Here's the individual and family form: Blue Care Network Primary Care Physician Selection form - Individual or family (PDF)
What you'll need:
- Your enrollee ID card
- A printer to print the form
- An envelope and postage to mail the form, or a fax machine. Each form includes instructions on where to send it.
Step by step instructions:
- Select your primary care physician. If you need help finding one, use bcbsm.com to find a list of doctors that participate in Blue Care Network.
- Complete the form, sign and return it to us as soon as you enroll so that we can notify your doctor of your membership.
Fax or mail the form to:
|Membership and Billing – M.C. H300
Blue Care Network
P.O. Box 5043
Southfield, MI 48086
If you have any questions, please contact us.