Michigan Medicine Participation Status 2022 …

[Pages:10]Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

AARP (UHC) ? Medicare Advantage (HMO) ? Medicare Advantage (HMO-POS) ? Medicare Advantage Access (HMO) ? Medicare Advantage Focus (HMO) ? Medicare Advantage Freedom Plus (HMO-POS) ? Medicare Advantage Mosaic Choice (HMO) ? Medicare Advantage Plan (HMO) ? Medicare Advantage Patriot (HMO) ? Medicare Advantage Profile (HMO-POS) ? Medicare Advantage Plus (HMO-POS) ? Medicare Advantage Prime (HMO) ? Medicare Advantage SecureHorizons Focus (HMO) ? Medicare Advantage SecureHorizons Plan (HMO-POS) ? Medicare Advantage SecureHorizons Premier (HMO) ? Medicare Advantage SecureHorizons Value (HMO) ? Medicare Advantage Walgreens Plan (HMO)

AARP (UHC) ? Medicare Advantage Choice (PPO) ? AARP Medicare Advantage Focus (PPO) ? Medicare Advantage Choice Premier (PPO) ? Medicare Advantage Open (PPO) ? Medicare Advantage Open Premier (PPO) ? Medicare Advantage Patriot (Local PPO) ? Medicare Advantage Premier (PPO) ? Medicare Advantage Riverbank (PPO) ? Medicare Advantage Walgreens (PPO)

Aetna (Michigan Plans) ? Medicare Premier (HMO) ? Medicare Assure Premier (HMO D-SNP)

Aetna (Out-of-State Plans) ? Medicare Advantra Cares (HMO D-SNP) ? Medicare Assure (HMO D-SNP) ? Medicare Assure Plus (HMO D-SNP) ? Medicare Assure Premier Plus (HMO D-SNP) ? Medicare Dual Complete Plan (HMO D-SNP)

Type HMO

PPO HMO HMO D-SNP

Network Status

Prior Authorization Required (Not sold in Michigan)

In-Network (Effective 1/1/21)

In-Network

Out-of-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Aetna (Out-of-State Plans) ? Medicare Advantra Gold (HMO) ? Medicare Advantra (HMO) ? Medicare Advantra (HMO-POS) ? Medicare Advantra Premier (HMO) ? Medicare Advantra Silver (HMO) ? Medicare Advantra Value (HMO) ? Medicare Choice (HMO-POS) ? Medicare Connect Plus (HMO) ? Medicare Credit (HMO) ? Medicare Advantra Elite (HMO) ? Medicare Elite Plan (HMO) ? Medicare Elite Prime (HMO) ? Medicare Explorer Elite (HMO) ? Medicare Explorer Premier Plus (HMO) ? Medicare Gold Advantage Prime (HMO) ? Medicare Platinum Plan (HMO) ? Medicare Platinum Plus Plan (HMO) ? Medicare Plus Plan (HMO) ? Medicare Premier Plan (HMO) ? Medicare Premier Plus (HMO) ? Medicare Prime PCP Elite (HMO) ? Medicare Prime Plan (HMO) ? Medicare Prime Plus Plan (HMO) ? Medicare Prime Value (HMO) ? Medicare Select Plan (HMO) ? Medicare Silver (HMO) ? Medicare Value Plan (HMO) ? Medicare Value Plus Plan (HMO)

Aetna ? Medicare Advantra Credit Value (PPO) ? Medicare Advantra Premier (PPO) ? Medicare Advantra Premier Plus (PPO) ? Medicare Advantra Silver (PPO) ? Medicare Eagle (PPO) ? Medicare Elite Plan (PPO) ? Medicare Gold Plan (PPO) ? Medicare Premier Plan (PPO) ? Medicare Premier Plus (Regional PPO) ? Medicare Value Plan (PPO)

Type HMO PPO

Network Status

Prior Authorization Required (Not sold in Michigan

In-Network

Aetna Better Health of Michigan ? Premier Plan (Medicare-Medicaid)

Aetna Better Health of Ohio ? Dual Preferred (HMO SNP)

Aetna Better Health of Ohio ? MyCare Ohio (Medicare-Medicaid)

Align Senior Care ? Align Connect (HMO C-SNP) ? Align Thrive (HMO I-SNP)

MI Health Link HMO SNP

MyCare Ohio

In-Network Out-of-Network Out-of-Network

HMO/SNP

Out-of-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Allwell ? Dual Medicare (HMO D-SNP) ? Medicare (HMO) ? Medicare Boost (HMO) ? Medicare Complement (HMO) ? Medicare Simple (HMO)

Allwell ? Medicare (PPO)

AmeriHealth Caritas ? VIP Care Plus (Medicare-Medicaid)

Anthem ? MediBlue Dual Advantage (HMO D-SNP) ? MediBlue Extra (HMO) ? MediBlue Plus (HMO) ? MediBlue Preferred (HMO) ? MediBlue Preferred Plus (HMO) ? MediBlue Prime Select (HMO)

Anthem ? MediBlue Access (PPO) ? MediBlue Access Basic (Regional PPO) ? MediBlue Access Core (Regional PPO) ? MediBlue Access Plus (PPO) ? Anthem MediBlue Service (PPO)

Ascension (Cintiene) ? Ascension Complete Michigan Reward (HMO) ? Ascension Complete Michigan Secure (HMO)

Ascension (Cintiene) ? Ascension Complete Michigan Access (PPO) ? Ascension Complete Michigan Access Plus (PPO)

Type HMO PPO MI Health Link HMO

PPO HMO PPO

Network Status Out-of-Network Out-of-Network

In-Network Out-of-Network

Out-of-Network Out-of-Network Out-of-Network

AultCare's PrimeTime Health Plan ? Aultimate (HMO-POS) ? Basic MA Only (HMO-POS) ? Classic (HMO-POS) ? Plus (HMO-POS)

Blue Care Network ? BCN Advantage HMO ConnectedCare

Blue Care Network ? BCN Advantage HMO-POS Classic ? BCN Advantage HMO-POS Community Value ? BCN Advantage HMO-POS Elements ? BCN Advantage HMO-POS Prestige ? BCN Advantage HMO-POS Prime Value Plan

Blue Cross Blue Shield of Michigan ? Medicare Plus Blue PPO Assure ? Medicare Plus Blue PPO Essential ? Medicare Plus Blue PPO Signature ? Medicare Plus Blue PPO Vitality

HMO

Out-of-Network

HMO

Out-of-Network

HMO

In-Network

PPO

In-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Bright Health ? Bright Advantage Classic Care Plan (HMO) ? Bright Advantage Classic Choice Plan (HMO)

Buckeye Health Plan ? MyCare Ohio (Medicare-Medicaid)

CareSource ? Advantage (HMO) ? Advantage Zero Premium (HMO) ? Dual Advantage (HMO D-SNP)

CareSource

? MyCare Ohio (Medicare-Medicaid Plan)

Cigna ? Alliance Medicare (HMO) ? Fundamental Medicare (HMO) ? Preferred Medicare (HMO) ? Preferred Plus Medicare (HMO) ? Premier Medicare (HMO-POS)

Cigna ? True Choice Medicare (PPO) ? Cigna True Choice Plus Medicare (PPO)

CommuniCare Advantage ? CommuniCare Advantage CSNP (HMO C-SNP) ? CommuniCare Advantage ISNP (HMO I-SNP)

Devoted Health ? Core (HMO) ? Prime (HMO) ? Saver (HMO)

Erickson Advantage ? Champion (HMO-POS C-SNP) ? Guardian (HMO-POS I-SNP)

Erickson Advantage ? Freedom (HMO-POS) ? Liberty with Drugs (HMO-POS) ? Liberty without Drugs (HMO) ? Signature with Drugs (HMO-POS)

Health Alliance (Illinois) ? Medicare HMO ? Medicare HMO Basic ? Medicare POS ? Medicare POS Basic (HMO-POS)

Health Alliance Plan (HAP) ? HAP Primary Choice Medicare (HMO)

Type HMO MyCare Ohio HMO MyCare Ohio HMO

PPO HMO/SNP

HMO HMO/SNP

HMO

HMO HMO

Health Alliance Plan (HAP) ? HAP Senior Plus (HMO) ? HAP Senior Plus Option 1 (HMO-POS) ? HAP Senior Plus Option 2 (HMO-POS) ? HAP Senior Plus Medical Only (HMO)

Health Alliance Plan (HAP) ? HAP Senior Plus Henry Ford Tiered Access (HMO)

HMO HMO

Network Status Out-of-Network Out-of-Network Out-of-Network Out-of-Network

Out-of-Network

Out-of-Network Out-of-Network Out-of-Network Out-of-Network

Out-of-Network

Out-of-Network Referral Required,

Specialty Care Only

In-Network Tier II

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Health Alliance Plan (HAP) ? HAP Choice Medicare - West Michigan Option 1 (HMO) ? HAP Choice Medicare - West Michigan Option 2 (HMO)

Health Alliance Plan (HAP)

? HAP Senior Plus (PPO) (Options 1, 2, 3 and 4)

HAP Empowered (Midwest Health Plan) ? HAP Empowered Duals (HMO D-SNP)

HAP Empowered (Midwest Health Plan) ? HAP Empowered MI Health Link (Medicare-Medicaid)

The Health Plan ? SecureCare (HMO) ? SecureCare SNP (HMO SNP)

The Health Plan ? SecureChoice (PPO)

Humana ? Gold Choice PFFS

Humana ? Gold Plus (HMO)

Humana ? Cleveland Clinic Preferred (HMO) ? Gold Plus (HMO)

Humana ? Community HMO Diabetes and Heart (HMO C-SNP) ? Gold Plus SNP-DE (HMO-SNP-DE)

Humana ? Honor (PPO) ? HumanaChoice (PPO) ? Value Plus (PPO)

Humana ? HumanaChoice SNP-DE (PPO D-SNP)

Indiana University Health Plans ? Medicare ? Medicare Choice (HMO-POS)

? Medicare Flex Network (HMO-POS)

? Medicare Select (HMO) ? Medicare Select Plus (HMO) Longevity Health Plan ? Longevity Health Plan (HMO I-SNP) Medica HealthCare ? MedicareMax (HMO)

McLaren

? Medicare Inspire (HMO) ? Medicare Inspire Flex (HMO-POS) ? Medicare Inspire Plus (HMO)

McLaren

? Medicare Inspire Duals (HMO D-SNP)

Type HMO PPO HMO/SNP MI Health Link HMO PPO PFFS HMO HMO HMO/SNP

PPO PPO/SNP

HMO

HMO/SNP HMO HMO SNP

Network Status Out-of-Network

In-Network In-Network In-Network Out-of-Network Out-of-Network No Network In-Network Out-of-Network In-Network

In-Network In-Network

Out-of-Network

Out-of-Network Out-of-Network

In-Network In-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Medical Mutual of Ohio ? Advantage Choice (HMO) ? Advantage Classic (HMO) ? Advantage Plus (HMO) ? Advantage Secure (HMO) ? Advantage Signature (HMO)

Medical Mutual of Ohio ? Advantage Access (PPO) ? Advantage Preferred (PPO) ? Advantage Premium (PPO) ? Advantage Select (PPO)

MediGold ? Classic Preferred (HMO) ? Essential Care (HMO) ? Medical Only (HMO) ? Southeast OH Classic Preferred (HMO) ? Southeast OH Essential Care (HMO) ? Southwest OH Classic Preferred (HMO) ? Southwest OH Essential Care (HMO) ? True Advantage (HMO)

MediGold ? Flexible Choice (PPO) ? Prime Choice (PPO)

Meridian Health Plan of Michigan ? MeridianComplete (Medicare-Medicaid)

Meridian Health Plan of Michigan (WellCare) ? See WellCare further down.

Meridian Health Plan (WellCare) (Out-of-State) ? See WellCare further down.

Michigan Complete Health ? Medicare-Medicaid Plan (Medicare-Medicaid)

Molina Healthcare of Michigan

? Medicare Choice Care (HMO)

Molina Healthcare of Michigan ? Medicare Complete Care (HMO D-SNP) ? Molina Medicare Complete Care Select (HMO D-SNP)

Molina Healthcare (Out-of-State) ? Molina Medicare Choice Care (HMO) ? Medicare Complete Care (HMO D-SNP) ? Molina Medicare Complete Care Select (HMO D-SNP)

MyTrueAdvantage ? Select (HMO)

MyTrueAdvantage ? Choice (PPO)

Type HMO

PPO

HMO

PPO MI Health Link

HMO HMO MI Health Link HMO HMO/SNP HMO/SNP HMO PPO

Network Status Out-of-Network

Out-of-Network

Out-of-Network

Out-of-Network In-Network In-Network

Out-of-Network Out-of-Network

In-Network In-Network Out-of-Network Out-of-Network Out-of-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

Paramount ? Paramount Elite Choice (HMO) ? Paramount Elite Enhanced (HMO) ? Paramount Elite Enhanced Medical Only (HMO) ? Paramount Elite Essential (HMO) ? Paramount Elite Prime (HMO) ? Paramount Elite Standard (HMO)

Paramount ? Paramount Elite ? Preferred PPO

Perennial Advantage ? Concierge (HMO C-SNP) ? Strive (HMO I-SNP)

Physicians Health Plan (PHP) ? Covenant Advantage (HMO-POS) ? Covenant Advantage Plus (HMO-POS) ? PHP Advantage (HMO-POS) ? PHP Advantage Plus (HMO-POS) ? Sparrow Advantage (HMO-POS) ? Sparrow Advantage Plus (HMO-POS) ? U-M Health + St. Joes Advantage (HMO-POS) ? U-M Health + St. Joes Advantage Plus (HMO-POS)

Priority Health ? PriorityMedicare (HMO-POS) ? PriorityMedicare Key (HMO-POS) ? PriorityMedicare Value (HMO-POS)

Priority Health ? PriorityMedicare D-SNP (HMO D-SNP)

Priority Health ? PriorityMedicare Compass (PPO) ? PriorityMedicare Edge (PPO) ? PriorityMedicare Ideal (PPO) ? PriorityMedicare Merit (PPO) ? PriorityMedicare Select (PPO) ? PriorityMedicare Vital (PPO)

ProMedica ? Medicare Essential (HMO)

Reliance Medicare Advantage ? Cardinal Plan (HMO) ? Dual Care Plus (D-SNP HMO) ? Principle Plan (HMO)

SummaCare ? Medicare Amber (HMO) ? Medicare Emerald (HMO-POS) ? Medicare Garnet (HMO) ? Medicare Ruby (HMO) ? Medicare Sapphire (HMO-POS) ? Medicare Topaz (HMO)

Type HMO PPO HMO/SNP

HMO-POS

HMO HMO/SNP

PPO HMO HMO

HMO

Network Status Extended Network

Out-of-Network Out-of-Network

In-Network

In-Network In-Network In-Network Out-of-Network Out-of-Network

Out-of-Network

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Michigan Medicine Participation Status 2022 Medicare Advantage Plans

Plan Name

UnitedHealthcare ? Canopy Health Medicare Advantage (HMO) ? Medicare Advantage Assure (HMO)

Type HMO

UnitedHealthcare ? Assisted Living Plan (HMO-POS I-SNP) ? Medicare Advantage Assist (HMO C-SNP) ? UnitedHealthcare Dual Complete (HMO D-SNP) ? Nursing Home Plan (HMO-POS I-SNP)

UnitedHealthcare ? Medicare Advantage Assure (PPO) ? Medicare Advantage Choice Plan (PPO) ? Medicare Advantage Patriot (Regional PPO) ? Medicare Gold (PPO C-SNP) ? Medicare Silver (PPO C-SNP) ? Nursing Home Plan (PPO I-SNP)

UnitedHealthcare ? Connected for MyCare

UnitedHealthcare ? MedicareDirect Rx (PFFS)

UnitedHealthcare Community Plan (Michigan) ? Dual Complete (HMO D-SNP)

UnitedHealthcare Community Plan (Michigan) ? UnitedHealthcare Dual Complete Choice (PPO D-SNP)

UnitedHealthcare (Out-of-State) ? Dual Complete ONE (HMO D-SNP) ? Dual Complete ONE Plus (HMO D-SNP)

HMO/SNP

PPO

MyCare Ohio PFFS

HMO/SNP PPO/SNP HMO/SNP

UnitedHealthcare (Out-of-State) ? UnitedHealthcare Assisted Living Plan (PPO I-SNP) ? Dual Complete (PPO D-SNP) ? Dual Complete RP (PPO D-SNP) ? Dual Complete Choice (PPO D-SNP) ? UnitedHealthcare Nursing Home Plan (PPO I-SNP)

Upper Peninsula Health Plan ? Advantage ? Choice

Upper Peninsula Health Plan ? MI Health Link (Medicare-Medicaid)

Valor Health Plan ? Valor Health Plan (HMO I-SNP)

WellCare (Meridian Health Plan of Michigan MeridianCare) ? Michigan ? Assist (HMO) ? Dual Access (HMO-POS D-SNP) ? Dual Access Open (PPO D-SNP) ? Giveback (HMO)

? Low Premium (HMO-POS)

? No Premium (HMO-POS)

? No Premium Essential (HMO-POS)

? No Premium Exclusive (HMO)

PPO/SNP

HMO MI Health Link

HMO/SNP

HMO

Network Status Prior -

Authorization Required (Not sold in Michigan

Prior Authorization Required (Not sold in Michigan

In-Network

Out-of-Network No Network In-Network In-Network Prior Authorization Required (Not

sold in Michigan Prior -

Authorization Required (Not sold in Michigan

Out-of-Network

Out-of-Network Out-of-Network

In-Network

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