Blue Care Network Physician Selection Forms

Who is this for?

Michigan Health Insurance – Customer Service – Documents and Forms

If you've enrolled in a Blue Care Network individual or family, or group plan, use this form to choose your primary care physician.

As a Blue Care Network member, you'll need to choose a primary care physician. You can choose a different physician for each member of your family or one to care for your entire family. You can also change your current physician.

Choose your plan type below for more information on how to select or change a primary care physician. If you bought your plan directly from us or if you bought it through the marketplace, select Individual or Family. If you have coverage through your employer, select Group.

You can also change your primary care physician online by logging in to your account at See How can I choose or change my primary care physician online for more information.