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HIV and Enteropathy
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Michigan State Insurance Exchange
Exchange:
 
The Michigan Insurance Exchange (Marketplace) is called the Michigan Health Insurance Exchange.
 
The Michigan Health Insurance Exchange is a Partnership Marketplace jointly administered by the State and federal government, under the Department of Health and Human Services (HHS).
 
General information about the Michigan Health Insurance Exchange can be found at: http://www.michigan.gov/difs/0,5269,7-303-12902_35510-279964--,00.html.
Learn more: Background
 
Patients:
 
The Michigan Health Insurance Exchange is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
 
HIV Providers:
 
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the Michigan Health Insurance Exchange.
 
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Michigan Health Insurance Exchange, and information about contacting them.
 
As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
 
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans. Learn More: Health Reform & My Practice
 
Qualified Health Plans Participating In the Exchange:
 
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Michigan Health Insurance Exchange.
 
Michigan has established Priority Health as the “benchmark” plan.
 
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.
 
Blue Care Network of Michigan
Plan Website: http://www.bcbsm.com/
 
Blue Cross Blue Shield of Michigan
 
Consumers Mutual Insurance of Michigan
 
HAP
Plan Website: http://www.hap.org/
 
Humana Medical Plan of Michigan Inc.
 
McLaren Health Plan, Inc.
 
Meridian Choice: Your Connection to Bronson Healthcare
 
Molina Marketplace
 
Priority Health
 
Total Health Care USA, Inc.
 
UnitedHealthcare
Provider Enrollment: http://www.uhc.com/physicians/join_our_network.htm
 
 
 
 
Have any comments, suggestions, or updates for this resource? Email us at 'Feedback@aahivm.org' and let us know!
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