Self Service

SELF SERVICE PORTAL

WWW.ZU2HEALTHYCHOICE.COM/SELF-SERVICE/

MAKE ACCOUNT CHANGE REQUEST 24-HOURS A DAY

We are dedicated to 100% member satisfaction and want to make it easy for you to communicated with us. To ensure we meet out goal we launched the no questions asked, satisfaction guaranteed Self Service Portal. A simply and easy way for you to request actions on your membership account 24 hours a day 365 days per year. Any account change, even cancellations and no question asked refunds will be processed and honored without 48 hours of receiving the request.

Request An Account Change Now!

ACCOUNT HOLDER NAME*
First Last
MAILING ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
EMAIL ADDRESS*
Enter Email Confirm Email
HOME PHONE*
MOBILE PHONE*
SERVICE CHANGE REQUESTED*
WE ARE SORRY TO HEAR YOU WANT TO CANCEL YOUR MEMBERSHIP. ALTHOUGH WE HATE TO SEE YOU LEAVE, WILL WILL OF COURSE PROCESS YOUR REQUEST IMMEDIATELY

PLEASE SUPPLY THESE ADDITION DATA FIELDS SO WE CAN MORE EASILY LOCATE YOUR ACCOUNT.
PLEASE SUPPLY THESE ADDITION DATA FIELDS SO WE CAN MORE EASILY LOCATE YOUR ACCOUNT AND PROCESS YOUR REFUND REQUEST.
PLEASE SUPPLY THESE ADDITION DATA FIELDS SO WE CAN MORE EASILY LOCATE YOUR ACCOUNT AND PROCESS YOUR REQUESTED ACCOUNT CHANGES.
FIRST 6 DIGITS OF PAYMENT CARD
PLEASE ENTER THE FIRST 6 DIGIT OF THE CARD NUMBER USE FOR YOUR MEMBERSHIP.
LAST 4 DIGITS OF PAYMENT CARD
PLEASE ENTER THE LAST 4 DIGIT OF THE CARD NUMBER USE FOR YOUR MEMBERSHIP.
PLEASE SUPPLY THE DETAILS FOR THE TRANSACTION THAT YOU ARE REQUEST A REFUND FOR.
CHARGE DATE*
MM slash DD slash YYYY
TRANSACTION AMOUNT*
ADDITIONAL REFUND
CHARGE DATE*
MM slash DD slash YYYY
TRANSACTION AMOUNT*
ADDITIONAL REFUND
CHARGE DATE*
MM slash DD slash YYYY
TRANSACTION AMOUNT*
ADDITIONAL REFUND
CHARGE DATE*
MM slash DD slash YYYY
TRANSACTION AMOUNT*
ADDITIONAL REFUND
CHARGE DATE*
MM slash DD slash YYYY
TRANSACTION AMOUNT*
ACCOUNT CHANGES REQUESTED*
PLEASE SIMPLY WRITE US A QUICK NOTE WITH THE ACCOUNT CHANGES YOU ARE REQUESTING.