Healthy Michigan Plan

Asthma and COPD Care

Do you have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

Maaraynta Daryeelka

Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay with you on your medical journey. He or she will:

• Think beyond your medical needs.
• Make sure you have support at home.

So you can focus on getting better.

Choice of Birth Center

If you become pregnant while you are a Healthy Michigan Plan member:

Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.

We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.

Choice of Doctors

You get a primary care provider (PCP) who is your main doctor. Isticmaal Qalabka Raadinta Dhakhtarka si aad u aragto in dhakhtarkaagu ku jiro shabakadeena.

If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

PCP-gaaga ayaa ah dhakhtarkaaga ugu muhiimsan ee loogu tala galay:

• Preventive care.
• Treatment if you are sick or injured.

Referrals to specialists for certain conditions.

Customer Services

Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

We also have people who speak more than one language. Chances are, we have someone who speaks your language.

Diabetic Support

If you have diabetes you may need insulin, needles, wipes and glucose strips. We cover all that and more.

Our plan also steps up with services to help you manage your diabetes including:

• Coordinating doctor care.
• Dedicated team to help you understand your condition and manage it.

Qalabka iyo Saadka

Caafimaadkaaga iyo badbaadadaada guriga waa muhiim

Qorshahayagu waxa uu cayminayaa qalabka caafimaad ee uu dalbado dhakhtarkaagu. This can include items like:

• Hospital beds.
• Oxygen tanks.
• Walkers or wheelchairs.

Healthy First Steps™

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

Waan ku caawin doonaa:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Ku xirirannashaha dhigaalada bulshada sida adeegyada Haweenka, Dhallaanka iyo Carruurta (WIC).

Hearing Services

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.

Waxaan daboolnaa:

• Exams, therapy and tests.
• Hearing aids and services.

Isbitaal Dhigista

This plan pays for medical expenses related to a hospital stay.

Qorshahayagu waxa uu daboolaa:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

Ka dib markaad isbitaalka ka baxdo, keligaaga ma tihid. We make sure you get follow-up care to continue healing.

Lab and X-rays

Ogaanshaha waxa khaldan iyo in la helo goor hore ayaa wax walba samayn karta. Qorshahayagu waxa uu daboolaa:

• Shaybaarada iyo tijaabada.
• Raajooyinka, iskaangaraynta iyo sawir-qaadista kale.

We'll help get the information needed to improve your health or be your best.

Ka caawin Luqad

We have people at our customer services center who speak more than one language. Chances are, we have someone who speaks your language.

Daawooyinka

Our plan includes prescription drugs and refills. Refer to the FAQ's for information on co-pay amounts.

We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.

And we make getting your medicine easy. You can fill your prescriptions at:

• Network pharmacies.

Caafimaadka Maskaxda

Mental health is as important as physical health. That's why we cover both.

Required short-term care is covered. Tani waxaa ka mid ah:

• Behavioral therapy.
• Daawooyinka.

Nurse Visits

Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

• Provide medical care for you.
• Answer your questions and concerns.

Prenatal Visits

If you become pregnant while you are a Healthy Michigan Plan member:

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

• Make sure you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

Joojinta Tubaakada iwm

You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

Xabado iyo Tallaal

Routine shots help protect against illness. So, our plan covers:

• Recommended shots and vaccines.
• Influenza shots.

Adeegyada Daawaynta.

Daaweynta jirka, shaqada iyo hadalka waxay kaa caawin kartaa inaad ka soo kabsato dhaawac halis ah ama jirro, ama si fudud u gaarto awooddaada buuxda.

Our plan provides:

• Occupational therapy.
• Physical therapy.
• Speech therapy.
• Language therapy.
• Habilitative therapy.

With a doctor's request your coverage includes short term physical, occupational, speech, language and/or other therapy visits each year.

Gaadiid-raaca

Our plan provides a ride for you to and from health care locations. That includes rides to:

• Doctor or therapy visits.
• Health departments.
• Vision clinics.

You can also be reimbursed for gas for driving to and from health care visits:

ModivCare Member Gas Reimbursement Instructions
ModivCare Mileage Reimbursement App
ModivCare Member Gas Reimbursement Form
ModivCare Standing Order Form

To learn more visit https://www.mymodivcare.com

Unlimited Primary Care Provider/PCP Visits

There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.

Daryeelka Aragga

Regular eye exams and glasses, if needed, can help you see more clearly. We also include:

• Prescription lenses.
• Designer-style frames.

Call Member Services at 1-800-903-5253 for vision services and providers.

Booqashooyinka Wanaagsan

Well visits with your doctor can help keep you healthy. Booqashooyinkani waxay ku dhici karaan dhibaatooyin caafimaad goor hore, si loo daweeyo. Adeegyada ka hortagga waxaa ka mid ah:

• Checkups for adults.
• Tallaalada joogtada ah iyo tijaabooyinka.
• Mammograms and Pap Smears.
• Colorectal Screenings.