BCN 65 enrollment and premiums
How to apply for enrollment
Enrollment applications are accepted year-round. Approval depends upon your passing our insurance guidelines. Follow these instructions to apply for BCN 65:
- Download, print, complete and sign the BCN 65 Enrollment Form (PDF).
- Mail the completed enrollment form to:
Membership — Mail Code C411
Blue Care Network
20500 Civic Center Drive
Southfield, MI 48086
Monthly premium
The 2012 monthly premium for BCN 65 coverage is $221 per month.
page modified 12/02/2011