What Is The Best Medicaid Plan In Michigan


Which Is The Best Medicaid Plan

What is Michigan Medicaid spend down?

NCQA Health Insurance Plan Ratings 2019-2020 Summary Report Rating Plan Name 3.5 Coventry Health Care of Florida, Inc. d/b/a Aetna Better Health of Florida 3.5 Humana Medical Plan, Inc. 3.5 Molina Healthcare of Florida, Inc. Special Project: Managed Medical Assistance 3.5 Simply Healthcare Plans, Inc.

Quality Total Points: 3333

  • Adult Care Quality : Full Weight Note: This metric measures performance rates on frequently reported health care quality measures in the CMS Medicaid Adult Core Set.
  • Medicaid Denial Rate for In-Network Claims by Healthcare.gov Issuers: Full Weight
  • Transparency in Reporting Quality Measures: Full Weight Note: This metric measures the share of voluntarily reported sets of core measures showing the quality of care and health outcomes for adults participating in Medicaid, and children enrolled in Medicaid and the Childrens Health Insurance Program .

Michigan Dental And Vision Plans

Dental and vision insurance plans, underwritten by Golden Rule Insurance Company, have no age limit restrictions.5 They offer coverage for the dental and vision services many medical insurance plans dont include.

From Detroit to Lansing, Grand Rapids to Ann Arbor, explore these Michigan health insurance options and more that may be available now.

Don’t Miss: Medicaid Primary Care Physicians Arkansas

Reasons To Choose Priority Health

  • We are one of the top-rated Medicaid plans in Michigan, with a rating of 4 out of 5 in NCQA’s Medicaid Health Insurance Plan Ratings 2019-2020.*
  • We offer more opportunities to get the right care with added benefits like care management and virtual care when and where you need it.
  • Priority Health Choice Medicaid plans meet all of the criteria in all six care categories from the Michigan Medicaid Consumer Product Guide, which include: overall rating of health plan, doctor communication and service, getting care, keeping kids healthy, living with illness and taking care of women.

*Due to COVID-19, NCQA has canceled the release of 2020-2021 Health Plan ratings. The most recent ratings are 2019-2020

Best Cheap Health Insurance Companies In Michigan

Michigan and the ACAs Medicaid expansion ...

For those looking to compare policies, there are currently eight health insurance companies on the Michigan state exchange:

  • Blue Care Network of Michigan
  • Blue Cross Blue Shield of Michigan Mutual Insurance Co.
  • McLaren Health Plan Community
  • Physicians Health Plan
  • Priority Health

The best cheap health insurance plan will likely be offered by Blue Cross Blue Shield, Priority or Meridian/Ambetter. These companies offer the cheapest Silver health insurance plans in 96% of Michigan’s counties.

Also Check: Dentist In Greece Ny That Accept Medicaid

Hospital & Doctor Insurance

Health ProtectorGuard fixed indemnity insurance,4 underwritten by Golden Rule Insurance Company, can supplement your major medical plan by paying cash for eligible, covered medical services, like a doctor visit, a trip to urgent care or a surgical procedure.

  • No deductibles or copays to pay first
  • Benefits paid regardless of other insurance
  • Money to pay costs not covered by major medical plans, like a deductible

Unitedhealthcare Senior Care Options Plan

UnitedHealthcare 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 plans 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. 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 SCO program.

Also Check: Does Medicaid Cover Weight Loss Pills

Cheapest Health Insurance Plan By Cities In Michigan

Lets take a look at the county-wise breakdown to understand which health insurance plans are the cheapest in the popular cities of Michigan.

1. Detroit

The City of Detroit has a population of over674,841. The city is home to a number of African American residents. The black community makes up 78% of the population of Detroit city. Because of the lack of cultural diversity and frequent racial riots, residents of Detroit have a low-income level and hence are unable to pay for pricey health insurance plans.

The most affordable health insurance plan in the city is the Totally You Value plan by Total Healthcare USA. The monthly premium for a 40-year-old person for this plan is$305, and its yearly deductible is$4,450

2. Grand Rapids

The city of Grand Rapids has a population of over198,401. It is the 2nd most populous city in the state of Michigan.

The cheapest health insurance plan in Grand Rapids is the Ambetter Balanced Care 12 plan by Ambetter Health Insurance. The monthly premium of this plan is only$326.

In the bronze category, the cheapest health insurance plan for an adult individual is the Ambetter Essential Care 1 plan. The monthly premium for this plan is$238.27, and its yearly deductible is$8,300

3. Warren

The city of Warren has a population of over134,797. It is the 3rd largest city in the state of Michigan.

4. Sterling Heights

The city of Sterling Heights has a population of over132,476. It is the 4th most populous city in the state of Michigan.

5. Ann Arbor

Is Meridian Choice A Medicaid Plan

Medicaid enrollment, Healthy Michigan, begins

Meridian Choice is affiliated with Meridian Health Plan a family-owned, family-operated health plan with extensive experience in its Medicaid, Medicare and pharmacy benefit management subsidiary operations in Michigan, Illinois and Iowa. To learn more about Meridian Choice visit www.meridianchoice.com.

Don’t Miss: Can A Single Man Get Medicaid

Freedom To Work: Working And Getting Medicaid

The Freedom to Work law allows people with disabilities to get TM while working. To be eligible, you must meet all of the following requirements:

  • Be disabled according to Social Security Administration standards
  • Be working
  • Be between the ages of 16 and 64
  • Meet the Other Eligibility Requirements listed above

There is an income and asset limit. If you earn a substantial income from work, you may have to pay a premium on your coverage. The premium amount increases the more money you make.

To learn more, you can speak with someone at MMAP. Your local legal services office may also be able to help you. Use the Guide to Legal Help to find a legal services office near you.

You can also contact a local FQHC. They often have patient advocates who can help answer questions about Medicaid. Use the locator tool to find a FQHC near you.

More Documents Like This

Retroactive medicaid application solicitud para medicaid retroactivo 1. mi familia tiene gastos mdicos sin pagar por el mes de: primer mes mes ao segundo mes mes ao tercer mes mes ao conteste las preguntas 29 por cada mes que se solicito…

Recommended Reading: Difference Between Obamacare And Medicaid

Are There Disadvantages To Joining A Medicare Advantage Plan In Michigan

We have already highlighted the issue of doctor choice in Medicare Advantage. If this is not an issue for you, then consider the financial differences. These are the same regardless of the type of plan you’re evaluating .

With most Medicare Advantage plans you pay a little each month and copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. when you use medical services. It does not matter if you have a Health Maintenance Organization plan or a Preferred Provider Plan . You pay the majority of your costs when you use health services.

With most Medigap plans you pay most of your costs upfront with your monthly premium. As a result, your costs are more predictable than they might be if you have Medicare Advantage and use a lot of healthcare services

Who Qualifies For Michild

Michigan Rx Assistance Programs

In Michigan, the households that have children below the age of 18 qualify for the MIChild coverage if their monthly incomes are high for Medicaid, but their income range falls between Families between150% and 200% below the federal poverty level.

Families who have MIChild coverage only have to pay a maximum of$10 for their monthly premiums, regardless of the number of children in the family.

You May Like: How To Get In Touch With Medicaid

Unitedhealthcare Individual And Family Marketplace Plans In Michigan

Looking for health care plans on the Marketplace? UnitedHealthcare Individual and Family Marketplace plans offer affordable, reliable coverage options from UnitedHealthcare Community Plan, Inc. As part of the American Rescue Plan Act , many individuals and families are now eligible for lower or in some cases $01,2 monthly premiums for Marketplace health coverage.

Call / TTY 711 to talk to a representative.

State Of Michigan Gives Priority Health Top Ratings In Evaluation Of Michigan Medicaid Health Plans

The Michigan Department of Health & Human Services recently released quality ratings for Michigan Medicaid health plans, and Priority Health received the highest possible ranking of “above average” in each of the five evaluation categories. Priority Health, a nonprofit health plan, offers several Medicaid plans for individuals and families in Michigan, including MIChild, Healthy Michigan Plan and Children’s Special Health Care Services .

“We are extremely honored to receive high rankings from the State of Michigan for our Medicaid plans,” said Praveen Thadani, President of Priority Health. “This is a direct reflection of the hard work that our teams put in every day to ensure we are providing the best possible care for our most vulnerable populations. Whether it is through our unique maternal and infant health programs, or hands-on care from our community health workers, we are committed to helping our members live happy and healthy lives.”

In the rankings released from MDHHS, plans were rated in each category using a scale of apples, with four apples indicating an “above average” performance when compared to the average of all Michigan Medicaid health plans. Priority Health earned four apples in every single category:

Priority Health also earned four apples in the “overall rating” category, which is a combination of the scores in other categories plus how surveyed plan members feel about their plan and the help the member received from their plan.

Recommended Reading: Which Medicaid Health Plan Is The Best In Illinois

How Do I Apply

To apply for TM or HMP, submit an application to MDHHS. The fastest way to apply is online through the MI Bridges Portal. If you apply online, you will have proof of your application. You can also apply in person at your local MDHHS office. Your local MDHHS office has to give you a paper application form if you ask for it. You can also print an application form and fill it out before going to MDHHS.

You can have a friend or family member help you complete the application. If you have trouble reading or writing, MDHHS must help you, but you need to let them know that you need help. Some MDHHS offices have computer stations where you can apply online through the MI Bridges Portal with help from an employee.

When you apply, you will be asked to prove important parts of your application. This means you may have to show documents such as your birth certificate, Social Security card, state ID card, driver license, or passport. You may also need documents that show your income and expenses. This could include pay stubs and bank statements. These documents must be less than 30 days old.

When you submit your application, you are swearing that all of the information you gave is true and complete to the best of your knowledge. If you dont understand a question, it is better to ask for help than to guess.

Uphp Rated Top Medicaid Health Plan In Michigan Among Top 20 Nationally

Proposed work requirements for Healthy Michigan
As the top-rated Medicaid plan in the State of Michigan, UPHP earned a 4.5 out of 5 rating.

The health plan ranks in the top 20 among Medicaid managed-care plans in the United States, and is the top-rated Medicaid plan in the State of Michigan earning a 4.5 out of 5 rating.

NCQA rated more than 1,000 health insurance plans based on patient experience, prevention, and treatment.

This rating system emphasizes the quality of care patients receive, how happy patients are with their care, and health plans efforts to keep improving.

We are so proud to be receiving this honor again from NCQA. Our staff and network of providers work diligently every day to ensure our members are healthy and receiving the best care possible, said Melissa Holmquist, chief executive officer, UPHP. Being a local health plan that exclusively serves residents of the Upper Peninsula, our membership is made up of our family, friends, and neighbors, and because of that, we take more of a personal responsibility for their health and satisfaction. I think that is reflected in these scores each year, and is why we continue to do so well.

The complete Medicaid health plan rankings are available at . Rankings for Medicare and private plans are also available.

About UPHP: Upper Peninsula Health Plan currently serves nearly 55,000 members across six product lines and its network exceeds 2,300 providers.

Most Read

You May Like: First Choice Medicaid Eye Doctors

Eligibility & Enrollment Total Points: 3333

  • Children Medicaid Eligibility Level: Full Weight Note: This metric is expressed as a percentage of the Federal Poverty Level.
  • Pregnant Women Medicaid Eligibility Level: Full Weight Note: This metric is expressed as a percentage of the Federal Poverty Level.
  • Adults Medicaid Eligibility Level : Full Weight Note: This metric is expressed as a percentage of the Federal Poverty Level.
  • Total Medicaid Enrollment per Low-income Population: Double Weight

What Does Medicaid Cover In Michigan

Anyone who signs up for the Medicaid program will receive a copy of everything that is covered under their package. The main things covered are:

  • Dental Care or Healthy Michigan Plan
  • Emergency Services
  • Chiropractic care
  • Pharmacy costs

The prescription drug plan for Michigan is provided to members at no cost as long as they are filled out at an approved pharmacy. There are some drugs that you may need to get prior approval before you will be able to get them filled out. As long as the drugs you are prescribed are on the drug list then they will be filled. There are sometimes when more information is needed from a doctor for certain types of medications and you may see a delay in receiving your medications.

Don’t Miss: What Does Anthem Medicaid Cover

Who Qualifies For Healthy Michigan Plan

In order to qualify for the Healthy Michigan Plan, you must be a resident of Michigan and aged between 16 and 64. Your household income must be below133% of the federal poverty rate. Meaning, if you are a single person, your annual income must be below$16,000, and if you are a family of four, then your household yearly income must be below$33,000.

The female applicant must not be pregnant at the time of application, and you must not be covered by Medicare or Medicaid.

Tips To Save On Health Insurance In Michigan

Michigan Medicaid Beginner

There are several factors that affect the cost of your Michigan health insurance premium. Michigan health insurance companies will decide your monthly premiums based on these compulsory factors:

  • Your body mass index : Obese and underweight people will have higher premiums
  • Tobacco use: If you are habitual to smoking, your premiums will be higher
  • Age: Older people and senior citizens will have higher premiums
  • Location: People who live in dangerous cities and town have higher premiums
  • Cost-sharing reductions: If you qualify for this discount, your premium will be lower
  • Applying as a family or individually: Family plans have lower premiums as compared to individual plans
  • Pre-existing conditions: People who have pre-existing medical conditions have higher premiums.
  • Gender: Women pay a higher premium on their health insurance plans as compared to men
  • Insurance and medical history: If your insurance and medical history are satisfactory, you will pay a lower premium.

You May Like: How Do I Find Out What Medicaid I Have

How To Edit Your Pdf Medicaid Benefit Plans

Editing your form online is quite effortless. It is not necessary to download any software through your computer or phone to use this feature. CocoDoc offers an easy tool to edit your document directly through any web browser you use. The entire interface is well-organized.

Follow the step-by-step guide below to eidt your PDF files online:

  • Find CocoDoc official website on your device where you have your file.
  • Seek the Edit PDF Online button and press it.
  • Then you will visit here. Just drag and drop the template, or select the file through the Choose File option.
  • Once the document is uploaded, you can edit it using the toolbar as you needed.
  • When the modification is done, click on the Download option to save the file.

Health Insurance Rate Changes In Michigan

Health insurance providers are required to submit any policy premium, deductible and out-of-pocket maximum changes to federal regulators. This occurs on an annual basis and is the reason that you may see a slight uptick in your health insurance costs.

For 2022, health insurance costs in Michigan decreased for most plans by an average of 2%, with Catastrophic plans rising by just 4% compared to 2021.


Monthly premiums are for a 40-year-old adult.

Don’t Miss: Is Wisdom Teeth Removal Covered By Medicaid

Unitedhealthcare Connected For Mycare Ohio

UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .


More like this

How Do I Sign Up For Pregnancy Medicaid

Can Uninsured...

Does Medicaid Cover Lo Loestrin Fe

You Are...

Can Medicaid Take My Settlement Money

What Are...