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:

  • Go to healthymichiganplan.org and click Make MI Health Account Payment. Pay using your bank account information, credit or debit card.
  • Payments can be made using Discover, MasterCard and Visa

By mail:

  • Pay by mail using the payment coupons that came with your statement. Each coupon shows the amount you owe for one month, the due date, how to pay and where to send your payment.
  • Send a check or money order with your payment coupon. Don’t send cash. If you don’t have payment coupons and want to pay by mail, call the Beneficiary Help Line at 1-800-642-3195 (TTY: 1-866-501-5656).
Service

Copay amount:
Income less than or equal to 100% of the FPL

Copay amount:
Income more than 100% of the FPL

Physician office visit (including freestanding urgent care centers)

$2 $4
Pharmacy

$1 preferred
$3 non-preferred

$4 preferred
$8 non-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
The following groups are exempt from copay requirements:
 
  • Beneficiaries under age 21
  • Individuals residing in a nursing facility
  • Individuals receiving hospice care
  • Native Americans and Alaskan Natives consistent with Federal regulations at 42 CFR 447.56(a)(1)(x)
  • Beneficiaries dually eligible for Healthy Michigan Plan and Children’s Special Health Care Services

There are no copays for:

  • Emergency services
  • Family planning products or services
  • Any pregnancy-related products or services or if you're pregnant
  • Services related to preventive care
  • Services related to chronic conditions, such as heart disease and diabetes
  • Services received at a federally qualified health center, rural health clinics or tribal health centers
  • Mental health specialty services and supports provided and paid through the Prepaid Inpatient Health Plan and Community Mental Health Services Program
  • Mental health services provided through state psychiatric hospitals, the state Developmental Disabilities Center and the Center for Forensic Psychiatry
  • Services related to program-specific chronic conditions. A list of these conditions can be found online at michigan.gov/healthymichiganplan*.