How to apply for Personal Plus
To apply for Personal Plus coverage, follow these instructions:
- Complete and sign the Personal Plus Enrollment Form (280K PDF). To complete the form, you must select a primary care physician for each family member. Locate a physician in Find a Physician.
- Fill out a health questionnaire (1,057K PDF) for each family member.
- If you are employed and your employer does not offer health care coverage, get a letter from your employer stating this fact.
- Determine your monthly premium. Issue a check or money order payable to Blue Care Network of Michigan for your first two months' premium.
- Mail the completed enrollment application, health questionnaires, the letter from your employer (if applicable) and your check or money order to:
Audit Specialist — C411
Blue Care Network of Michigan
20500 Civic Center Drive
Southfield, MI 48086
Enrollment applications are accepted year-round, and approval is contingent upon your passing our underwriting guidelines. If you are not accepted, your premium will be returned.