Healthy Michigan Plan starting soon

Eligibility and coverage are listed for the 300,000 estimated to qualify for enrollment April 1.

The Healthy Michigan Plan will help an estimated 400,000 low-income Michigan residents access affordable health coverage, encourage healthy behaviors and personal responsibility, and reduce uncompensated care that shifts costs onto businesses and taxpayers. Governor Rick Snyder signed into law Michigan Public Act 107 of 2013, which allows the State of Michigan to make health care benefits available to low-income Michigan residents through this plan. The anticipated start date for enrollment is April 1, 2014.

 The Healthy Michigan Plan will cover people who are:

  • Ages 19-64
  • Not currently eligible for Medicaid
  • Not eligible for or enrolled in Medicare
  • Not pregnant when applying for the Healthy Michigan Plan. If pregnant, apply through MI Bridges
  • Earning up to 133 percent of the Federal Poverty Level – approximately $15,000 for single person and $34,000 for a family of four.
  • A resident of Michigan

The Healthy Michigan Plan must provide 10 essential health benefits, defined as:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care

Other covered services will include medically necessary services as appropriate.

The Healthy Michigan Plan will cover several services, including

  • Family planning services with no out-of-pocket cost to patients.
  • Dental services.
  • Coverage to individuals with pre-existing conditions.

Healthy Michigan Plan participants must enroll in a Medicaid Health Plan that will pay for your doctor for your care. Cost sharing requirements may apply. Check with your doctor to find out if they participate with one of these Medicaid plans by Michigan county. When you have the Healthy Michigan Plan, a health care card will be mailed to you if you do not have one already.

More details about the Healthy Michigan Plan will be released before the April 1 rollout. You can find local application assisters at Enroll Michigan. For more answers to your questions about health insurance, go to Health Insurance FAQs - eXtension.

Michigan State University Extension is providing education about health insurance basics this year, including the why, what and how for making a smart decision. Find out about Smart Choice: Health Insurance workshops and factual information at the Affordable Care Act Roadmap .

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