Upon completion of most health insurance applications, a credit card number or a check written to the health insurance company will be required for the first premium payment. Generally, the insurance company will not charge your credit card or cash your check until they have confirmed your approval for coverage. If you are not granted coverage, or if you cancel your application, your check will be returned to you or your card will be credited. Usually, health insurance premium payments are paid either quarterly or monthly directly to the insurance company. There are many different options for payment and billing such as automatic withdrawal or standard paper bills. It is important to not that coverage can be obtained without utilizing credit card billing.