How to Enroll in a PHPBRAND Plan

You can enroll right away by using our secure online enrollment system. It is very easy to use, and it will walk you through the process step by step. It takes just about 5 to 10 minutes to complete. Once you complete and submit the electronic enrollment form, you will be submitting an official application to join a PHPBRAND plan. To get started, click the “Enroll Online” button below.

<span class="link tooltip">Enroll Online</span>

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You can download an enrollment form using the link below.  Once you complete the enrollment form, you can return it via mail to the address listed on the last page of the form.

Download a 2025 Paper Enrollment Form

University of Michigan Health Plan's contract is renewed annually, and the availability of coverage beyond the end of this year is anticipated but not guaranteed. By law, plan sponsors may choose not to renew their government contract, and the government may also refuse to renew the contract. If this happened, beneficiaries would need to join another plan offered in their area. Each year, we are also allowed to reduce our service area and/or no longer offer services in the areas where a beneficiary resides. Such a change is not anticipated. If it happened, beneficiaries would need to join another plan offered in their area.

University of Michigan Health Plan has HMO-POS and PPO plans with a Medicare contract. Enrollment in University of Michigan Health Plan depends on contract renewal. All University of Michigan Health Plan Medicare Advantage plans include Part D drug coverage. To enroll, you must have both Medicare Parts A and B and reside in the following Michigan counties Bay, Calhoun, Clinton, Eaton, Gratiot, Huron, Ingham, Ionia, Jackson, Kalamazoo, Livingston, Montcalm, Saginaw, Sanilac, Shiawassee, Tuscola, or Washtenaw.

You must continue to pay your Medicare Part B premium. Please note that enrollment is limited to specific times of the year.

Out-of-network/non-contracted providers are under no obligation to treat University of Michigan Health Plan (HMO-POS, PPO) members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. University of Michigan Health Plan allow members to see out-of-network providers (non-contracted providers).

Medicare beneficiaries may also enroll in U throuthCMS Medicare Online Enrollment Center located at <span class="link tooltip">Medicare.gov.</span>

“Disenrollment” from University of Michigan Health Plan means ending your membership in our plan. Disenrollment can be voluntary or involuntary:

You might leave University of Michigan Health Plan because you have decided that you want to leave. You can do this for any reason; however, there are limits to when you may leave, how often you can make changes, what your other choices are for receiving Medicare services and how you can make changes.

There are also a few situations where you would be required to leave our plan. For example, you would have to leave University of Michigan Health Plan if you permanently move out of our geographic service area or if University of Michigan Health Plan leaves the Medicare program. We will not ask you to leave our plan because of your health.

Until your membership ends, you must keep getting your Medicare services through University of Michigan Health Plan, or you will have to pay for them yourself.

If you leave our plan, it may take some time for your membership to end and your new way of getting Medicare to take effect. While you are waiting for your membership to end, you are still a member and must continue to get your care as usual through our health plan.

If you get services from doctors or other medical providers who are not plan providers before your membership in our plan ends, neither University of Michigan Health Plan nor the Medicare program will pay for these services, with just a few exceptions. The exceptions are: urgently needed care, care for a medical emergency, out-of-area renal dialysis services, and care that has been approved by us. Another possible exception is if you happen to be hospitalized on the day your membership ends. If this happens to you, call us to find out if your hospital care will be covered. If you have any questions about leaving UM Health Plan, please call us.

The first step is to be sure that the type of change you want to make (and when you want to make it) fits within the rules about changing how you get Medicare. If the change does not fit with these rules, you won’t be allowed to make the change.

Then, what you must do to leave depends on whether you want to switch to Original Medicare or to one of your other choices.

In general, there are only certain times during the year when you can change the way you get Medicare. Each year, anyone can disenroll and join a different plan during the Medicare Annual Enrollment Period that starts October 15 and ends December 7. From January 1 through March 31, anyone can also disenroll from a Medicare Advantage plan, and switch to another Medicare Advantage plan or Original Medicare. You can also add or drop Part D coverage during this time. You may be able to switch plans outside these periods under certain special circumstances called “Special Elections.” Your UM Health Plan plan’s Evidence of Coverage outlines these rules or you can contact us for information.