HAP's find a doctor tool. HAP Senior Plus (PPO) is a product of . We participate with Blue Cross/Blue Shield, Medicare and most other third-party payers. It is available to Medicare-eligible residents of Macomb . 2022 Health Alliance Plan of Michigan. . or (866) 766-4714 (TTY: 711) for HAP Primary Choice Medicare (HMO). HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. Emergency Room. Learn more about the Health Alliance Plan Medicare Advantage plans available in Michigan, including star ratings, average premiums, and more. Freedom of Choice Patients will have the freedom to choose their doctors, hospitals and other health care providers . HAP Primary Choice Medicare HMO Individual Plan 024 Your Medicare Health Benefit and Services and Prescription Drug Coverage as a Member of HAP Primary Choice Medicare (HMO). the members Primary Care Physician (PCP). Maximum out-of-pocket: $4,500 for services from in-network providers: $3,500 for services from in-network providers: Primary doctor/speciality visits (PCP referral needed for specialty) $0/$30: $0/$20: Inpatient . (518) 434-2526. Details drug coverage for HAP Senior Plus HAP Primary Choice Medicare (HMO) in Michigan. 212 S Main Street Ste A • Brooklyn , Mi. HAP Choice Medicare - West Michigan (HMO) is an affordable option for residents of Kent, Muskegon, Oceana and Ottawa counties. New Patient Visit Sick/Problem Visit Medicare Annual Wellness Visit Physical Video Visit. $0 copays for primary care physician visits, physical, occupational and speech therapy visits, outpatient diagnostic labs, annual physicals, routine eye exams, preventive dental appointments and hearing exams . Michigan Medicine participates with most health insurance plans. Robert Israel, MD. Appointment Type. Does Medicare provide complete coverage. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Find your Medicare prescription drug coverage today. . Monthly Premium. Deciding which Medicare plan is right. The following table includes cost information and other plan details for Health Alliance Plan Medicare Advantage plans available in Michigan in 2022. Represent Health Alliance Plan in the community to peers, physicians and providers as a professional and HAP member advocate. HAP Primary Choice Medicare (HMO) Pharmacy Benefit Plans; Help. Learn More about Health Alliance Plan HAP Choice Medicare - West Michigan Option 1 (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. HAP Choice Medicare - West Michigan (HMO) HAP Choice Medicare - West Michigan (HMO) Option 1 (Plan 026) Option 2 (Plan 027) . Learn More about Health Alliance Plan HAP Primary Choice Medicare (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. HAP Choice Medicare - West Michigan Option 2 (HMO) H2354-027 Plan Details. Enrollment in the plans depends on contract renewals. HAP is offering three new MA plans for 2019, including Primary Choice, a special-needs plan in Flint for dual-eligible people enrolled in Medicare and Medicaid and a lower cost PPO program. Appointment Type. Primary Care Doctor Visit: In-Network: Doctor Office Visit: Copayment for Primary Care Office Visit $0.00. Please check with our office when making an appointment to verify your insurance. Medicare to guarantee health care to every man, woman and child in the country. Does Medicare provide complete coverage. He specializes in Family Medicine, has 13 years of experience, and is board certified. $0/$30 copays for. HAP Choice Medicare - West Michigan Option 2 (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Health Alliance Plan. Houston G. Cutshaw, PA-C is a Family Medicine Doctor (Primary Care Doctor) in Charlotte, NC. HAP Choice Medi-care West Michigan (HMO) may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently. . Monthly Premium. (518) 392-8600. This is a 4.5-star Medicare Advantage plan with Part D (prescription drug) coverage. Skip to search Skip to main content. Enrollment depends on contract renewal. 4.5 out of 5 stars. Many specialists are booked out months in advance, and may only accept patients whose PCP believes they need . You save money when you use the national network. HAP Primary Choice Medicare (HMO) plan costs at a glance. Ability to interpret and follow HAP, Medicaid, Medicare and Medical Management policy and . H2354:024-0 HAP Primary Choice Medicare (HMO) H2354:026-0 HAP Choice Medicare - West Michigan Option 1 (HMO) H2354:027-0 HAP Choice Medicare - West Michigan Option 2 (HMO) Learn More. HAP Primary Choice Medicare (HMO) H2354: 024: $0: $0: $4,300: Yes: 4.5 out of 5: HAP Choice Medicare - West Michigan Option 1 (HMO) H2354: 026: $0: $0: $4,500: Yes: For billing and insurance questions, please contact Patient Customer Services at: 855-855-0863 or 734- 615-0863, Monday through Friday 8 a.m. - 4 p.m. •A referral is needed for all care provided by a specialist. Medicare Annual Wellness Visit Office Visit Physical. Appointment Type. Call 1-800-MEDICARE. Monthly premium (in addition to your Medicare Part B premium and any late enrollment penalty you may owe) $0: Annual medical deductible: $0: Prescription drug deductible: $0: Maximum out-of-pocket: $4,300: Primary doctor/ specialty visits Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. Primary and preventive services, including chronic disease management. Revision History. HAP Choice Medicare - West Michigan Option 2 (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Health Alliance Plan. He graduated . Loading Inventory. — Medicare Plan Features —. Email a copy of the HAP Primary Choice Medicare (HMO) benefit details. 326 South Pearl Street • Albany , NY. HAP Choice Medicare - West Michigan Option 2 (HMO) H2354-027 Plan Details. Plan ID: H2354-027. 8 a.m. to 8 p.m., seven days a week (Oct. 1 - March 31) 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30) Understanding the Benefits Review the full list of benefits found in the Evidence of Coverage (EOC), especially for those services that you routinely see a doctor. Y0076_ALL T65 HAP Microsite . Use the navigation on the left to find the right type of care for you. St. Peter's Internal Medicine - 1301 River Street. (517) 592-8033. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . Learn More about Health Alliance Plan HAP Choice Medicare - West Michigan Option 1 (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. DETROIT, Oct. 1, 2018 /PRNewswire/ -- Health Alliance Plan (HAP) has partnered with two local physician organizations - United Physicians and Oakl. Email a copy of the HAP Primary Choice Medicare (HMO) benefit details. If you have questions or concerns, you can call Western Reserve Medical Group at 800-807-6555 or bring them up at your next appointment. Appointment Type. 4. (734) 655-8200. Mount Carmel Medical Group New Albany Smith's Mill. $400/year on over-the-counter. HAP Medicare Advantage members, including HAP Primary Choice Medicare (HMO) and HAP Choice Medicare West Michigan (HMO). TTY users 1-877-486-2048. HAP Choice Medicare West Michigan (HMO) is a health plan with a Medicare con-tract. Primary care physicians Dermatology MI Barry Hastings Ingham East Lansing Kent Grand Rapids Family Medicine MI Kent Byron Center HAP Choice Medicare West Michigan (HMO) 11 Delapp, Stephen M MD HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. . The tool allows you to: Search . Erin C Walton-Doyle, MD. Details drug coverage for HAP Senior Plus HAP Choice Medicare - West Michigan Option 1 (HMO) in Michigan. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Plan ID: H2354-027. Our billing department will bill your insurance for your visit. . Enrollment in the plans depends on contract renewals. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . . . HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. $ 35.00. Choice plans include out-of-network coverage for emergency services only. HAP Choice Medicare Advantage HMO uses Mercy Health/Affinia internal process (Epic and Great Lakes Health Connect) for in-network referrals. If you have any questions or concerns . (This is down from $35.13 in 2021.) HAP Senior Plus (PPO) is a product of . Appointment Type. Primary Care Doctor Visit: In-Network: Doctor Office Visit: Copayment for Primary Care Office Visit $0.00. But in some cases, the specialist you see may require a referral from your PCP. H2354:024-0 HAP Primary Choice Medicare (HMO) H2354:026-0 HAP Choice Medicare - West Michigan Option 1 (HMO) H2354:027-0 HAP Choice Medicare - West Michigan Option 2 (HMO) Learn More. Enrollment in the plans depends on contract renewals. TTY users 1-877-486-2048. How to build complete Medicare coverage. HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. 2022 HAP Primary Choice (HMO) Plan 024 Premium $0 $0 Medical Deductible INN/OON $0/N/A $0/N/A MOOP $4,300 $4,300 Inpatient Hospital $235/1-7 $245/1-7 Annual Initial Coverage Limit (ICL): $4,130. HAP Primary Choice Medicare (HMO) gives members who reside in Wayne, Oakland and Macomb counties access to an affordable plan through an integrated network of nearly 400 primary care physicians, along with open access to specialists. HAP Primary Choice Medicare (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Health Alliance Plan. They are two ways members can register. Plan ID: H2354-027. 21.Support orientation program for UR staff by acting as primary mentor for review nurse and physician reviewers. . HAP Midwest Health Plan Dual Medicare/Medicaid and Medicaid HMO ***EXCEPTION: PIIM Physicians are out of network for HAP Primary Choice Medicare HMO*** Humana Insurance Company PPO & Cofinity Network Humana Choice Medicare PPO, POS, PFFS Humana GoldChoice PFFS, Humana Medicare PPO Note: We are not contracted with Humana Medicare HMO or Gold . HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. With UnitedHealthcare Choice health plans, you have the freedom to choose a network physician or specialist from the UnitedHealthcare Choice network without visiting a primary care provider (PCP) for a referral. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0. How do members register? 3. 02/2012 - Effective for claims with dates of service November 29, 2011, and later, Medicare beneficiaries with obesity (BMI andNo.8805;30 kg/m2), who are competent and alert at the time that counseling is provided and whose counseling is furnished by a qualified primary care physician or other primary care practitioner in a primary care setting are eligible for: One face-to . HAP referral process (CareAffiliate) is used for all Mercy Health/Affinia out of network providers. Sick/Problem Visit Well-Child Visit Video Visit Annual Physical. IHA Brooklyn Primary Care. doctor/specialty visits. Scroll to the right to continue reading the chart. 29370 Plymouth Rd Suite 100 • Livonia, MI. Enrollment in the plans depends on contract renewals. New Patient Visit Office Visit Physical. Chrysothemis Nesbitt, MD. $ 35.00. Appointment Type. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. HAP Senior Plus (PPO) is a product of . . IHA Brooklyn Primary Care. HAP is here with thousands of leading doctors and hospitals in our network. Glossary; Contact Us; Medicare plans for your need and budget. TTY . Plan . items and medications. With HAP, specialty office visits don't require referrals from your primary care physician (except HAP Choice and HAP Primary Choice Medicare (HMO)). 4.5 out of 5 stars. 7277 Smith's Mill Rd, Suite 105 • New Albany, OH. HAP Primary Choice Medicare (HMO) H2354: 024: $0: $0: $4,300: Yes: 4.5 out of 5: HAP Senior Plus Option 2 . St. Peter's Family Health Center. HAP Senior Plus (PPO) is a product of . There are 191 Medicare Advantage plans available in Michigan in 2022 . HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Our find a doctor or facility search tool makes it more convenient for you to locate nearby doctors, urgent care facilities, hospitals, pharmacies and more. IHA Primary Care Southeast Livonia. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0. Deciding which Medicare plan is right. How to build complete Medicare coverage. And, now it's easier to find one that's right for you. . Listed below are Primary Care Physicians, Urgent Care Centers, and Emergency Rooms that have available times in the next 24 hours. (517) 592-8033. New $0 Medicare HMO - HAP Primary Choice Medicare HMO is an innovative partnership between HAP, United Physicians and Oakland Southfield Physicians and is available for Medicare-eligible . 212 S Main Street Ste A • Brooklyn , Mi. When you visit, please be sure to have your insurance card with you to avoid billing delays. Explore your plan options. HAP Choice Medicare West Michigan (HMO) will mail a hard copy of the provider directory to you within three (3) business days of your request. We recommend you check with your insurance company to confirm benefit coverage prior to scheduling an appointment. Kristen Neil, PA. 1301 River Street, Suite 204 • Valatie, NY. Available in the Next 24 Hours. Plan Name Plan Code Monthly Premium . For more information about this new Medicare program, please: Visit the Primary Care First webpage Primary Care First | CMS Innovation Center; or. Enrollment in the plan depends on contract renewal. . Dennis Ruppel, MD. (614) 627-1878. The average monthly premium in 2022 for a Medicare Advantage plan in Michigan is $28.74. Monthly premium*. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. This is a 4.5-star Medicare Advantage plan with Part D (prescription drug) coverage. Called Primary Choice, this Medicare Advantage HMO plan has a zero-dollar ($0) premium and zero-dollar ($0) preventive services coverage. . Members must register for the program by October 31 of the current plan year. HAP Medicare Advantage Service Area 2022 Medicare Advantage Service Areas • Our core service area (counties highlighted in . Plan ID: H2354-027. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. Prescription drugs, medical devices, and biological products. • Complete and return the registration form that was mailed to their home — Medicare Plan Features —. Health Alliance Plan (HAP) in Detroit today announced it has partnered with United Physicians and Oakland Southfield Physicians to create a Medicare Advantage plan that gives HAP members access to more than 400 of the highest-rated primary care physicians in metro Detroit while also offering access to HAP's network of specialists and health care facilities. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. If you would like a printed EOC mailed to you at no charge, contact Customer Service at: (866) 766-4714 (TTY: 711) Robert Israel, MD. Medicare Annual Wellness Visit Office Visit Physical. For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. Annual Initial Coverage Limit (ICL): $4,130. Contact Us ; Medicare plans for your Visit PPO plans with Medicare contracts for need. 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