Blue Care Network Physician Selection Form for Individual Plans
Who is this for?
If you're enrolling in a Blue Care Network individual or family plan, use this form to choose your primary care physician.
Access the form here: Physician Selection form (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.
You can also do this online by logging in to your account at bcbsm.com. See How can I choose or change my primary care physician online for more information.
If you have any questions, please contact us.