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 $40 copay per visit
- Visits to specialists for a $55 copay per visit
- Hospital coverage for 30% coinsurance after you meet your deductible (the plan pays 70%)
- This plan does not include prescription drug coverage.
Read the Summary of Benefits for this plan (45KB 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, you 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 Priority Health customer service at 800 446-5674 to request rates and an application.
Coverage documents
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