Create an Account

Create an account to save your progress. Saved information is secure and protected. See our Privacy Policy for more information.

* Required

Beneficiary Information

* First Name

* Last Name

Phone Number

() -

Date of Birth

Required Format:mm/dd/yyyy

* ZIP code

Email Address

* Choose a Username

* Choose a Password

* Re-enter Your Password

Continue >

Medicare Plus Blue,Blue Cross Medicare Private Fee for Service,BCN Advantage and Prescription Blue are PPO,PFFS,HMO-POS,HMO and PDP plans with Medicare contracts. Enrollment in Medicare Plus Blue,Blue Cross Medicare Private Fee for Service,BCN Advantage and Prescription Blue depends on contract renewal.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association

You must continue to pay your Part B premium.