MHIP Member Information, Links, and Resources

MHIP Documents


Carrier Forms


  • MHIP claim Form - This form is to be used when filing for any services received from a non-network provider in the MHIP State Pool. This form should be used for both carriers. There is not a separate form available for Blue Cross and Blue Shield of Kansas City (BCBSKC). To file a claim with BCBSKC, mail the completed form to: Blue Cross and Blue Shield of Kansas City, PO Box 419169, Kansas City, MO, 64179-0147.
  • Enrollee Change Form - Anthem BCBS
    Enrollee Change Form - BCBSKC
    - This form is to be used by MHIP members to update contact information, such as a mailing address. It is to also be used when changing your plan choice during the MHIP's annual open enrollment.
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Apply for MHIP Coverage

It's easy to apply for MHIP coverage. We've put together a simple checklist to help you get all your information in order.

Go to the Apply Now Checklist Page for information and helpful links.

Download the MHIP Application.

Need help with your application?
Call us at 800-821-2231.

Important Updates

Report covers federal pools across the nation - Posted February 24, 2012

Federal Government Warns of Bogus Pre-existing Condition Insurance Plan Website - Posted October 14, 2011

Answers to Your Questions

MHIP's office doesn't handle all aspects of the operation. Find out who can give you the right answer — fast.

Other Resources



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