What you need to know about  Coronavirus, your HAP coverage, and getting care during the pandemic.

Sign up for a first look at HAP’s 2021 Medicare plans.

Rates will be released on Oct. 1.  

Important forms and documents

Here you’ll find forms relating to your Medicare plan. If you have any questions, or if you’re unable to find what you’re looking for, contact us.

Please note: All of these documents require Adobe Reader to download. Download Adobe Reader for free.

Forms for Medicare plans

Please choose the type of form you need from the following list.

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Last updated 10/1/2020

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2020 Health Alliance Plan of Michigan
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Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.

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Contact us

  • HAP Medicare Sales:

    (800) 868-9885 (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)