Alliance Medicare Supplement

  • Please read the application form carefully.
  • Answer the questions completely.
  • Eligible Medicare beneficiaries reside in the state of Michigan.
  • Submitting your application through the online process constitutes a valid request on your part to purchase an Alliance Medicare Supplement policy. In the event of an omission on the application form, you will be contacted by a Health Alliance Plan representative.
  • If you lost or are losing other health insurance coverage and received a notice from your prior insurer saying you were eligible for guaranteed issue of a Medicare supplement insurance policy, forward a copy of the notice.

        Mail:

        HAP MEDICARE SOLUTIONS
        HEALTH ALLIANCE PLAN
        21700 NORTHWESTERN HWY STE 401
        SOUTHFIELD, MI 48075-9841

        OR

        Fax:

        248-443-4424