Confused by Medicaid, MIChild, Healthy Michigan or Children's Special Health Care Services plans? Let us help you figure out how to sign up for a plan or understand if you qualify. We're here to help!
Wondering if you qualify for a Priority Health Medicaid or Healthy Michigan Plan?
Medicaid is a state and federally funded program that provides health coverage to eligible low-income adults (including pregnant women) at or below 54% of the federal poverty level, children, adults age 65 and older and people with disabilities.
Healthy Michigan Plan is a Medicaid program that provides health care to Michigan residents age 19-64 years at a low cost if their income is at or below 133% of the federal poverty level, don't qualify or aren't enrolled in a Medicare or other Medicaid plan and are not pregnant at the time of enrollment. See a map of the counties where you can choose Priority Health for your Medicaid plan.
What's the difference between Medicare and Medicaid?
Medicare is a federal health care program for people age 65 or older, or some people with disabilities, regardless of income. Medicaid is a state and federal program that provides health care coverage if you have a low income.
There is also a kind of health plan called a Dual Eligible Special Needs Plan, or D-SNP, for those who qualify for both Medicare and Medicaid. Learn more about PriorityMedicare D-SNPSM, including eligibility requirements.
What's the difference between Medicaid, Healthy Michigan Plan, MIChild and Children's Special Health Care Services (CSHCS) plans?
Medicaid – Health care coverage for people of all ages with a low income.
Healthy Michigan Plan – Provides health care coverage to Michigan residents age 19-64 years at a low cost if:
- Their income is at or below 133% of the federal poverty level
- They don't qualify for or aren't enrolled in a Medicare or other Medicaid plan
- They are not pregnant at the time of enrollment
MIChild – Provides health care coverage to eligible children in Michigan.
Children's Special Health Care Services – A program for children under age 21 and some adults, with special health care needs, regardless of income. Note: this program is offered in all states, so if you move, you'll need to reapply for the program in your new state of residence.
For more information or assistance regarding Care Management, please contact Customer Service at 888.975.8102.
Visit the State of Michigan website for more information on CSHCS and eligibility.
Where can I find more information?
Please reference the Member Handbook and Certificate of Coverage for more detailed information.
- Medicaid Certificate of Coverage and Member Handbook
- Healthy Michigan Plan Certificate of Coverage and Member Handbook
Have a question? We're here to help.
Contact Customer Service:
888.975.8102 (TTY 711)
Monday - Thursday 7:30 a.m. - 7 p.m.
Friday 9 a.m. - 5 p.m.
Saturday 8:30 a.m. - noon
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