MICHIGAN EXCHANGE

The Michigan Insurance Exchange (Marketplace) is called the Michigan Health Insurance Exchange. The Michigan Health Insurance Exchange is a Partnership Marketplace jointly administered by the State and federal government, under the Department of Health and Human Services (HHS).

General information about the Michigan Health Insurance Exchange can be found at: http://www.michigan.gov/difs/0,5269,7-303-12902_35510-279964–,00.html.

PATIENTS

The Michigan Health Insurance Exchange is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.

HIV PROVIDERS

Providers must contract with each of the plans in the marketplace individually in order to fully participate in the Alabama Health Benefit Exchange.

This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.

As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.

Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.

REPORTING PROBLEMS

QUALIFIED HEALH PLANS PARTICIPATING IN THE EXCHANGE

Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in the Alabama Health Benefit Exchange.

Alabama has established Blue Cross Blue Shield of AL as the “benchmark” plan.

This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates

Alliance Health and Life Insurance Company
Plan Website: https://www.hap.org/home.php
Provider Enrollment: http://www.hap.org/providers/prospective.php
Plan types offered: Individual, SHOP

Blue Care Network of Michigan
Plan Website: http://www.bcbsm.com/
Provider Enrollment: http://www.bcbsm.com/providers.html
Plan types offered: Individual, SHOP

Blue Cross Blue Shield of Michigan
Plan Website: http://www.bcbsm.com/index.html
Provider Enrollment: http://www.bcbsm.com/providers.html
Plan types offered: Individual, SHOP

Consumers Mutual Insurance of Michigan
Plan Website: http://www.consumersmutual.org/
Provider Enrollment: http://www.consumersmutual.org/healthcare-provider-signup
Plan types offered: Individual, SHOP

Grand Valley Health Plan
Plan Website: http://www.gvhp.com/
Provider Enrollment: http://www.gvhp.com/providers/
Plan types offered: SHOP

Harbor Health
Plan Website: https://www.harborhealthplan.com/?id=1057&sid=2
Provider Enrollment: https://www.harborhealthplan.com/?id=1024&sid=2
Plan types offered: Individual

Health Alliance Plan
Plan Website: http://www.hap.org/
Provider Enrollment: http://www.hap.org/providers/prospective.php
Plan types offered: Individual, SHOP

Humana Medical Plan of Michigan, Inc.
Plan Website: https://www.humana.com/individual-and-family/products-and-services/medical-plans/
Provider Enrollment: https://www.humana.com/provider/medical-providers/network/
Plan types offered: Individual

McLaren Health Plan, Inc.
Plan Website: http://www.mclarenhealthplan.org/mclarenhealthplan/mclarenhealthplan.aspx
Provider Enrollment: http://www.mclarenhealthplan.org/McLarenHealthPlan/ProviderCredentialingmhp.aspx
Plan types offered: Individual, SHOP

Meridian Health Plan of Michigan
Plan Website: http://www.mhplan.com/mi/
Provider Enrollment: http://www.mhplan.com/index.php?page=providerhelp&stateAbbrv=MI
Plan types offered: Individual

Molina Healthcare of Michigan
Plan Website: http://www.molinahealthcare.com/members/mi/en-US/hp/marketplace/Pages/marketplace.aspx
Provider Enrollment: http://www.molinahealthcare.com/members/common/en-US/abtmolina/compinfo/Pages/contactus.aspx#
Plan types offered: Individual

Physicians Health Plan
Plan Website: https://www.phpmichigan.com/
Provider Enrollment: http://www.phpmichigan.com/Providers
Plan types offered: Individual

Priority Health
Plan Website: http://www.priorityhealth.com/
Provider Enrollment: http://www.priorityhealth.com/provider/contact-us
Plan types offered: Individual, SHOP

Priority Health Insurance Company
Plan Website: http://www.priorityhealth.com/
Provider Enrollment: http://www.priorityhealth.com/provider/contact-us
Plan types offered: Individual, SHOP

Time Insurance Company
Plan Website: http://www.assuranthealth.com/corp/ah/AHHome.htm
Provider Enrollment: http://www.assuranthealth.com/corp/ah/Providers/health-care-provider.htm
Plan types offered: Individual, SHOP

Total Health Care USA, Inc.
Plan Website: https://thcmi.com/member-central-individual-general/
Provider Enrollment: https://thcmi.com/becoming-a-provider/
Plan types offered: Individual, SHOP

UnitedHealthcare Community Plan, Inc
Plan Website: http://www.uhc.com/health_reform_guide.htm
Provider Enrollment: http://www.uhc.com/physicians/join_our_network.htm
Plan types offered: Individual

UnitedHealthcare Life Insurance Company
Plan Website: http://www.uhc.com/
Provider Enrollment: http://www.uhc.com/physicians/join_our_network.htm
Plan types offered: SHOP