Retiree Drug Subsidy Online Renewal Questionnaire

If you have any questions about this questionnaire, please send an email message to

Plan information (from RDS application)


Group number(s)

General contact information (from RDS application)

Has the contact information changed?

Payment Setup

Is BCBSM named as vendor using vendor number A0013?

Is file submission mainframe to mainframe?

©1996-2015 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. We provide health insurance in Michigan.

State and Federal Privacy laws prohibit unauthorized access to Member's private information. Individuals attempting unauthorized access will be prosecuted.

Site Map  |  Feedback  |  Important Legal and Privacy Information

Explanation of Level A Conformance
Better Business Bureau Online Seal of Reliability