The Healthy Michigan Plan received approval from the Centers for Medicare and Medicaid Services on December 30, 2013. The State of Michigan plans to make health care benefits available through the Healthy Michigan Plan in early spring 2014. The application will be available starting April 1, 2014.
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.
- 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.
Please choose a link below to download additional assistance and resources:
- Healthy Michigan Plan Handbook
- Frequently Asked Questions about the Healthy Michigan Plan
- Health Michigan Plan Waiver Amendment
- Healthy Michigan Plan Enrollment Update
- Sample Medicaid Plan Selection Form and Description of the Plan Enrollment Process
- Healthy Michigan Plan Health Risk Assessment (HRA) Instructions
- Michigan Medicaid Health Plan Information (Providers, Quality and Plans by County)