Healthy Michigan Plan Information

McLaren Health Plan Healthy Michigan Plan Information

McLaren Health Plan Healthy Michigan Plan (Medicaid expansion) members will be effective beginning April 1, 2014.  The benefit design of the Healthy Michigan Plan ensures member access to quality health care, encourages utilization of high-value services, and promotes adoption of healthy behaviors.  

Who qualifies for the Healthy Michigan Plan?

  • Individuals ages 19 – 64 years of age
  • Have income at or below 133% of the federal poverty level under the Modified Adjusted Gross Income methodology
  • 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 residents of the State of Michigan 

Health Risk Assessment (HRA):  For all McLaren Health Plan Healthy Michigan Plan members, an HRA must be completed annually.  McLaren Health Plan’s expectation is that every McLaren Health Plan Healthy Michigan Plan member will have this HRA completed at their initial PCP appointment.  McLaren Health Plan will assist the member in completing Sections 1 - 3, if possible, and Section 4 must be completed at the PCP’s office with a PCP attestation.  As a McLaren Health Plan contracted Provider, you are eligible for the HRA $50 Provider Incentive!    

The $50 Incentive for the HRA Completion is simple:

  • Review Sections 1 – 3 with the member
  • PCP completes Section 4; the HRA must have the PCP attestation in order to be considered complete and eligible for the incentive
  • Bill 99420, in addition to the office services rendered, to indicate that the HRA was completed
  • The completed, attested HRA and claim for services rendered must be received by MHP within 30 days of the visit
  • Fax the completed HRA to (877) 502-1567 

ID Card:  In order to easily identify a McLaren Health Plan Healthy Michigan Plan member, we have modified the ID card to look different than a McLaren Health Plan Medicaid member ID card.  Here is a sample ID card:

image of sample id card

Benefits:  In addition to the same benefits offered to McLaren Health Plan Medicaid members, McLaren Health Plan Healthy Michigan Plan members have some additional benefits, including:

  • Additional preventive services required under the Patient Protection and Affordable Care Act
  • Dental Services, McLaren Health Plan Healthy Michigan Plan Members will have Delta Dental coverage 

Please contact Customer Service at (888) 327-0671 if you have any questions. 

(April 2014)