Do you or your child have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:
Help you or your child stay active.
Does your child have asthma or respiratory allergies? A nurse who specializes in breathing issues can really help childhood breathing problems. Your child’s nurse will
Get to know your child
Learn his or her triggers and activities.
Develop a customized treatment plan.
Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:
Explain medical terms in plain language.
Coordinate your doctor appointments.
Provide your care team with your medical records.
Your care manager will stay with you on your medical journey. He or she will:
Think beyond your medical needs.
Make sure you have support at home.
So you can focus on getting better.
Choice of Doctors
You or your child gets a primary care provider (PCP) who is your main doctor. Use the Doctor Lookup tool to see if your doctor is in our network.
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
Your PCP is your main doctor for:
Treatment if you are sick or injured.
Referrals to specialists for certain conditions.
Build a healthy future for you and your baby — and earn great rewards — through Baby Blocks. This program helps keep you and your baby healthy during your pregnancy and your baby's first 15 months of life.
Baby Blocks includes:
Email appointment reminders.
Fun program to keep track of appointments.
Reward cards for clothing and more.
Once you sign up, you can choose either a $20 Old Navy gift card or a stylish diaper bag. The choice is yours.
Choice of Birth Center
Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.
We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you’ll be more relaxed when you have your baby.
Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.
We help you find:
Hospitals or other health facilities.
We also have people who speak more than one language. Chances are, we have someone who speaks your language.
If you have diabetes you may need insulin, needles, wipes and glucose strips. We cover all that and more.
Our plan also steps up with services to help you manage your diabetes including:
Coordinating doctor care.
Dedicated team to help you understand your condition and manage it.
Equipment and Supplies
Your health and safety at home are important.
Our plan covers medical equipment ordered by your doctor. This can include items like:
Walkers or wheelchairs.
Healthy First Steps®
You may receive help and advice from your mom, aunts, sisters and girlfriends. Yet every pregnancy is different. This program will support you through your pregnancy.
We help you:
Find a doctor for you and your baby.
Learn resources for nutrition, fitness and safety.
Get supplies to help at home.
Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.
Exams, therapy and tests.
Hearing aids are covered for Members under age 21.
This plan pays for medical expenses related to a hospital stay.
Our plan covers:
Room and board.
Supplies and equipment.
Treatment and therapies.
Diagnostic tests and exams.
And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing.
Lab and X-rays
Knowing what's wrong and finding it early can make all the difference. Our plan covers:
Labs and testing.
X-rays, scans and other imaging.
We'll help get the information needed to improve your health or be your best.
We have people at our member services who speak more than one language. Chances are, we have someone who speaks your language.
Our plan includes prescription drugs and refills.
We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.
And we make getting your medicine easy. You can fill your prescriptions at:
Mental health is as important as physical health. That's why we cover both.
Short-term required care is covered with no co-pay. This includes:
You will not have a copayment for most care and services covered by our plan. That means you will pay nothing for covered services, including:
Routine vision care.
Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:
Provide medical care for you.
Answer your questions and concerns.
Nothing is more important than the health and well-being of you and your baby. That’s why our benefits include:
Healthy First Steps®.
Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.
All of your recommended prenatal clinical visits and tests are covered.
At these visits, the clinic will:
Make sure you and your baby are healthy.
Explain what to expect at each stage of your pregnancy.
Answer your questions.
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
Shots and Vaccines
Routine shots help protect against illness. So, our plan covers:
Recommended shots and vaccines.
Many communities offer additional benefits for children with special care needs. Social Services helps members connect to local programs and services, such as:
WIC and financial support.
Download more information about social services benefits here.
Speech therapy visits and exercises can help those who have difficulty speaking. At your doctor's request we will cover short-term, medically needed physical, occupational, speech and other therapy visits each year.
Physical, occupational and speech therapy can help you recover from a serious injury or illness, or simply reach your full potential.
Our plan provides:
With a doctor's request your coverage includes short term physical, occupational, speech and/or other therapy visits each year.
Our plan provides a ride for you to and from health care locations. That includes rides to:
There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.
Regular eye exams and glasses, if needed, can help you see more clearly. We also include:
Call Member Services at 1-800-903-5253 for vision services and providers.
Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include: