Healthy Michigan Plan
The Michigan Department of Community Health offers helpful information about the Healthy Michigan Plan, Michigan’s Medicaid Expansion program, which begins enrollment April 1, 1014.
The Healthy Michigan Plan provides health care coverage for individuals who:
- Are age 19-64 years
- 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
Eligibility for the Healthy Michigan Plan is determined through the Modified Adjusted Gross Income methodology, coordinated through the Department of Human Services. All criteria for the Modified Adjusted Gross Income eligibility must be met to be eligible for the Healthy Michigan Plan.
Per federal requirement, individuals eligible for services under the Healthy Michigan Plan must have access to the following 10 Essential Health Benefits:
- Ambulatory patient services
- Emergency services
- Maternity and newborn care
- Mental health and substance use disorder treatment 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.
The Michigan Department of Community Help also offers other helpful information, including: