Enroll by mail

To enroll by mail, download the enrollment form for one of the plans listed below. Then complete the form and mail it to us at the address shown on the form.

Enroll in a 2017 Medicare plan

Choose the form that corresponds with your Medicare plan:

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Have questions?

Send us an email, or call us to speak with a licensed Medicare representative. Contact us.

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Medicare beneficiaries also may enroll in select HAP Senior Plus® (HMO) and HAP Senior Plus® (PPO) plans through the Centers for Medicare & Medicaid Services Online Enrollment Center at www.medicare.gov.

Copyright © 2017 HAP
2017 Health Alliance Plan of Michigan
Y0076_ALL_2018029 Website MP
CMS Approved: 6/26/2017
Last Update: 6/21/2017

HAP Senior Plus HMO, HMO-POS, and PPO are health plans with a Medicare contract. Enrollment in these plans depends on contract renewal. HAP Senior Plus PPO is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP. Alliance Medicare Supplement is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP.

This information is not a complete description of benefits. Contact the plan for more information. Limitation, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and or provider network may change at any time. You will receive notice when necessary.

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Contact us

  • (800) 868-3153 TTY: 711

  • HAP Senior Plus®

    (800) 801-1770 TTY: 711

  • HAP Senior Plus® (PPO)

    (888) 658-2536 TTY: 711

  • Alliance Medicare Supplement:

    (800) 873-7526 TTY: 711