Per federal regulation, the Healthy Michigan Plan will cover people who are:
- Not currently eligible for Medicaid
- Ages 19-64
- Not eligible for or enrolled in Medicare
- Not pregnant
- Up to 133% of the Federal Poverty Level (FPL) – which is about $15,000 for a single person.
Per federal requirement, individuals eligible for services under the Healthy Michigan Plan must have access to the following 10 Essential Health Benefits:
- Ambulatory patient services
- Emergency services
- 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.
- The Healthy Michigan Plan will cover other medically necessary services as appropriate.
Healthy Michigan Plan participants may be subject to cost-sharing obligations.