How to apply for Personal Plus

To apply for Personal Plus coverage, follow these instructions:

  1. Complete and sign the Personal Plus Enrollment Form (PDF). To complete the form, you must select a primary care physician for each family member. Locate a physician in Find a Physician.
  2. Fill out a health questionnaire (PDF) for each family member.
  3. If you are employed and your employer does not offer health care coverage, get a letter from your employer stating this fact.
  4. Mail the completed enrollment application, health questionnaires and required documents to:

    Enrollment Applications – Audit Specialist – C411
    Blue Care Network of Michigan
    P.O. Box 5043
    Southfield, MI 48086-5043

    Enrollment applications are accepted year-round, and approval is contingent upon your passing our underwriting guidelines. If you are accepted, we will mail an invoice to you for your premium.

page modified 04/13/2010