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How can I apply for BCN 65SM?

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If you've decided this plan has the coverage you need, here's how you can apply.

Is BCN 65℠ right for you? If so, just fill out an application. We accept applications year-round. You’ll need to download, print, complete and sign this form.

BCN 65 Enrollment Form (PDF)

Mail the completed form to:

Membership — Mail Code C411
Blue Care Network
P.O. Box 5043
Southfield, MI 48086-5043

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Page Last Updated Wed Feb 25 12:40:50 EST 2015