There are 2 ways to apply for Blue Cross Health Insurance plans.

1. Apply online; choose the form for you

Elements Personal Health Plan Application (medically underwritten) 

Guaranteed Issue Health Plan Application (non-medically underwritten)

OR

2. Download the Blue Cross application form you need and send it to us.

Elements Personal Health Plan Application (medically underwritten) – PDF

Guaranteed Issue Health Plan Application (non-medically underwritten) – PDF

Send us completed forms:
Email: khingley@mmhi.ca
Fax: 1-866-848-8836

Need a hand with your application?

One of our advisors would be happy to help you complete the Blue Cross application over the phone. Call us: 1-866-848-8836

Apply for Travel Insurance

Contact one of our travel insurance specialists to get a quote and coverage: 1-866-848-8836

MacLellan Moffatt Health Insurance prides itself on their level of service. Don’t hesitate to contact us directly to assist in the application process, or to get more information on Blue Cross insurance products in Ontario.