Enroll by Mail
HAP wants to make enrollment as simple as possible. To enroll by mail, begin by downloading the enrollment form for one of the plans listed below. Then, just complete the form and mail it to us at the address shown on the form.
Download a 2017 enrollment form:
HAP Senior Plus Henry Ford Tiered Access (HMO) (PDF)
HAP Senior Plus (HMO) (PDF) HAP Senior Plus Medical Only (HMO) (PDF)
HAP Senior Plus (HMO-POS) (PDF) HAP Senior Plus (PPO) (PDF)
Alliance Medicare Supplement (PDF)
HAP can help! Send us an email or give us a call and speak with a licensed HAP Medicare Sales Representative. Contact Us