Is the Healthy Michigan Plan the same as Medicaid?

Is the Healthy Michigan Plan the same as Medicaid?

Jan 14 2020

We know that insurance, government programs and health care in general can be confusing. Here’s some helpful info to understand the differences and similarities between Medicaid and the Healthy Michigan Plan.

Is the Healthy Michigan Plan the same as Medicaid?

The Healthy Michigan Plan is a type of Medicaid coverage. Medicaid is unique from other government programs like Medicare, because each state chooses how they run their Medicaid plan. Medicaid is a federal-state partnership, where the federal government provides rules and resources and states can decide how to run the Medicaid plan. This means that Medicaid can be different from state to state. Some states like Michigan, have expanded Medicaid coverage, and some choose to only follow the rules set by the federal government without offering any extra features or benefits.

What is the Healthy Michigan Plan?

The Healthy Michigan Plan is a Medicaid health program that is run by the Michigan Department of Health and Human Services (MDHHS). Each state around the country gets resources from the federal government to run a health plan the way they want. The Healthy Michigan Plan is our version of Medicaid for the state of Michigan. It covers the 10 essential health benefits:

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

Some health insurance companies—like Priority Health—offer extra benefits to Healthy Michigan Plan members such as transportation services, care management and virtual care.

How do I choose a Medicaid Plan in Michigan?

In Michigan the process to sign up for a Medicaid plan is two steps:

  1. Visit MI Bridges to apply for Medicaid benefits. You’ll need to upload your financial and family information. After you’ve completed that, you’ll wait to be approved. Once approved, you can choose your insurer. If you don’t choose one, you’ll be automatically placed with one.
  2. If you want to switch to a different insurer, like Priority Health, you can call MI Enrolls toll free at 1.888.367.6557 (TTY users call 711) and ask to get your coverage through Priority Health.

It’s important to remember that if you don’t choose a health plan to receive your Medicaid coverage through, you’ll automatically be placed with one. Make sure to call MI Enrolls and let them know which health plan you prefer.

For more information on changing Medicaid plans, check out our article on how to change your Medicaid plan after you enroll.

Eligibility for The Healthy Michigan Plan

If any of these apply to you, you might be eligible for coverage through the Healthy Michigan Plan:

  • 19-64 years old
  • Income at or below 133% of federal poverty level ($16,000 for a single person or $33,000 for a family of four)
  • Do not qualify for or are not enrolled in Medicare
  • Do not qualify for or are not enrolled in other Medicaid programs
  • Are not pregnant at the time of application
  • Are a resident of Michigan

At the beginning of this year, there are some new eligibility rules for the Healthy Michigan Plan, called work requirements. Members of the Healthy Michigan Plan aged 19-62 years old will have to complete and report 80 hours of work or other qualifying activities per month. There are many ways to meet the requirements other than having a job—like being a student, being a caregiver to a family member and others. To learn more about Healthy Michigan work requirements and how to stay covered, visit our Staying Covered page.

N4001-13 Approved MHC01082020