Enrolling is Easy

There are three ways to enroll in US Family Health Plan

1. Call US Family Health Plan Enrollment Department at 800-585-5883option 1

2. Enroll Online

3. Download and Mail Your Completed Application Forms


  • You cannot save data typed into this form.
  • Print and sign your completed application.
  • Print an additional copy for your records.

Mailing Address:

US Family Health Plan at PacMed
PO Box 84985
Seattle, WA 98124