Medicaid and Healthy Michigan Plan compared
Here's a brief comparison of Medicaid (Priority Health Choice MCD) and the Healthy Michigan Plan (Priority Health Choice HMI).
Plan name
Medicaid
ID card will read: Priority Health Choice MDC
Healthy Michigan Plan
ID card will read: Priority Health Choice HMI
Reimbursement
Medicaid
Medicaid fee schedule
Healthy Michigan Plan
Same
Eligible for PCP Incentive Program
Medicaid
Yes, if meeting continuous enrollment criteria
Healthy Michigan Plan
Same
Member eligibility
Medicaid
Income-based
Ages 0-64
Healthy Michigan Plan
Income-based, but don't qualify for Medicaid
Ages 19-64
Member enrollment
Medicaid
Facilitated through the MIBridges online application or local MDHHS office
Healthy Michigan Plan
Same
PCP
Medicaid
Member chooses at the time of enrollment. If not selected, one will be auto-assigned immediately.
Healthy Michigan Plan
Same
Appointment requirements
Medicaid
N/A
Healthy Michigan Plan
New Enrollees should have an initial appointment with their primary care practitioner within 60 days of initial enrollment. PCPs encouraged to complete Health Risk Assessment forms. Learn more.
Copays
Medicaid
No copays apply
Healthy Michigan Plan
No copays apply
Authorization requirements
Member authorization letters
Medicaid
Use both Medicaid and Priority Health ID numbers
Healthy Michigan Plan
Use both Healthy Michigan Plan and Priority Health ID numbers
Medical policies
Formulary
Provider forms
Medicaid
Marked "all plans" and "Medicaid"
Healthy Michigan Plan
Marked "all plans" and "Medicaid" and "Healthy Michigan Plan"
Behavioral Health benefits
Medicaid
Yes
Healthy Michigan Plan
Yes
Habilitative benefits
Dental benefits
Medicaid
Delta Dental
Members 21 and older
Ancillary services covered for children only (18 and under): Anesthesia, facility charges only
Healthy Michigan Plan
Delta Dental
Members 19 and older