State-mandated individual coverage (SMIC)

State-mandated individual coverage, or SMIC, is health coverage Priority Health offers to individuals and families directly (instead of through employer groups) during the month of April each year. Coverage begins on May 1. Contract holders may remain in the plan as long as they are eligible.

What the Priority Health SMIC plan covers

• Health benefits for individuals, couples, single parents and their children, and families
  
• Visits to primary care physicians or other primary care providers for a $30 copay per visit
  
• Visits to specialists for a $45 copay per visit
  
• Hospital coverage for a 20% copay after you meet your deductible
• This plan does not include prescription drug coverage

Read the Summary of Benefits for this plan (77KB DOC)

Who is eligible

To be eligible to apply for SMIC benefits, you must be:

• A Michigan resident
• Not covered by or eligible for group health coverage
• Not eligible for Medicare

Application requirements

To enroll in the Priority Health SMIC program during April of each year, applicants must submit:

• A completed enrollment form
• A check for the first month's premium
• A form requesting automatic premium payment deductions from your checking account, with a voided check attached

How to get rates and apply

Call the Priority Health Small Business Department at 800 471-2504 to request rates an application.