SOLO HAP offers health plans for individuals and families not covered by employer health insurance. SOLO is affordable health insurance with flexible plan designs that include preventive care, emergency coverage and optional prescription benefits.  HAP offers flexible products to meet the health needs and budget of Michigan residents. The health plan’s comprehensive PPO provider network includes more than 15,000 physicians across the state of Michigan.

HAP helps members improve their health with innovative preventive services, disease management programs and extensive online health resources. Through HAP Advantage, members receive preferred rates on chiropractic services, laser vision correction, Weight Watchers® meetings and fitness club memberships. iStrive For Better Health, HAP’s online health improvement program, offers members a free health risk assessment, six healthy lifestyle programs and rewards for reaching milestones in the program.

1. Please Select Plan: Assurant BCBS GoldenRule HAP UniCare

PERSON(S) TO BE INSURED

1. Primary First & Last Name(required)
2. Gender: - Male Female (required)
3. Date of Birth:(required)
4. Height Ft: - 4 5 6 (required)
5. Height In: - 0 1 2 3 4 5 6 7 8 9 10 11 (required)
6. Weight:(required)
7. Social Security Number:

SPOUSE INFORMATION

1. Spouse First & Last Name
2. Spouse Gender: - Male Female
3. Spouse Date of Birth:
4. Spouse Height Ft: - 4 5 6
5. Spouse Height In: - 0 1 2 3 4 5 6 7 8 9 10 11
6. Spouse Weight
7. Spouse Social Security Number:

DEPENDENTS

2. Yes No
3. Dependent 1 Name:
4. Dependent 1 DOB:
5. Dependent 2 Name:
6. Dependent 2 DOB:
7. List Additional Dependents:

PERSONAL INFORMATION

1. Resident Address:(required)
2. City:(required)
3. State:(required)
4. Zip:(required)
5. Phone Number:(required)
6. Email Address:(valid email required)

 

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Tags: Apply Online, HAP Online Application, health insurance, SOLO HAP