Our Healthy Michigan Plan is for adults ages 19 to 64 who meet income requirements. You can choose your own doctor.
Is this plan available in my county?Alcona , Allegan , Alpena , Antrim , Arenac , Barry , Bay , Benzie , Berrien , Branch , Calhoun , Cass , Charlevoix , Cheboygan , Clare , Crawford , Emmet , Genesee , Gladwin , Grand Traverse , Gratiot , Hillsdale , Huron , Ionia , Iosco , Isabella , Jackson , Kalamazoo , Kalkaska , Kent , Lake , Lapeer , Leelanau , Lenawee , Livingston , Macomb , Manistee , Mason , Mecosta , Midland , Missaukee , Monroe , Montcalm , Montmorency , Muskegon , Newaygo , Oakland , Oceana , Ogemaw , Osceola , Oscoda , Otsego , Ottawa , Presque Isle , Roscommon , Saginaw , Sanilac , Shiawassee , St. Clair , St. Joseph , Tuscola , Van Buren , Washtenaw , Wayne , and Wexford .
Michigan offers several medical assistance programs. Each program covers different groups of people and each program has different requirements. When you apply for a program, your age, income, financial resources, and other information will be used to determine if you are. You must also meet the financial and non-financial conditions for that program. Use MI Bridges to apply for assistance, check your status and manage your account
Any changes in phone number, email, or address should be reported to the Michigan Department of Health and Human Services (MDHHS). You can do this by going to the MIBridges website at www.michigan.gov/mibridges. If you do not have an account, you will need to create an account by selecting “Register”. Once in your account, when reporting changes, please make sure you do so in both the profile section and the Report Changes area. The Report Changes area is what the local office will use to update the address for your case.
The Michigan Department of Health and Human Services (MDHHS) is working to eliminate Hepatitis C Virus (HCV) as a health threat to Michiganders through the We Treat Hep C Initiative
Search for doctors, hospitals and specialists.
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Find medications covered by this plan.
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Get the care you need to stay healthy — or to get better if you are injured or sick. That includes:
Checkups and emergency care are covered. Exams and cleanings to help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
Pregnancy IconIf you become pregnant while you are a Healthy Michigan Plan member, you're covered.
Our benefits include:
If you have diabetes or another health condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:
Make sure your sight, speech and hearing are at their best. Benefits include:
If you are recovering from a serious illness or surgery, you may need extra support. Our plan includes the care and equipment needed to recover safely at home. Benefits include:
Sometimes you might need a little extra help using your health plan. For those times, you can rely on:
Do you have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:
Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:
Your care manager will stay with you on your medical journey. He or she will:
So you can focus on getting better.
Pregnancy IconIf you become pregnant while you are a Healthy Michigan Plan member:
Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.
We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.
Stethoscope IconYou get a primary care provider (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
Referrals to specialists for certain conditions.
Phone IconUnderstanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.
We help you find:
We also have people who speak more than one language. Chances are, we have someone who speaks your language.
Diabetes Monitoring IconIf you have diabetes you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes including:
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include items like:
Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up.
We will help you:
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.
This plan pays for medical expenses related to a hospital stay.
Our plan covers:
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing.
Test Tube IconKnowing what's wrong and finding it early can make all the difference. Our plan covers:
We'll help get the information needed to improve your health or be your best.
Globe IconWe have people at our customer services center who speak more than one language. Chances are, we have someone who speaks your language.
Pill Bottle IconOur plan includes prescription drugs and refills. Refer to the FAQ's for information on co-pay amounts.
We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.
And we make getting your medicine easy. You can fill your prescriptions at:
Mental health is as important as physical health. That's why we cover both.
Required short-term care is covered. This includes:
Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
If you become pregnant while you are a Healthy Michigan Plan member:
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Immunology IconRoutine shots help protect against illness. So, our plan covers:
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
With a doctor's request your coverage includes short term physical, occupational, speech, language and/or other therapy visits each year.
Our plan provides a ride for you to and from health care locations. That includes rides to:
You can also be reimbursed for gas for driving to and from health care visits:
There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.
Eye Exam IconRegular eye exams and glasses, if needed, can help you see more clearly. We also include:
Call Member Services at 1-800-903-5253 for vision services and providers.
Health IconWell visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:
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Checkups and emergency care are covered. Exams and cleanings to help keep teeth and gums strong and healthy. If there is a dental problem that needs to be fixed, that's covered as well.
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Getting Started Guide
We want to be sure you have all the information you need to make this the best health care experience possible. This guide will walk you through the important steps for getting started.
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Our plan provides a ride for you to and from health care locations. That includes rides to:
You can also be reimbursed for gas for driving to and from health care visits:
Find out about your benefits for gender affirming care.
DHD Pop-up Project HIV/STI Testing
Location:
Palmer Park
900 Merrill Plaisance St,
Detroit, MI 48203
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New online trainings about your benefits. Health plan staff are hosting monthly Zoom meetings to review the various aspects of your UnitedHealthcare Community Plan. Don’t miss this chance to ask questions and learn more.
Meetings: 3rd Tuesday of the month at 6pm
Topics
2/20/24 Benefit Pathway: Dental, Vision, & Transportation/Digital
3/19/24 Benefit Pathway: Medicaid Overview & Prior Authorization
4/16/24 Health Equity Member Feedback, Recommendations, and Input
5/21/24 Benefit Pathway: Pregnancy and beyond Programs (WCV/Vaccines), & Transportation/Digital
6/18/24 Benefit Pathway: Medicaid Overview & Prior Authorization
7/16/23 Benefit Pathway: Preventive care, Pharmacy, & Transportation/Digital
8/20/24 Benefit Pathway: Medicaid Overview & Prior Authorization
9/17/24 Benefit Pathway: Specialist, DME, & Transportation/Digital
10/19/24 Health Equity Member Feedback, Recommendations, and Input
11/19/24 Benefit Pathway: Medicaid Overview & Prior Authorization
Click HERE to sign up.
Follow us on Twitter to get helpful tips and links to resources for you and your baby. You do not have to be a member to follow us.
Working together to build healthier communities. The UnitedHealthcare Community Plan specialists can answer questions and give you information about our benefits.
8:30 am to 5:30 pm local time, 7 days a week
Visit the Healthy Michigan plan site for more information on eligibility and enrollment.
This plan is not currently available in the ZIP code entered.
Working together to build healthier communities. The UnitedHealthcare Community Plan specialists can answer questions and give you information about our benefits.
8:30 am to 5:30 pm local time, 7 days a week
Visit the Healthy Michigan plan site for more information on eligibility and enrollment.
This plan is not currently available in the ZIP code entered.
Already a member? You have access to our member-only website. Print ID cards, and more.
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Already a member? You have access to our member-only website. Print ID cards, and more.
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The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more.
UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.
This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or the company, whichever is applicable. By responding to this offer, you agree that a representative may contact you.
1 Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Virtual visits are not intended to address emergency or life-threatening medical conditions and should not be used in those circumstances. Services may not be available at all times, or in all locations, or for all members. Check your benefit plan to determine if these services are available. Data rates may apply. Certain prescriptions may not be available and other restrictions may apply.
2 Tier 2 prescriptions for $5 or less not available on all medications. 3-month fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefits. Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.
Last Updated: 08.21.2024 at 10:19 PM CDT
Disclaimer information (scroll within this box to view)Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).
Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.
UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.
UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.
UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.
Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.
The choice is yours
We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.
The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.
Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.
Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.
Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.
To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.
If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.
If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.