Manage Your Account

Utilizing the Member Reference Desk

Physicians Health Plan understands that access to information is key to managing your clients’ accounts. Our Member Reference Desk (MRD) offers important group documentation, including benefit summaries, certificates of coverage, advance directives, privacy statements and provider directory links, in a convenient, downloadable PDF format.



Ancillary Products

Learn more about PHP’s variety of ancillary products, including flexible-spending accounts, health savings plans and dental coverage, visit the Why PHP section.

Forms

Important forms that can help you manage your accounts are available to download. If you don’t see the documents you are looking for here, please contact the Physicians Health Plan Sales Department at 517.364.8484.

HMO Forms

HMO New Group Packet 
Enrollment Form
Change Form
Authorization for Use and Disclosure of Protected Health Information
Designation of Personal Representative
Certificate of Creditable Coverage – Medicare Part D

PPO Forms

The forms below are for our medically underwritten plans only. Please contact your account manager if you have questions.

PPO New Group Packet
Enrollment Form 
Change Form - PPO.pdf