Is the Healthy Michigan Plan the same as Medicaid?

Is the Healthy Michigan Plan the same as Medicaid?

Jan 19 2022

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.

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Is the Healthy Michigan Plan the same as Medicaid?

The Healthy Michigan Plan is a type of Medicaid coverage. Medicaid is a partnership between federal and state governments. They work together to provide coverage. The federal government gives rules and resources. States run the Medicaid plan. This means Medicaid is different from state to state. Some states like Michigan have expanded Medicaid coverage. This means coverage includes extra benefits.

What is the Healthy Michigan Plan?

The Healthy Michigan Plan is run by the Michigan Department of Health and Human Services (MDHHS). It covers ten 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 plans offer extra benefits to Healthy Michigan Plan members like transportation services, care management and virtual care. Find what extra Priority Health offers here.

How do I choose a Medicaid Plan in Michigan?

To sign up for a Michigan Medicaid plan:

  1. Visit MI Bridges to apply. Upload your financial and family information. Once approved, you can choose your insurer. If you do not choose one, you will be placed with one.
  2. To switch to a different insurer, you can call MI Enrolls toll free at 1.888.367.6557 (TTY users call 711).

If you do not choose a health plan to receive your Medicaid coverage through, you will be placed with one. Call MI Enrolls and let them know which health plan you prefer. They will help you enroll in your preferred plan. They can also help you change plans. Learn more about changing Medicaid plans here.

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 ($17,130 for a single person or $35,245 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

The Healthy Michigan Plan no longer requires work requirements. You may need to report work for other programs like food stamps.

Learn more about Healthy Michigan plans here.

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