Healthy Michigan Plan

Healthy Michigan Plan has been available since April 1, 2014, and is provided through Upper Peninsula Health Plan (UPHP). The plan offers benefits similar to those in traditional health insurance plans but at a much more affordable cost. It also provides incentives for pursuing healthy behaviors. Under current law, most Healthy Michigan Plan beneficiaries pay a small co-pay when they receive health services. The co-pay amount varies depending on the type of service received. However, beneficiaries who are medically frail do not have to pay a co-pay.

To qualify for the Healthy Michigan Plan, a person must meet certain income limits. The person must also live in Michigan and be 19 – 64 years old. In addition, a person must not be enrolled in Medicaid or Medicare.

In addition to healthcare, the Healthy Michigan Plan offers other extra benefits like transportation services and care management. The program is a partnership between federal and state governments. The federal government gives rules and resources, while the states run the program. The program is designed to encourage healthy behaviors and promote self-sufficiency.

In addition, the Healthy Michigan Plan also includes dental benefits for adults aged 19-64. Dental coverage is provided by Molina. The benefits include preventive and restorative services.

Healthy Michigan Plan Income Limits

Income-based Medicaid is based on your Modified Adjusted Gross Income (MAGI). This includes both earned and unearned income. However, there are some exclusions from the calculation, such as Holocaust restitution payments and most retirement account contributions. In addition, there are limits on how much home equity a Medicaid applicant can have, which is defined as the total value of your home minus any outstanding debts on it. The home equity limit is $713,000 in 2024.

Eligibility for the Healthy Michigan Plan depends on income, age, disability, citizenship/immigration status, and other factors. If you are eligible, you will receive a McLaren Health Plan Healthy Michigan ID card. You will need to schedule an appointment with your Primary Care Physician (PCP) within 60 days of enrolling. In order to meet your PCP’s eligibility requirements, you must complete your Health Risk Assessment (HRA). This will help your provider determine your current health and what needs improvement.

Is Healthy Michigan Plan Worth It?

A report from the University of Michigan’s Institute for Healthcare Policy and Innovation found that the Healthy Michigan Plan is working well and has had many positive impacts. It has also identified opportunities for further improvements.

The work requirement in Healthy Michigan was based on legislation that the state enacted and received federal approval. The requirement began in January 2020 and required non-exempt Medicaid expansion enrollees to work or engage in other activities, such as job training or education. The requirement was later eliminated when a court ruled against it.