells Fargo Bank
    200 South Biscayne Blvd, FL6011
    Miami, FL 33131
    Account number: 2000037371881
    ABA #: 067006432
    Account holder: Bupa Worldwide Premium Trust
    Reference: Name of main insured party and policy number
  • - Wire transfer Wells Fargo Bank
    200 South Biscayne Blvd, FL6011
    Miami, FL 33131
    Account number: 2000037371881
    ABA #: 121000248
    Account holder: Bupa Worldwide Premium Trust
    Reference: Name of principal member and policy number
  • - International wire transfer Wells Fargo Bank
    200 South Biscayne Blvd, FL6011
    Miami, FL 33131
    Account number: 2000037371881
    ABA #: 121000248
    CHIPS # 0407
    SWIFT #: WFBIUS6S
    Account holder: Bupa Worldwide Premium Trust
    Reference: Name of main insured party and policy number

IMPORTANT NOTE FOR TRANSFERS

All wire transfers must include:

1. the name of the principal insured party
2. the policy number and
3. the telephone number as reference



DOWNLOAD THE FORM

To pay by credit card or electronic transfer, you must complete the following form:


DOWNLOAD
THE AUTHORIZATION FORM TO PAY THE PREMIUM BY CREDIT CARD OR ELECTRONIC TRANSFER
( 128 Kb.)



ONCE COMPLETED, SEND
  • BY MAIL TO:
    Bupa Global
    17901 Old Cutler Road, Suite 400
    Palmetto Bay, FL 33157

  • BY E-MAIL
    bupa@bupalatinoamerica.com

  • BY FAX:
    +1 (305) 275 8484
  • If you have any questions contact us at +1 (305) 398 7400.