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Lapeer Health Insurance

Facts and Figures

  • Insurance
    Carriers
    10
  • Number of
    General Doctors
  • Number of
    Hospitals

State Government Insurance Programs Offered

Blue Cross/ Blue Shield of Michigan (BCBSM)


BCBSM: Must be Michigan resident. Cannot be eligible for COBRA, or government programs (must have exhausted this option). HMOs in the state must offer guarantee issue coverage to residents during annual open enrollment periods.

Health Insurance Program for Michigan (HIP)


Federal program established by the United States Department of Health and Human Services 877-459-3113 www.hipmichigan.com www.PCIP.gov HIP: Covers broad range of benefits, including primary and specialty care, hospital care, and prescription drugs. HIP: Must be a U.S. citizen or lawfully present in the U.S. and have been uninsured for at least 6 months prior to applying. Must have had a problem getting insurance due to a pre- existing condition.

Medicaid and Healthy Kids


Covers Ambulance, Dental, Doctor visits, Family planning, Health checkups, Hearing and speech, Home health care, Hospice, Hospitalization, Lab and x-rays, Immunizations, Medical supplies, Nursing home care, Medicine, Mental health care, Personal care services, Prenatal care, Surgery, Vision, Substance abuse treatment and Physical therapy. Must be U.S. citizens or qualified aliens living in Michigan. Income limits: Pregnant women and infants ages 0–1: 185% FPL. Children ages 1–18: 150% FPL. Parents/caretakers living with children ages 0–18: 64% FPL. Childless adults: 45% FPL. Aged, blind, and disabled: 100% FPL with asset limit of $2,000 for singles and $3,000 for couples. Medically-needy: Monthly income limit varies by region, from $341 to $408 for singles, and $458 to $5,41 for couples. Asset limit of $2,000 for singles and $3,000 for couples.

MIChild


888-988-6300 www.michigan.gov/mdch (Listed under “Health Care Coverage” and “Children & Teens”) Covers Regular checkups, shots, Emergency care, Dental, Hospital, Pharmacy, Prenatal care and delivery, Vision and hearing, Mental health and substance abuse services. Must be Michigan residents and U.S. citizens or qualified immigrants. Must be under age 19. Income must be above 150% but below 200% FPL. Must be uninsured and ineligible for Medicaid. Families who voluntarily drop employer-based comprehensive insurance must wait six months to enroll. If families drop private insurance, they may immediately enroll in MIChild.

Healthy Kids


888-988-6300 www.michigan.gov/mdch Covers ambulance, dental, doctor visits, family planning, health checkups, hearing and speech, home health care, hospice, hospitalization, lab and x-rays, immunizations, medical supplies, nursing home care, medicine, mental health care, personal care services, prenatal care, surgery, vision, substance abuse treatment, physical therapy. Must be U.S. citizens or qualified immigrants and Michigan residents. Must either be pregnant women of any age, or children under age 19. Income must be at or below 150% FPL.

Breast and Cervical Cancer Control Program (BCCP)


800-922-6266 www.michigan.gov/mdch (Click: Prevention) Clinical breast exams, Pap tests, Pelvic exams, and Screening mammograms. Coverage: Income limit of 250% FPL. Must be uninsured or underinsured and live in Michigan. Breast/cervical cancer screening and for diagnostic follow-up of breast/cervical abnormalities for women ages 40–64, or for women ages 18–39 who have been identified with a cervical abnormality through the Family Planning program (Title X). Not eligible: Women who are enrolled in a managed care program, a health maintenance organization, or Medicare Part B.

Women-Infant-Children (WIC)


800-262-4784 www.michigan.gov/mdch (Listed under “Pregnant Women, Children & Families”) Nutrition education and services; breastfeeding promotion and education; monthly food prescription of nutritious foods; access to maternal, prenatal and pediatric health-care services. Eligibility: Must live in Michigan and have a nutritional need determined by WIC staff. Must be a child under 5, a new mom, or a pregnant or breastfeeding woman. Income limit is 185% FPL.

"Vista Health Solutions" www.forhealthinsurance.com Tel (888)215-4045 Email [email protected]