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Insurance Plans

The Detroit Medical Center Medical Group participate in numerous health plans. Health Plan participation is dependent on the choice of the physicians and the consumer. Participation in health plans change frequently for both physicians and consumers.

If you are enrolled in a Health Maintenance Organization (HMO), you must choose a primary care physician (PCP) to help you manage your care. Contact your insurance carrier to make your PCP selection or to change a PCP assignment made by your plan on your behalf. Depending on your health plan, you may need a referral from your PCP to be seen by a specialist. 

   



DMC Participating Insurance Plans
Aetna Commercial Gated and Non-Gated Products
Aetna Medicare Advantage Plans; Excludes Aetna Medicare Select
Aetna National Advantage Products (NAP) 
Aetna Select/Preferred 
Aetna Signature (ASA)
Beech Street 
Blue Care Network - BCN; (Excludes DRH)
Blue Care Network - Medicare Advantage; (Excludes DRH)
Blue Complete (Medicaid Program)
Blue Cross Blue Shield of Michigan - All Products 
Blue Cross Blue Shield of Michigan - Medicare Advantage
Cofinity Auto 
Cofinity PPO 
Cofinity Select/Preferred 
Cofinity Workers Comp 
Coventry Cares (formally OmniCare) - Medicare Advantage
Coventry Cares (formally OmniCare) - Medicaid
Coventry Cares (formally OmniCare) Dual Eligibles (SNP)
DMC Care
Fidelis - Medicare Advantage 
First Health; excludes Auto and Workers Comp
HAP Midwest Health Plan - Medicaid
HAP Midwest Health Plan - Medicare Advantage
HAP Midwest Health Plan - MiChild
HAP Alliance Health and Life - Medicare Advantage PPO
HAP Alliance Health and Life - Commercial PPO
HAP HMO - Medicare Advantage
HAP Commercial HMO
HAP Preferred - Medicare Advantage PPO
HAP Preferred Commercial PPO (including Cigna and Great West)
Harbor Health - Medicaid
   Harbor Health - Medicare Advantage
Harbor Health - MiChild
HealthPlus - Medicaid
HealthPlus - Medicare Advantage HMO
HealthPlus - Medicare Advantage PPO
HealthPlus - MiChild
HealthPlus HMO
HealthPlus PPO
Humana - Medicare Advantage
McLaren Health Advantage PPO 
McLaren Health Plan - HMO/PPO
McLaren Health Plan - Medicare Advantage
McLaren Health Plan - Medicaid
McLaren Health Plan - MiChild
Meridian - Medicaid Only
Molina - Dual Eligibles (SNP)
Molina - Medicaid
Molina - Medicare Advantage
Molina - MiChild
Multiplan
PHCS (Private Health Care Systems) 
Priority Health - HMO
Priority Health - PPO
Priority Health - Medicare Advantage
Total Health Care (THC) Commercial HMO/PPO
Total Health Care (THC) Medicaid
Total Health Care (THC) Medicare Advantage
Total Health Care (THC) MiChild
TriCare/Champus
United Community Plan (formally Great Lakes Health Plan) - Medicaid
United Community Plan (formally Great Lakes Health Plan) - Medicare Advantage
United Community Plan (formally Great Lakes Health Plan) - Dual Eligibles SNP
United Healthcare (UHC) - HMO/Gated
United Healthcare (UHC) - Options PPO

Exchange Products
Metal Level Issuer Name Plan Marketing Name Plan Type
Bronze Blue Care Network of Michigan Blue Cross « Preferred Bronze HMO
Silver Blue Care Network of Michigan Blue Cross « Preferred Silver HMO
Bronze Blue Care Network of Michigan Blue Cross « Select Bronze HMO
Gold Blue Care Network of Michigan Blue Cross « Select Gold HMO
Silver Blue Care Network of Michigan Blue Cross « Select Silver HMO
Catastrophic Blue Care Network of Michigan Blue Cross « Select Value HMO
Gold Blue Cross Blue Shield of Michigan Blue Cross« Gold, a Multi-State Plan PPO
Bronze Blue Cross Blue Shield of Michigan Blue Cross« Premier Bronze PPO
Gold Blue Cross Blue Shield of Michigan Blue Cross« Premier Gold PPO
Silver Blue Cross Blue Shield of Michigan Blue Cross« Premier Silver PPO
Catastrophic Blue Cross Blue Shield of Michigan Blue Cross« Premier Value PPO
Silver Blue Cross Blue Shield of Michigan Blue Cross« Silver, a Multi-State Plan PPO
Catastrophic Consumers Mutual Insurance of Michigan Consumers Mutual - Generation Y PPO
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic - High Deductible PPO
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice - Low Deductible PPO
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice - Medium Deductible PPO
Gold Consumers Mutual Insurance of Michigan Consumers Mutual Premier - Low Deductible PPO
Gold Consumers Mutual Insurance of Michigan Consumers Mutual Premier - No Deductible PPO
Catastrophic Humana Medical Plan of Michigan, Inc. Humana Connect Basic 6350/6350 Plan HMO
Bronze Humana Medical Plan of Michigan, Inc. Humana Connect Bronze 6300/6300 Plan HMO
Gold Humana Medical Plan of Michigan, Inc. Humana Connect Gold 2500/3500 Plan HMO
Platinum Humana Medical Plan of Michigan, Inc. Humana Connect Platinum 1000/1500 Plan HMO
Silver Humana Medical Plan of Michigan, Inc. Humana Connect Silver 4600/6300 Plan HMO
Gold McLaren Health Plan McLaren Rewards Gold HMO
Gold McLaren Health Plan McLaren Rewards Gold Child Only HMO
Platinum McLaren Health Plan McLaren Rewards Platinum HMO
Platinum McLaren Health Plan McLaren Rewards Platinum Child Only HMO
Silver McLaren Health Plan McLaren Rewards Silver HMO
Silver McLaren Health Plan McLaren Rewards Silver Child Only HMO
Catastrophic McLaren Health Plan McLaren Young Adult HMO
Bronze Priority Health MyPriority Access HSA Bronze 6000 PPO
Gold Priority Health MyPriority Access HSA Gold 1250 PPO
Silver Priority Health MyPriority Access HSA Silver 2000 PPO
Bronze Priority Health MyPriority HSA Bronze 6000 HMO
Gold Priority Health MyPriority HSA Gold 1250 HMO
Silver Priority Health MyPriority HSA Silver 2000 HMO
Bronze Priority Health MyPriority MyHealth Access Bronze 5000 PPO
Gold Priority Health MyPriority MyHealth Access Gold 1000 PPO
Gold Priority Health MyPriority MyHealth Access Gold 1500 PPO
Silver Priority Health MyPriority MyHealth Access Silver 1500 PPO
Silver Priority Health MyPriority MyHealth Access Silver 2000 PPO
Silver Priority Health MyPriority MyHealth Access Silver 2500 PPO
Bronze Priority Health MyPriority MyHealth Bronze 5000 HMO
Gold Priority Health MyPriority MyHealth Gold 1000 HMO
Gold Priority Health MyPriority MyHealth Gold 1500 HMO
Silver Priority Health MyPriority MyHealth Silver 1500 HMO
Silver Priority Health MyPriority MyHealth Silver 2000 HMO
Silver Priority Health MyPriority MyHealth Silver 2500 HMO
Catastrophic Priority Health MyPriority Vida HMO
Gold HAP Personal Alliance 1000 HMO
Gold HAP Personal Alliance 1500 PPO
Silver HAP Personal Alliance 2500 HMO
Silver HAP Personal Alliance 3000 PPO
Platinum HAP Personal Alliance 500 HMO
Bronze HAP Personal Alliance 5000 HMO
Bronze HAP Personal Alliance 5000 (HSA) PPO
Catastrophic HAP Personal Alliance 6350 PPO
Gold Total Health Care USA, Inc. Total HMO Standard HMO
Silver Total Health Care USA, Inc. Totally You HMO
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