Understanding Your Healthy Michigan Plan
The Healthy Michigan Plan is a managed care health plan contracted with the state of Michigan. Blue Cross Complete of Michigan administers Healthy Michigan Plan benefits to eligible members.
The Healthy Michigan Plan is a managed care health plan contracted with the state of Michigan. Blue Cross Complete of Michigan administers Healthy Michigan Plan benefits to eligible members.
Good health care involves a team to coordinate your care and help you make choices about your health and well-being. Your doctors are part of this team and so are we.
You are the most important member of this team. When you’re directly involved in your health care, you get better care. We support your healthy choices, and the Healthy Michigan Plan has some tools to help.
Healthy choices can help prevent serious illnesses such as heart disease and diabetes. Healthy choices could also save you money. When you make healthy changes, your cost-sharing amounts may be reduced.
Visit our Health Library for quizzes and tools to help you know your health. Get instant results about your health and risks for diseases and conditions.
Your primary care doctor is your first choice for care. He or she is at the center of your health care team and will help you get the care you need.
You'll need to make an appointment to see your primary care doctor within 60 days, about two months, after you enroll with us. You'll need to see the doctor for your appointment within five months, or about 150 days, of enrolling in the plan.
During this appointment, you and your doctor will complete a Health Risk Assessment together. Then make sure you visit your doctor every year for an annual checkup and to complete your Health Risk Assessment.
Completing your Health Risk Assessment each year is a way to show your commitment to work on healthy behaviors.
A health risk assessment (PDF) is a form you and your doctor fill out. It helps your health care team see how healthy you are and find ways to help you be healthier. The assessment gives you and your doctor a place to start making the health care choices that are right for you.
Health Risk Assessment
Why do I need to fill out an assessment?
The Health Risk Assessment is an aid to help members improve their health. It helps doctors and the health plan ensure that members get enrolled into health education programs geared toward their specific health needs.
By completing the assessment and committing to a healthy behavior each year, you may qualify for reductions in your cost-sharing contribution.
How often should you complete a Health Risk Assessment?
You should complete a Health Risk Assessment with your doctor every year. If it has been more than one year since your last Health Risk Assessment, call your doctor today to schedule a checkup.
If you have any questions about your Health Risk Assessment, call 1-888-288-1722 from 8 a.m. to 5:30 p.m., Monday through Friday. TTY users should call 1-888-987-5832.
Do you need transportation?
If you’re a member of our plan and need a ride to your appointment, call Transportation Services at 1-888-803-4947. TTY users should call 711.
Healthy Michigan Plan work requirements have stopped. This means members don’t have to report work or other qualifying activities to keep their health care coverage. You should still update the Michigan Department of Health and Human Services with your current contact information or other life changes. These changes could affect your eligibility for the Healthy Michigan Plan. If work requirements restart, you’ll be notified by MDHHS.
If you weren’t required to report work or other activities, this change won’t affect your health care coverage.
For more information, call Blue Cross Complete’s Customer Service at 1-800-228-8554, 24 hours a day, seven days a week (TTY: 1-888-987-5832).
Here's an overview of some of the benefits you may be eligible for as a Healthy Michigan Plan member.
Benefit summary
What do you pay?
The chart below shows the copayments for Healthy Michigan Plan beneficiaries.
Your copay amounts are sent to you through your MI Health account. Every three months you will get a MI Health bill. Your doctor's office can tell you which copay amount will appear on your MI Health statements. There are two ways to pay:
Online:
By mail:
Service | Copay amount: |
Copay amount: |
---|---|---|
Physician office visit (including freestanding urgent care centers) |
$2 | $4 |
Pharmacy | $1 preferred |
$4 preferred |
Vision care visit |
$2 | $2 |
Dental care visit |
$3 |
$4 |
Hearing aids |
$3 per aid |
$3 per aid |
Chiropractic visit |
$1 | $3 |
Podiatry visit |
$2 | $4 |
Emergency room visit for non-emergencies (no copay for emergency services) | $3 | $8 |
Outpatient hospital visit |
$1 | $4 |
Inpatient hospital visit (doesn't apply to emergent admissions) |
$50 | $100 |
There are no copays for:
Dental care
We cover the following dental services:
For more information about Blue Cross Complete dental services, call 1-844-320-8465. TTY users should call 711. Or, visit our dental page to learn more about your dental benefits.
Hearing care
Hearing exams and hearing aid evaluations are available from a network provider. We cover the purchase and fitting of hearing aids, including batteries.
After your hearing exam, if the doctor recommends you get a hearing aid, here's what we cover:
Habilitative services
These are services that help a person keep, learn or improve skills and functioning for daily living. They may include physical and occupational therapy, speech language pathology and other services.
If you're enrolled in Medicare, you'll be disenrolled from the Healthy Michigan Plan. Other federal or state government programs may also exclude you from being able to enroll in this plan.
For a full list of Healthy Michigan Plan benefits, see the Blue Cross Complete Member Handbook (PDF).
For information on your core benefits, visit the Core Benefits page.
*Blue Cross Complete of Michigan doesn’t control this website or endorse its general content.