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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.

Please note that some DMC outpatient facilities are considered "Hospital Based Clinics". A Hospital Based Clinic is owned and operated by the Detroit Medical Center Hospital which means you will receive two bills, one for hospital services and another bill for physician services. Due to this and depending on your insurance coverage, you may incur a higher out-of-pocket cost for your services. Please contact your insurance company for questions or concerns regarding your benefits.

   



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)
Aetna Auto 
Aetna Workers Comp 
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
Carelink (Sinai Grace outpatient only)
Cigna Behavioral Health (Sinai Grace and DRH only)
Cofinity PPO 
Cofinity Select/Preferred 
Coventry Cares (formally OmniCare) - Medicare Advantage
Coventry Cares (formally OmniCare) - Medicaid
Coventry Cares (formally OmniCare) Dual Eligibles (SNP)
Coventry/First Health
Coventry Auto (DRH Only)
Coventry Workers Comp
DMC Care
Fidelis - Medicare Advantage 
Gateway (Sinai Grace and DRH only) 
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 Behavioral Health (Sinai Grace and DRH Only)
United Community Plan (formally Great Lakes Health Plan) - Medicaid
United Community Plan (formally Great Lakes Health Plan) - Medicare Advantage
United Healthcare (UHC) - HMO/Gated
United Healthcare (UHC) - Options PPO
Value Options Commercial  (Sinai Grace and DRH Only)

Exchange Products
Metal Level Issuer Name Plan Marketing Name
Bronze Alliance Health and Life Insurance Company HAP Personal Alliance 5000 PPO
Bronze Alliance Health and Life Insurance Company HAP Personal Alliance 5000 PPO (HSA)
Gold Alliance Health and Life Insurance Company HAP Personal Alliance 1500 PPO
Gold Alliance Health and Life Insurance Company HAP Personal Alliance 2000 PPO (HSA)
Catastrophic Alliance Health and Life Insurance Company HAP Personal Alliance 6600 PPO
Silver Alliance Health and Life Insurance
Company
HAP Personal Alliance 2500 PPO
Silver Alliance Health and Life Insurance
Company
HAP Personal Alliance 3000 PPO
Bronze Alliance Health and Life Insurance
Company
HAP Personal Alliance 5000 PPO HAP 
Bronze Alliance Health and Life Insurance
Company
Personal Alliance 5000 PPO (HSA)
Bronze Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Bronze
Bronze Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Bronze Extra
Bronze Blue Care Network of Michigan Blue Cross® Preferred Bronze
Bronze Blue Care Network of Michigan Blue Cross® Preferred Bronze Extra
Bronze Blue Care Network of Michigan Blue Cross® Select Bronze
Bronze Blue Care Network of Michigan Blue Cross® Select Bronze Extra
Silver Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Silver


Silver Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Silver Extra
Silver Blue Care Network of Michigan Blue Cross® Preferred Silver
Silver Blue Care Network of Michigan Blue Cross® Preferred Silver Extra
Silver Blue Care Network of Michigan Blue Cross® Select Silver
Silver Blue Care Network of Michigan Blue Cross® Select Silver Extra
Gold Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Gold Extra
Gold Blue Care Network of Michigan Blue Cross® Select Gold
Gold Blue Care Network of Michigan Blue Cross® Select Gold Extra
Catastrophic Blue Care Network of Michigan Blue Cross® Select Value
Bronze Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Bronze Blue


Bronze Blue Care Network of Michigan Cross® Metro Detroit HMO Bronze Extra
Silver Blue Care Network of Michigan Blue Cross® Metro Detroit HMO Silver


Silver Blue Care Network of Michigan  Blue Cross® Metro Detroit HMO Silver Extra
Bronze Blue Cross Blue Shield of Michigan Blue Cross® Metro Detroit EPO Bronze
Bronze Blue Cross Blue Shield of Michigan Blue Cross® Metro Detroit EPO Bronze Extra
Bronze Blue Cross Blue Shield of Michigan Blue Cross® Premier Bronze
Bronze Blue Cross Blue Shield of Michigan Blue Cross® Premier Bronze Extra
Silver Blue Cross Blue Shield of Michigan Blue Cross® Metro Detroit EPO Silver
Silver Blue Cross Blue Shield of Michigan Blue Cross® Metro Detroit EPO Silver Extra
Silver Blue Cross Blue Shield of Michigan Blue Cross® Premier Silver
Silver Blue Cross Blue Shield of Michigan Blue Cross® Premier Silver Extra
Gold Blue Cross Blue Shield of Michigan Blue Cross® Metro Detroit EPO Gold Extra
Gold Blue Cross Blue Shield of Michigan Blue Cross® Premier Gold
Gold Blue Cross Blue Shield of Michigan Blue Cross® Premier Gold Extra
Platinum Blue Cross Blue Shield of Michigan Blue Cross® Premier Platinum Extra with Dental and Vision
Catastrophic Blue Cross Blue Shield of Michigan Blue Cross® Premier Value
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic ‐ High Deductible
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic ‐ HSA
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic ‐ Integrated Deductible
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic ‐ Low Deductible
Bronze Consumers Mutual Insurance of Michigan Consumers Mutual Basic ‐ Medium Deductible
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice ‐ HSA
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice ‐ Integrated Deductible
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice ‐ Low Deductible
Silver Consumers Mutual Insurance of Michigan Consumers Mutual Choice ‐ Medium Deductible
Gold Consumers Mutual Insurance of Michigan Consumers Mutual Premier ‐ Integrated Deductible
Gold Consumers Mutual Insurance of Michigan Consumers Mutual Premier ‐ Low Deductible
Gold Consumers Mutual Insurance of Michigan Consumers Mutual Premier ‐ No Deductible
Catastrophic Consumers Mutual Insurance of Michigan Consumers Mutual ‐ Generation Y
Bronze Harbor Health Plan Harbor Choice Bronze
Silver Harbor Health Plan Harbor Choice Silver
Gold Harbor Health Plan Harbor Choice Gold
Bronze Health Alliance Plan HAP Personal Alliance 5000 HMO
Bronze Health Alliance Plan HAP Personal Alliance 5000 HMO (HSA)
Silver Health Alliance Plan HAP Personal Alliance 2500 HMO
Silver Health Alliance Plan HAP Personal Alliance 3000 HMO
Gold Health Alliance Plan HAP Personal Alliance 1500 HMO
Gold Health Alliance Plan HAP Personal Alliance 2000 HMO (HSA)
Platinum Health Alliance Plan HAP Personal Alliance 500 HMO
Catastrophic  Health Alliance Plan HAP Personal Alliance 6600 HMO
Bronze Humana Medical Plan of Michigan, Inc. Humana Bronze 6300/Detroit HMOx
Silver Humana Medical Plan of Michigan, Inc. Humana Silver 4600/Detroit HMOx
Gold Humana Medical Plan of Michigan, Inc. Humana Gold 2500/Detroit HMOx
Platinum Humana Medical Plan of Michigan, Inc. Humana Platinum 1000/Detroit HMOx
Catastrophic Humana Medical Plan of Michigan, Inc. Humana Basic 6600/Detroit HMOx
Bronze McLaren Health Plan McLaren Bronze
Silver McLaren Health Plan McLaren Rewards Silver
Gold McLaren Health Plan McLaren Rewards Gold
Platinum McLaren Health Plan McLaren Rewards Platinum
Catastrophic  McLaren Health Plan McLaren Young Adult
Silver OPM on behalf of Blue Cross Blue Shield of Michigan Mutual Insurance Company Blue Cross® Silver Extra with Dental and
Vision, a Multi‐State Plan
Silver OPM on behalf of Blue Cross Blue Shield of Michigan Mutual Insurance Company Blue Cross® Silver with Dental and Vision, a Multi‐State Plan
Gold OPM on behalf of Blue Cross Blue Shield of Michigan Mutual Insurance Company Blue Cross® Gold Extra with Dental and
Vision, a Multi‐State Plan
Gold OPM on behalf of Blue Cross Blue Shield of Michigan Mutual Insurance Company Blue Cross® Gold with Dental and Vision, a Multi‐State Plan
Bronze OPM on behalf of Consumers Mutual Insurance of Michigan CO‐Options® Basic Bronze, a Multi‐State Plan
Silver OPM on behalf of Consumers Mutual Insurance of Michigan CO‐Options® Choice Silver, a Multi‐State Plan
Gold OPM on behalf of Consumers Mutual Insurance of Michigan CO‐Options® Premier Gold, a Multi‐State Plan
Bronze Priority Health MyPriority HMO Bronze 6000
Bronze Priority Health MyPriority HMO HSA Bronze 6300
Bronze Priority Health MyPriority HMO RxPlus Bronze 3975
Bronze Priority Health MyPriority POS Bronze 6000
Bronze Priority Health MyPriority POS HSA Bronze 6300
Bronze Priority Health MyPriority POS RxPlus Bronze 3975
Silver Priority Health MyPriority HMO HSA Silver 1500
Silver Priority Health MyPriority HMO RxPlus Silver 1000
Silver Priority Health MyPriority HMO RxPlus Silver 1800
Silver Priority Health MyPriority HMO RxPlus Silver 1900
Silver Priority Health MyPriority HMO Silver 1400
Silver Priority Health MyPriority HMO Silver 650
Silver Priority Health MyPriority POS HSA Silver 1500
Silver Priority Health MyPriority POS RxPlus Silver 1000
Silver Priority Health MyPriority POS RxPlus Silver 1800
Silver Priority Health MyPriority POS Silver 1400
Silver Priority Health MyPriority POS Silver 650
Gold Priority Health MyPriority HMO HSA Gold 1300
Gold Priority Health MyPriority HMO Plus Gold 400
Gold Priority Health MyPriority HMO RxPlus Gold 125
Gold Priority Health MyPriority POS HSA Gold 1300
Gold Priority Health MyPriority POS RxPlus Gold 125
Catastrophic Priority Health MyPriority Vida
Bronze Priority Health Insurance Company MyPriority PPO HSA Bronze 6300
Bronze Priority Health Insurance Company MyPriority PPO RxPlus Bronze 3975
Silver Priority Health Insurance Company MyPriority PPO HSA Silver 1500
Silver Priority Health Insurance Company MyPriority PPO RxPlus Silver 1000
Silver Priority Health Insurance Company MyPriority PPO RxPlus Silver 1800
Silver Priority Health Insurance Company MyPriority PPO RxPlus Silver 1900
Gold Priority Health Insurance Company MyPriority PPO HSA Gold 1300
Gold Priority Health Insurance Company MyPriority PPO Plus Gold 400
Gold Priority Health Insurance Company MyPriority PPO RxPlus Gold 125
Bronze Time Insurance Company Assurant Health Bronze Plan 001
Bronze Time Insurance Company Assurant Health Bronze Plan 002
Silver Time Insurance Company Assurant Health Silver Plan 001
Silver Time Insurance Company Assurant Health Silver Plan 002
Gold Time Insurance Company Assurant Health Gold Plan 002
Platinum Time Insurance Company Assurant Health Platinum Plan 002
Silver Total Health Care USA Totally You
Gold Total Health Care USA Total HMO Standard
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