If you would like to expedite a request for an extended repayment schedule, please send an email to FCSO-ERS@FCSO.com. You can find the appropriate form and certification on our website by clicking here. In addition, include a copy of the first payment of the check. Mail the check to: 

First Coast Service Options Inc.
Medicare Part A Debt Recovery and Cash Management
ERS Processing
P.O. Box 3162
Mechanicsburg, PA 17055-1837