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McLaren Health Plan: Your Choice for Michigan Health Insurance
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Application Form – Enroll in an Exchange Plan (Healthcare.gov)
Application Form/Request a Quote – Individual, McLaren Health Plan Off Marketplace
Authorization For Use And Disclosure of Protected Health Information
Authorized Representative Form
Change Your PCP Form
Continuity of Care Form
Coordination of Benefits Form
Direct Member Reimbursement
Direct Member Reimbursement - Standard
Electronic Funds Transfer Form
Explanation of Benefits Sample
Form 1095-B
Individual Change Form – McLaren Health Plan Off Exchange 2025
Mail Order Pharmacy Order Form – Birdi
Medicaid and Healthy Michigan Plan New Member Survey
MHP - Continuation of Coverage - Online Form
Non-Opioid Directive Form
PHI Revocation Form
Prescription Drug Reimbursement Form
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