Plan Documents and Forms

Claim forms

Buying health insurance

  • Application for Individual Coverage
    Fill out this application to enroll in one of our plans for individuals and families.
  • Summary of Benefits and Coverage
    Our SBCs show the details of each plan we offer, including summaries of what's covered, benefits and out-of-pocket expenses.
  • Benefits at a Glance
    Do you need more information about a Blue Cross Blue Shield of Michigan or Blue Care Network health plan? Our benefits-at-a-glance documents can help you learn more about each plan's coverage.

Managing my account

Pharmacy

  • Mail Order Drug Forms
    If you have prescription drug coverage through Blue Cross Blue Shield of Michigan or Blue Care Network, we have the mail order forms you need.
  • Drug Lists
    You can find links to documents that will tell you whether your health benefit plan covers your prescription drug and more.