Insurances Accepted
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
Beacon Health formally Value Options (Sinai Grace and DRH Only)
Beech Street
Blue Care Network - BCN;
Blue Care Network - Medicare Advantage
Blue Cross Complete (Medicaid Program)
Blue Cross Blue Shield of Michigan - All Products
Blue Cross Blue Shield of Michigan - Medicare Advantage
Carelink
Cigna Behavioral Health (Sinai Grace and DRH only)
Cofinity PPO
Cofinity Select/Preferred
Aetna Better Health (formally Coventry Cares and OmniCare) - Medicare Advantage
Aetna Better Health (formally Coventry Cares and OmniCare) - Medicaid
Aetna Better Health (formally Coventry Cares and OmniCare) Dual Eligibles (SNP)
Coventry/First Health
Coventry Auto (DRH Only)
Coventry Workers Comp
HAP Midwest Health Plan - Medicare Advantage
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
Humana
Humana Medicare Advantage
McLaren Health Advantage PPO
McLaren Health Plan - HMO/PPO
McLaren Health Plan - Medicaid
Meridian Medicaid HMO
Meridian Medicare Choice
Michigan Complete Care - MiHealthLink Dual Eligibles
Molina - Dual Eligibles (SNP)
Molina - Medicaid
Molina - Medicare Advantage
Multiplan
PHCS (Private Health Care Systems)
Priority Health - HMO
Priority Health - PPO
Priority Health - Medicare Advantage
Priority Health Medicaid
Total Health Care (THC) Commercial HMO/PPO
Total Health Care (THC) Medicaid
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
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 | 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 | 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 |
Platinum | Time Insurance Company | Assurant Health Platinum Plan 002 |
Silver | Total Health Care USA | Totally You |
Gold | Total Health Care USA | Total HMO Standard |