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Physicians Health Plan of South Michigan will be transitioning its membership to Priority Health, subject to regulatory approval.

Learn more about Priority Health

Physicians Health Plan of South Michigan Named One of the Best in The Nation by U.S.News & World Report/NCQA “America’s Best Health Plans” 2006

For the second year in a row, Physicians Health Plan of South Michigan has been named one of the best commercial health plans in the nation by the U.S.News & World Report/NCQA "America's Best Health Plan"* 2006.

iSave

PHPSM is proud to offer you iSave - our six new high deductible health plans (HDHP's). iSave features low premiums and first dollar coverage for preventive care. iSave helps you get your healthcare spending back on track. For more information, please click the title link above.

Leapfrog

Leapfrog is a program to provide information about health care safety, quality and customer value. Click the title above for more details.

Customer Service

Customer Service Forms
Physicians Health Plan of South Michigan provides many commonly used forms online for our members’ convenience. These forms are listed below. Viewing the forms below requires Adobe Acrobat Reader. Click here to download the latest version of Adobe Reader 7.0 for FREE. Completed forms can be mailed to:

Physicians Health Plan of South Michigan
P.O. Box 4055
Jackson, Michigan 49204-9914

Advance Directives ( PDF )

Appeal Request Form ( PDF )

Claim Adjustment Form 2007 ( PDF )

Claim Adjustment Form 2006 ( PDF )

Designation of Personal Representative Form ( PDF )

Disclosure of Protected Health Information ( PDF )

Enrollment / Change Form ( PDF )

Health, Allergy & Medication Questionnaire ( PDF )

Medco by Mail Order Form ( PDF )

PHPSM Advantage It’s Your Life Health Management Consent Form ( PDF )

Physician Medication Override Request ( PDF )

Prescription Drug Reimbursement Form ( PDF )

Service Area Map ( PDF )

Student Verification ( PDF )