How to enroll in MyBlue Medigap℠
It’s easy to enroll in MyBlue Medigap. You can:
- Calculate your rate and enroll online now.
- Download an enrollment application (220KB PDF), print it, fill it out and return it to us at:
Mail Code C411
Blue Care Network of Michigan
P.O. Box 5043
Southfield, MI 48086-5043 - Use one application per person. Do not send payment with your application; we will send you an invoice for your first premium
- Call us at 1-877-469-2583 to enroll over the phone. Representatives are available to assist you from 8 a.m. to 8 p.m. seven days a week.
- Contact your Blue Care Network insurance agent.
If you’re currently covered by a Blue Cross Blue Shield of Michigan, Blue Care Network of Michigan or BCN Service Company group plan, please call 1-877-469-2583 or contact your Blue Care Network insurance agent for information on how to enroll in the MyBlue Medigap plan. Indicate that you’re switching to a Medigap plan from your current coverage. We’ll help you enroll and ensure that you have no lapse in coverage.
If you’re covered under a health policy from any other insurer, do not cancel that coverage until you receive your MyBlue Medigap certificate and are sure you want to keep it. We will mail a booklet to you that includes your certificate when we enroll you in the plan.
Complete answers are very important
When you fill out the application for MyBlue Medigap coverage, be sure to answer truthfully and completely all questions about your medical and health history. BCN may cancel your policy and refuse to pay any claims if you leave out or falsify important medical information. Review the application carefully before you sign it. Be certain that all information has been properly recorded.
MyBlue Medigap offers access to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare assignment. The plan does not require members to use a specified provider network. MyBlue Medigap is a Medigap plan administered by Blue Care Network. Certain factors may affect the monthly premium cost: geographic location of the applicant’s residence, age, gender, height, weight and whether the applicant uses tobacco. Neither Blue Care Network nor its agents are connected with Medicare.
page modified 02/01/2010