Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual...
Transcript of Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual...
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Blue Care Network
Individual and Family Plans
Blue Cross Metro Detroit HMO Bronze HMO Bronze Non-Participating
Blue Cross Metro Detroit HMO Bronze Saver HSA HMO Bronze Non-Participating
Blue Cross Preferred HMO Bronze Saver HSA HMO Bronze Participating
Blue Cross Select HMO Bronze HMO Bronze Specialty Care Only
Blue Cross Select HMO Bronze Saver HSA HMO Bronze Specialty Care Only
Blue Cross Preferred HMO Bronze HMO Bronze Participating
Blue Cross Select HMO Value HMO Catastrophic Specialty Care Only
Blue Cross Preferred HMO Gold HMO Gold Participating
Blue Cross Metro Detroit HMO Silver HMO Silver Non-Participating
Blue Cross Metro Detroit HMO Silver Extra HMO Silver Non-Participating
Blue Cross Metro Detroit HMO Silver Off Marketplace
HMO Silver Non-Participating
Blue Cross Metro Detroit HMO Silver Saver HMO Silver Non-Participating
Blue Cross Preferred HMO Silver HMO Silver Participating
Blue Cross Preferred HMO Silver Extra HMO Silver Participating
Blue Cross Preferred HMO Silver Off Marketplace HMO Silver Participating
Blue Cross Preferred HMO Silver Saver HMO Silver Participating
Blue Cross Select HMO Silver HMO Silver Specialty Care Only
Blue Cross Select HMO Silver Extra HMO Silver Specialty Care Only
Blue Cross Select HMO Silver Off Marketplace HMO Silver Specialty Care Only
Blue Cross Select HMO Silver Saver HMO Silver Specialty Care Only
Small Business Plans
BCN Routine Care HMO Bronze $8,150/0% HMO Bronze Participating
BCN HSA HMO Bronze $6,650/0% HMO Bronze Participating
BCN HSA HMO PCP Focus Network Bronze $6,650
HMO Bronze Specialty Care Only
BCN Healthy Blue Living HMO Gold $1,000 HMO Gold Participating
BCN Healthy Blue Living HMO Gold $1,500 HMO Gold Participating
BCN Healthy Blue Living HMO Gold $2,000 HMO Gold Participating
BCN HMO Gold $1,000/20% HMO Gold Participating
BCN HMO Gold $1,500/20% HMO Gold Participating
BCN HMO Gold $2,000/30% HMO Gold Participating
BCN HMO Gold $2,500/20% HMO Gold Participating
BCN HMO Gold $3,000/20% HMO Gold Participating
BCN HMO Gold $500/20% HMO Gold Participating
BCN HMO Gold 30% HMO Gold Participating
BCN HMO PCP Focus Network Gold $1,000/20% HMO Gold Specialty Care Only
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
BCN HMO PCP Focus Network Gold $1,500/20% HMO Gold Specialty Care Only
BCN HMO PCP Focus Network Gold $2,000/30% HMO Gold Specialty Care Only
BCN HMO PCP Focus Network Gold $2,500/20% HMO Gold Specialty Care Only
BCN HMO PCP Focus Network Gold $3,000/20% HMO Gold Specialty Care Only
BCN Blue Elect Plus POS Gold $500 POS Gold Participating
BCN Blue Elect Plus POS Gold $1,000 POS Gold Participating
BCN Blue Elect Plus POS Gold $2,000 POS Gold Participating
BCN Blue Elect Plus POS Gold $3,000 POS Gold Participating
BCN HRA HMO Gold $2,000/20% HMO Gold Participating
BCN HRA HMO Gold $4,000/20% HMO Gold Participating
BCN HSA HMO Gold $1,500/20% HMO Gold Participating
BCN HSA HMO Gold $2,000/0% HMO Gold Participating
BCN HSA HMO Gold $2,800/0% HMO Gold Participating
Blue Elect Plus HMO Self-Referral Option Gold $1,000
HMO Gold Participating
BCN Healthy Blue Living HMO Platinum $250 HMO Platinum Participating
BCN Healthy Blue Living HMO Platinum $500 HMO Platinum Participating
BCN HMO PCP Focus Network Platinum $500/0% HMO Platinum Specialty Care Only
BCN HMO Platinum $500/0% HMO Platinum Participating
BCN HMO Platinum 10% HMO Platinum Participating
BCN HMO Platinum 20% HMO Platinum Participating
BCN HRA HMO PCP Focus Network Platinum $5,000/20%
HMO Platinum Specialty Care Only
BCN HRA HMO Platinum $1,500/20% HMO Platinum Participating
BCN HRA HMO Platinum $2,000/20% HMO Platinum Participating
BCN HRA HMO Platinum $5,000/20% HMO Platinum Participating
BCN HMO PCP Focus Network Silver $4,000/30% HMO Silver Specialty Care Only
BCN Routine Care HMO Silver $3,000/30% HMO Silver Participating
BCN HMO Silver $4,000/30% HMO Silver Participating
BCN HMO Silver $4,500/20% HMO Silver Participating
BCN HSA HMO Silver $3,000/20% HMO Silver Participating
BCN HSA HMO Silver $3,500/0% HMO Silver Participating
BCN HSA HMO Silver $4,500/0% HMO Silver Participating
BCN Fixed Cost Platinum HMO Platinum Participating
BCN Fixed Cost Gold HMO Gold Participating
Blue Cross Blue Shield of Michigan
Individual and Family Plans
Blue Cross Premier PPO Bronze Extra PPO Bronze Participating
Blue Cross Premier PPO Bronze HSA PPO Bronze Participating
Blue Cross Premier PPO Bronze Saver PPO Bronze Participating
Blue Cross Premier PPO Value PPO Catastrophic Participating
Blue Cross Premier PPO Gold PPO Gold Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Blue Cross Premier PPO Silver PPO Silver Participating
Blue Cross Premier PPO Silver Extra PPO Silver Participating
Blue Cross Premier PPO Silver Off Marketplace PPO Silver Participating
Blue Cross Premier PPO Silver Saver HSA PPO Silver Participating
Small Business Plans
Simply Blue HSA PPO Bronze $6,650 PPO Bronze Participating
Simply Blue Routine Care PPO Bronze $7,900 PPO Silver Participating
Community Blue HRA PPO Gold $3,000 PPO Gold Participating
Community Blue HRA PPO Gold $5,000 PPO Gold Participating
Community Blue PPO Gold $1,500 PPO Gold Participating
Healthy Blue Achieve PPO Gold $1,000/$2,500 PPO Gold Participating
Physician Choice PPO Gold $1,000 PPO Gold Participating
Simply Blue HRA PPO Gold $1,500 PPO Gold Participating
Simply Blue HRA PPO Gold $2,000 PPO Gold Participating
Simply Blue HRA PPO Gold $4,000 PPO Gold Participating
Simply Blue HSA PPO Gold $1,500/20% PPO Gold Participating
Simply Blue HSA PPO Gold $2,000/0% PPO Gold Participating
Simply Blue HSA PPO Gold $2,800 PPO Gold Participating
Simply Blue PPO Gold $1,000 PPO Gold Participating
Simply Blue PPO Gold $1,500 PPO Gold Participating
Simply Blue PPO Gold $2,000 PPO Gold Participating
Simply Blue PPO Gold $500 PPO Gold Participating
Community Blue HRA PPO Platinum $1,500 PPO Platinum Participating
Community Blue PPO Platinum $0 PPO Platinum Participating
Community Blue PPO Platinum $250 PPO Platinum Participating
Community Blue PPO Platinum $500 PPO Platinum Participating
Healthy Blue Achieve PPO Platinum $250/$1,250 PPO Platinum Participating
Simply Blue HRA PPO Platinum $5,000 PPO Platinum Participating
Simply Blue PPO Platinum $250 PPO Platinum Participating
Physician Choice PPO Silver $4,000 PPO Silver Participating
Simply Blue HSA PPO Silver $3,000/20% PPO Silver Participating
Simply Blue HSA PPO Silver $3,500 PPO Silver Participating
Simply Blue HSA PPO Silver $4,500 PPO Silver Participating
Simply Blue PPO Silver $4,000 PPO Silver Participating
Simply Blue Routine Care PPO Silver $2,500 PPO Silver Participating
Health Alliance Plan
Individual and Family Plans
HAP Personal Alliance HMO VCP Bronze 7500 HMO Bronze Non-Participating
HAP Personal Alliance HMO Bronze 7000 HMO Bronze Participating
HAP Personal Alliance HMO Bronze 8550 HMO Bronze Participating
HAP Personal Alliance HMO Bronze 6900 HSA HMO Bronze Participating
HAP Personal Alliance HMO Silver 5500 HMO Silver Participating
HAP Personal Alliance HMO VCP Silver 3500 HMO Silver Non-Participating
HAP Personal Alliance HMO Silver 3200 HMO Silver Participating
HAP Personal Alliance HMO Genesys Choice Bronze 7000
HMO Bronze Non-Participating
HAP Personal Alliance HMO Genesys Choice Bronze 8550
HMO Bronze Non-Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
HAP Personal Alliance HMO Genesys Choice Bronze 6900 HSA
HMO Bronze Non-Participating
HAP Personal Alliance HMO Genesys Choice Silver 5500
HMO Silver Non-Participating
HAP Personal Alliance PPO Bronze 7000 PPO Bronze Participating
HAP Personal Alliance PPO Bronze 8550 PPO Bronze Participating
HAP Personal Alliance HMO Genesys Choice Silver 3200
HMO Silver Non-Participating
HAP Personal Alliance PPO Bronze 6900 HSA PPO Bronze Participating
HAP Personal Alliance PPO Silver 5500 PPO Silver Participating
HAP Personal Alliance PPO Silver 3200 PPO Silver Participating
HAP Personal Alliance HMO Henry Ford Choice Bronze 7000
HMO Bronze Non-Participating
HAP Personal Alliance HMO Henry Ford Choice Bronze 8550
HMO Bronze Non-Participating
HAP Personal Alliance HMO Henry Ford Choice Bronze 6900 HSA
HMO Bronze Non-Participating
HAP Personal Alliance HMO Henry Ford Choice Silver 5500
HMO Silver Non-Participating
HAP Personal Alliance HMO Henry Ford Choice Silver 3200
HMO Silver Non-Participating
Small Business Plans
HAP EPO 6500 (HSA) EPO Bronze Participating
HAP EPO 6900 (HSA) EPO Bronze Participating
HAP EPO 7500 EPO Bronze Participating
HAP EPO 8500 EPO Bronze Participating
HAP HMO 6500 (HSA) HMO Bronze Participating
HAP HMO 6900 (HSA) HMO Bronze Participating
HAP HMO 7500 HMO Bronze Participating
HAP HMO 8500 HMO Bronze Participating
HAP HMO Genesys Choice 6900 (HSA) HMO Bronze Non-Participating
HAP HMO Genesys Choice 7500 HMO Bronze Non-Participating
HAP HMO Genesys Choice 8500 HMO Bronze Non-Participating
HAP HMO Henry Ford Choice 6900 (HSA) HMO Bronze Non-Participating
HAP HMO Henry Ford Choice 7500 HMO Bronze Non-Participating
HAP HMO Henry Ford Choice 8500 HMO Bronze Non-Participating
HAP HMO VCP 7500 HMO Bronze Non-Participating
HAP PPO 6500 (HSA) PPO Bronze Participating
HAP PPO 6900 (HSA) PPO Bronze Participating
HAP PPO 7500 PPO Bronze Participating
HAP PPO 8500 PPO Bronze Participating
HAP EPO 1000 EPO Gold Participating
HAP EPO 1200 EPO Gold Participating
HAP EPO 1400 (HSA) EPO Gold Participating
HAP EPO 1500 EPO Gold Participating
HAP EPO 1500 (HSA) EPO Gold Participating
HAP EPO 2000 EPO Gold Participating
HAP EPO 2500 Plus EPO Gold Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
HAP EPO 2700 (HSA) EPO Gold Participating
HAP HMO 1000 HMO Gold Participating
HAP HMO 1200 HMO Gold Participating
HAP HMO 1400 (HSA) HMO Gold Participating
HAP HMO 1500 HMO Gold Participating
HAP HMO 1500 (HSA) HMO Gold Participating
HAP HMO 2000 HMO Gold Participating
HAP HMO 2500 Plus HMO Gold Participating
HAP HMO 2700 (HSA) HMO Gold Participating
HAP HMO Genesys Choice 1000 HMO Gold Non-Participating
HAP HMO Genesys Choice 1200 HMO Gold Non-Participating
HAP HMO Genesys Choice 1500 HMO Gold Non-Participating
HAP HMO Genesys Choice 2500 Plus HMO Gold Non-Participating
HAP HMO Genesys Choice 2700 (HSA) HMO Gold Non-Participating
HAP HMO Henry Ford Choice 1000 HMO Gold Non-Participating
HAP HMO Henry Ford Choice 1200 HMO Gold Non-Participating
HAP HMO Henry Ford Choice 1500 HMO Gold Non-Participating
HAP HMO Henry Ford Choice 2500 Plus HMO Gold Non-Participating
HAP HMO Henry Ford Choice 2700 (HSA) HMO Gold Non-Participating
HAP HMO VCP 1500 HMO Gold Non-Participating
HAP PPO 1000 PPO Gold Participating
HAP PPO 1200 PPO Gold Participating
HAP PPO 1400 (HSA) PPO Gold Participating
HAP PPO 1500 PPO Gold Participating
HAP PPO 1500 (HSA) PPO Gold Participating
HAP PPO 2000 PPO Gold Participating
HAP PPO 2500 Plus PPO Gold Participating
HAP PPO 2700 (HSA) PPO Gold Participating
HAP EPO 0 EPO Platinum Participating
HAP EPO 250 EPO Platinum Participating
HAP EPO 500 EPO Platinum Participating
HAP HMO 0 HMO Platinum Participating
HAP HMO 250 HMO Platinum Participating
HAP HMO 500 HMO Platinum Participating
HAP HMO Genesys Choice 0 HMO Platinum Non-Participating
HAP HMO Genesys Choice 250 HMO Platinum Non-Participating
HAP HMO Genesys Choice 500 HMO Platinum Non-Participating
HAP HMO Henry Ford Choice 0 HMO Platinum Non-Participating
HAP HMO Henry Ford Choice 250 HMO Platinum Non-Participating
HAP PPO 0 PPO Platinum Participating
HAP PPO 250 PPO Platinum Participating
HAP PPO 500 PPO Platinum Participating
HAP EPO 2500 (HSA) EPO Silver Participating
HAP EPO 3000 EPO Silver Participating
HAP EPO 3500 EPO Silver Participating
HAP EPO 3500 (HSA) EPO Silver Participating
HAP EPO 4000 EPO Silver Participating
HAP EPO 5500 (HSA) EPO Silver Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
HAP EPO 6500 EPO Silver Participating
HAP HMO 2500 (HSA) HMO Silver Participating
HAP HMO 3000 HMO Silver Participating
HAP HMO 3500 HMO Silver Participating
HAP HMO 3500 (HSA) HMO Silver Participating
HAP HMO 4000 HMO Silver Participating
HAP HMO 5500 (HSA) HMO Silver Participating
HAP HMO 6500 HMO Silver Participating
HAP HMO Genesys Choice 2500 (HSA) HMO Silver Non-Participating
HAP HMO Genesys Choice 3000 HMO Silver Non-Participating
HAP HMO Genesys Choice 3500 HMO Silver Non-Participating
HAP HMO Genesys Choice 4000 HMO Silver Non-Participating
HAP HMO Genesys Choice 5500 (HSA) HMO Silver Non-Participating
HAP HMO Henry Ford Choice 2500 (HSA) HMO Silver Non-Participating
HAP HMO Henry Ford Choice 3000 HMO Silver Non-Participating
HAP HMO Henry Ford Choice 3500 HMO Silver Non-Participating
HAP HMO Henry Ford Choice 4000 HMO Silver Non-Participating
HAP HMO Henry Ford Choice 5500 (HSA) HMO Silver Non-Participating
HAP HMO VCP 4000 HMO Silver Non-Participating
HAP PPO 2500 (HSA) PPO Silver Participating
HAP PPO 3000 PPO Silver Participating
HAP PPO 3500 PPO Silver Participating
HAP PPO 3500 (HSA) PPO Silver Participating
HAP PPO 4000 PPO Silver Participating
HAP PPO 6500 PPO Silver Participating
McLaren Health Plan
Individual and Family Plans
McLaren Bronze 6500 HMO Bronze Participating
McLaren Bronze 6500 Limited Cost Sharing HMO Bronze Participating
McLaren Bronze 6500 Zero Cost Sharing HMO Bronze Participating
McLaren Bronze Saver HMO Bronze Participating
McLaren Bronze Saver – Limited Cost Sharing HMO Bronze Participating
McLaren Bronze Saver – Zero Cost Sharing HMO Bronze Participating
McLaren Catastrophic HMO Catastrophic Participating
McLaren Gold 1400 HMO Gold Participating
McLaren Gold 1400 Limited Cost Sharing HMO Gold Participating
McLaren Gold 1400 Zero Cost Sharing HMO Gold Participating
McLaren Silver Exchange HMO Silver Participating
McLaren Silver Exchange 73% HMO Silver Participating
McLaren Silver Exchange 87% HMO Silver Participating
McLaren Silver Exchange 94% HMO Silver Participating
McLaren Silver Exchange Limited Cost Sharing HMO Silver Participating
McLaren Silver Exchange Zero Cost Sharing HMO Silver Participating McLaren Silver 5000 HMO Silver Participating
Small Business Plans
McLaren Bronze 6500 HMO Bronze Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
McLaren Bronze HSA 6900 HMO Bronze Participating
McLaren Gold 1250 HMO Gold Participating
McLaren Gold 2000 HMO Gold Participating
McLaren Gold 2000 Select HMO Gold Participating
McLaren Gold HRA 4500 HMO Gold Participating
McLaren Gold HSA 1750 HMO Gold Participating
McLaren Gold Rewards HMO Gold Tier 2
McLaren Platinum 750 HMO Platinum Participating
McLaren Platinum HSA 1400 HMO Platinum Participating
McLaren Platinum Rewards HMO Platinum Tier 2
McLaren Platinum Rewards 1250 HMO Platinum Tier 2
McLaren Silver 3000 HMO Silver Participating
McLaren Silver 5000 HMO Silver Participating
McLaren Silver 5000 Select HMO Silver Participating
McLaren Silver HSA 3000 HMO Silver Participating
McLaren Silver Rewards HMO Silver Tier 2
Meridian Health Plan of Michigan
Individual and Family Plans
Ambetter Essential Care HMO Bronze Participating
Ambetter Balanced Care HMO Silver Participating
Ambetter Base Gold HMO Gold Participating
Ambetter Secure Care HMO Gold Participating
Molina Healthcare of Michigan
Individual and Family Plans
Core Care Bronze HMO Bronze Participating
Confident Care Gold HMO Gold Participating
Constant Care Silver HMO Silver Participating
Oscar Insurance Company
Individual and Family Plans
Bronze Classic EPO Bronze Non-Participating
Bronze Classic Next EPO Bronze Non-Participating
Bronze Classic Next EPO Bronze Non-Participating
Bronze Classic PCP Copay EPO Bronze Non-Participating
Bronze HDHP EPO Bronze Non-Participating
Gold Classic EPO Gold Non-Participating
Silver $1500 Ded EPO Silver Non-Participating
Silver Classic $0 Ded EPO Silver Non-Participating
Silver Classic Copay EPO Silver Non-Participating
Silver Classic Next EPO Silver Non-Participating
Silver Classic Off-Ex EPO Silver Non-Participating
Silver HDHP EPO Silver Non-Participating
Silver Saver EPO Silver Non-Participating
Physician Health Plan
Individual and Family Plans
Sparrow PHP Bronze 6750 HSA Exclusive HMO Bronze Participating
Sparrow PHP Bronze 6750 HSA Exclusive Indian CSR
HMO Bronze Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Sparrow PHP Bronze 6750 HSA Exclusive Indian Special CSR
HMO Bronze Participating
Sparrow PHP Bronze 6750 HSA HMO HMO Bronze Participating
Sparrow PHP Bronze 6750 HSA HMO Indian CSR HMO Bronze Participating
Sparrow PHP Bronze 6750 HSA HMO Indian Special CSR
HMO Bronze Participating
Sparrow PHP Bronze 6900 HSA Exclusive HMO HMO Bronze Participating
Sparrow PHP Bronze 6900 HSA HMO HMO Bronze Participating
Sparrow PHP Bronze 7600 Exclusive HMO Bronze Participating
Sparrow PHP Bronze 7600 Exclusive HMO HMO Bronze Participating
Sparrow PHP Bronze 7600 Exclusive Indian CSR HMO Bronze Participating
Sparrow PHP Bronze 7600 Exclusive Indian Special CSR
HMO Bronze Participating
Sparrow PHP Bronze 7600 HMO HMO Bronze Participating
Sparrow PHP Gold 1000 Exclusive HMO HMO Gold Participating
Sparrow PHP Gold 1000 HMO HMO Gold Participating
Sparrow PHP Gold 1500 Exclusive HMO Gold Participating
Sparrow PHP Gold 1500 Exclusive Indian CSR HMO Gold Participating
Sparrow PHP Gold 1500 Exclusive Indian Special CSR
HMO Gold Participating
Sparrow PHP Gold 1600 HSA Exclusive HMO Gold Participating
Sparrow PHP Gold 1600 HSA Exclusive Indian CSR
HMO Gold Participating
Sparrow PHP Gold 1600 HSA Exclusive Indian Special CSR
HMO Gold Participating
Sparrow PHP Gold 2000 Exclusive HMO Gold Participating
Sparrow PHP Gold 2000 Exclusive HMO HMO Gold Participating
Sparrow PHP Gold 2000 Exclusive Indian CSR HMO Gold Participating
Sparrow PHP Gold 2000 Exclusive Indian Special CSR
HMO Gold Participating
Sparrow PHP Gold 2000 HMO HMO Gold Participating
Sparrow PHP Gold 500 Exclusive HMO Gold Participating
Sparrow PHP Gold 500 Exclusive Indian CSR HMO Gold Participating
Sparrow PHP Gold 500 Exclusive Indian Special CSR
HMO Gold Participating
Sparrow PHP Gold 500 HMO HMO Gold Participating
Sparrow PHP Gold 500 HMO Indian CSR HMO Gold Participating
Sparrow PHP Gold 500 HMO Indian Special CSR HMO Gold Participating
Sparrow PHP Healthy (Catastrophic) Exclusive HMO Catastrophic Participating
Sparrow PHP Healthy (Catastrophic) HMO HMO Catastrophic Participating
Sparrow PHP Healthy Exclusive HMO HMO Catastrophic Participating
Sparrow PHP Healthy HMO HMO Catastrophic Participating
Sparrow PHP Platinum 500 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 500 Exclusive HMO HMO Platinum Participating
Sparrow PHP Platinum 500 Exclusive Indian CSR HMO Platinum Participating
Sparrow PHP Platinum 500 Exclusive Indian Special CSR
HMO Platinum Participating
Sparrow PHP Platinum 500 HMO HMO Platinum Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Sparrow PHP Platinum 500 HMO Indian CSR HMO Platinum Participating
Sparrow PHP Platinum 500 HMO Indian Special CSR
HMO Platinum Participating
Sparrow PHP Silver 2000 Exclusive HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive CSR 73 HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive CSR 87 HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive CSR 94 HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive Indian CSR
HMO Silver Participating
Sparrow PHP Silver 2500 Basic Exclusive Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 2500 Basic HMO HMO Silver Participating
Sparrow PHP Silver 2500 Exclusive HMO HMO Silver Participating
Sparrow PHP Silver 2800 Basic (Off Marketplace Only) Exclusive
HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive CSR 73 HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive CSR 87 HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive CSR 94 HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive Indian CSR
HMO Silver Participating
Sparrow PHP Silver 3000 Basic Exclusive Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 3000 Exclusive HMO HMO Silver Participating
Sparrow PHP Silver 3000 HMO HMO Silver Participating
Sparrow PHP Silver 3550 HSA Exclusive HMO HMO Silver Participating
Sparrow PHP Silver 3550 HSA HMO HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive CSR 73 HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive CSR 87 HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive CSR 94 HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive HMO HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive Indian CSR HMO Silver Participating
Sparrow PHP Silver 4000 Exclusive Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 4000 HMO HMO Silver Participating
Sparrow PHP Silver 4000 HMO HMO Silver Participating
Sparrow PHP Silver 4000 HMO CSR 73 HMO Silver Participating
Sparrow PHP Silver 4000 HMO CSR 87 HMO Silver Participating
Sparrow PHP Silver 4000 HMO CSR 94 HMO Silver Participating
Sparrow PHP Silver 4000 HMO Indian CSR HMO Silver Participating
Sparrow PHP Silver 4000 HMO Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 4100 HSA (Off Marketplace Only) Exclusive
HMO Silver Participating
Sparrow PHP Silver 4200 (Off Exchange Only) Exclusive
HMO Silver Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Sparrow PHP Silver 6000 Exclusive HMO Silver Participating
Sparrow PHP Silver 6000 Exclusive CSR 73 HMO Silver Participating
Sparrow PHP Silver 6000 Exclusive CSR 87 HMO Silver Participating
Sparrow PHP Silver 6000 Exclusive CSR 94 HMO Silver Participating
Sparrow PHP Silver 6000 Exclusive Indian CSR HMO Silver Participating
Sparrow PHP Silver 6000 Exclusive Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive CSR 73 HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive CSR 87 HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive CSR 94 HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive HMO HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive Indian CSR HMO Silver Participating
Sparrow PHP Silver 7000 Exclusive Indian Special CSR
HMO Silver Participating
Sparrow PHP Silver 7000 HMO HMO Silver Participating
Small Business Plans
Sparrow PHP Bronze 6650 HSA Exclusive HMO Bronze Participating
Sparrow PHP Bronze 6650 HSA HMO HMO Bronze Participating
Sparrow PHP Bronze 6650 HSA POS HMO/POS Bronze Participating
Sparrow PHP Bronze 6650 HSA PPO PPO Bronze Participating
Sparrow PHP Gold 1000 Exclusive HMO Gold Participating
Sparrow PHP Gold 1000 HMO HMO Gold Participating
Sparrow PHP Gold 1000 POS HMO/POS Gold Participating
Sparrow PHP Gold 1000 PPO PPO Gold Participating
Sparrow PHP Gold 1400 Exclusive HMO Gold Participating
Sparrow PHP Gold 1400 HMO HMO Gold Participating
Sparrow PHP Gold 1400 POS HMO/POS Gold Participating
Sparrow PHP Gold 1400 PPO PPO Gold Participating
Sparrow PHP Gold 1500 HSA Exclusive HMO Gold Participating
Sparrow PHP Gold 1500 HSA HMO HMO Gold Participating
Sparrow PHP Gold 1500 HSA POS HMO/POS Gold Participating
Sparrow PHP Gold 1500 HSA PPO PPO Gold Participating
Sparrow PHP Gold 2000 Exclusive HMO Gold Participating
Sparrow PHP Gold 2000 HMO HMO Gold Participating
Sparrow PHP Gold 2000 POS HMO/POS Gold Participating
Sparrow PHP Gold 2000 PPO PPO Gold Participating
Sparrow PHP Gold 2900 HSA Exclusive HMO Gold Participating
Sparrow PHP Gold 2900 HSA HMO HMO Gold Participating
Sparrow PHP Gold 2900 HSA POS HMO/POS Gold Participating
Sparrow PHP Gold 2900 HSA PPO PPO Gold Participating
Sparrow PHP Gold 3500 HSA Exclusive HMO Gold Participating
Sparrow PHP Gold 3500 HSA HMO HMO Gold Participating
Sparrow PHP Gold 3500 HSA POS HMO/POS Gold Participating
Sparrow PHP Gold 3500 HSA PPO PPO Gold Participating
Sparrow PHP Gold 500 Exclusive HMO Gold Participating
Sparrow PHP Gold 500 HMO HMO Gold Participating
Sparrow PHP Gold 500 POS HMO/POS Gold Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
Sparrow PHP Gold 500 PPO PPO Gold Participating
Sparrow PHP Platinum 0 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 0 HMO HMO Platinum Participating
Sparrow PHP Platinum 0 POS HMO/POS Platinum Participating
Sparrow PHP Platinum 0 PPO PPO Platinum Participating
Sparrow PHP Platinum 1000 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 1000 HMO HMO Platinum Participating
Sparrow PHP Platinum 1000 POS HMO/POS Platinum Participating
Sparrow PHP Platinum 1000 PPO PPO Platinum Participating
Sparrow PHP Platinum 1500 HRA Exclusive HMO Platinum Participating
Sparrow PHP Platinum 1500 HRA HMO HMO Platinum Participating
Sparrow PHP Platinum 1500 HRA POS HMO/POS Platinum Participating
Sparrow PHP Platinum 1500 HRA PPO PPO Platinum Participating
Sparrow PHP Platinum 250 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 250 HMO HMO Platinum Participating
Sparrow PHP Platinum 250 POS HMO/POS Platinum Participating
Sparrow PHP Platinum 250 PPO PPO Platinum Participating
Sparrow PHP Platinum 500 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 500 HMO HMO Platinum Participating
Sparrow PHP Platinum 500 POS HMO/POS Platinum Participating
Sparrow PHP Platinum 500 PPO PPO Platinum Participating
Sparrow PHP Platinum 750 Exclusive HMO Platinum Participating
Sparrow PHP Platinum 750 HMO HMO Platinum Participating
Sparrow PHP Platinum 750 POS HMO/POS Platinum Participating
Sparrow PHP Platinum 750 PPO PPO Platinum Participating
Sparrow PHP Silver 3000 Exclusive HMO Silver Participating
Sparrow PHP Silver 3000 HMO HMO Silver Participating
Sparrow PHP Silver 3000 POS HMO/POS Silver Participating
Sparrow PHP Silver 3000 PPO PPO Silver Participating
Sparrow PHP Silver 3500 HSA Exclusive HMO Silver Participating
Sparrow PHP Silver 3500 HSA HMO HMO Silver Participating
Sparrow PHP Silver 3500 HSA POS HMO/POS Silver Participating
Sparrow PHP Silver 3500 HSA PPO PPO Silver Participating
Sparrow PHP Silver 4000 Exclusive HMO Silver Participating
Sparrow PHP Silver 4000 HMO HMO Silver Participating
Sparrow PHP Silver 4000 POS HMO/POS Silver Participating
Sparrow PHP Silver 4000 PPO PPO Silver Participating
Sparrow PHP Silver 5500 Exclusive HMO Silver Participating
Sparrow PHP Silver 5500 HMO HMO Silver Participating
Sparrow PHP Silver 5500 POS HMO/POS Silver Participating
Sparrow PHP Silver 5500 PPO PPO Silver Participating
Priority Health
Individual and Family Plans
MyPriority HMO Bronze 8550 HMO Bronze Non-Participating
MyPriority HMO Bronze 8550 - Beaumont Health Network
HMO Bronze Non-Participating
MyPriority HMO Bronze 8550 - Bronson Healthcare Partners
HMO Bronze Non-Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
MyPriority HMO Bronze 8550 - Spectrum Health Partners
HMO Bronze Non-Participating
MyPriority HMO Bronze 8550 - St. John Providence Network
HMO Bronze Non-Participating
MyPriority HMO Bronze 8550 - St. Joseph Mercy Health System Network
HMO Bronze Non-Participating
MyPriority HMO Bronze 8550 - Telehealth PCP HMO Bronze Non-Participating
MyPriority HMO Gold 1100 HMO Gold Non-Participating
MyPriority HMO Gold Copay+ - Beaumont Health Network
HMO Gold Non-Participating
MyPriority HMO Gold Copay+ - Bronson Healthcare Partners
HMO Gold Non-Participating
MyPriority HMO Gold Copay+ - Spectrum Health Partners
HMO Gold Non-Participating
MyPriority HMO Gold Copay+ - St. John Providence Network
HMO Gold Non-Participating
MyPriority HMO Gold Copay+ - St. Joseph Mercy Health System Network
HMO Gold Non-Participating
MyPriority HMO HSA Bronze 7000 HMO Bronze Non-Participating
MyPriority HMO HSA Bronze 7000 - Beaumont Health Network
HMO Bronze Non-Participating
MyPriority HMO HSA Bronze 7000 - Bronson Healthcare Partners
HMO Bronze Non-Participating
MyPriority HMO HSA Bronze 7000 - Spectrum Health Partners
HMO Bronze Non-Participating
MyPriority HMO HSA Bronze 7000 - St. John Providence Network
HMO Bronze Non-Participating
MyPriority HMO HSA Bronze 7000 - St. Joseph Mercy Health System Network
HMO Bronze Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace HMO Silver Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO HSA Silver 3000 - Off Marketplace - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Off Marketplace HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Off Marketplace - Beaumont Health Network
HMO Silver Non-Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
MyPriority HMO Silver 2400 50+ - Off Marketplace - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Off Marketplace - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Off Marketplace - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Off Marketplace - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 2400 50+ - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Off-Marketplace - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 3400 - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace - Beaumont Health Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace - Bronson Healthcare Partners
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace - Spectrum Health Partners
HMO Silver Non-Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
MyPriority HMO Silver 5500 - Off-Marketplace - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Off-Marketplace - Telehealth PCP
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Spectrum Health Partners
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - St. John Providence Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - St. Joseph Mercy Health System Network
HMO Silver Non-Participating
MyPriority HMO Silver 5500 - Telehealth PCP HMO Silver Non-Participating
Small Business Plans
HealthbyChoice Incentives HMO Choice 1000 HMO Participating
HealthbyChoice Incentives HMO Choice 250 90% HMO Participating
HealthbyChoice Incentives HMO Standard 3500 HMO Participating
HealthbyChoice Incentives HMO Standard 4500 HMO Participating
Priority Made Simple (Plus) HMO HMO Participating
Priority Made Simple HMO HMO Participating
PriorityAssure HMO 1750 HMO Participating
PriorityAssure HMO 3685 HMO Participating
PriorityAssure HMO 5000 HMO Participating
PriorityAssure HMO 8300 HMO Participating
PriorityAssure POS 5000 HMO/POS Participating
PriorityAssure POS 8300 HMO/POS Participating
PriorityHMO 1000 HMO Participating
PriorityHMO 1000 – Southeast MI Partners HMO Tier 2
PriorityHMO 1000 – West MI Partners HMO Tier 2
PriorityHMO 1500 HMO Participating
PriorityHMO 2000 HMO Participating
PriorityHMO 250 90% HMO Participating
PriorityHMO 250 100% HMO Participating
PriorityHMO 2500 HMO Participating
PriorityHMO 2500 – Southeast MI Partners HMO Tier 2
PriorityHMO 2500 – West MI Partners HMO Tier 2
PriorityHMO 2750 HMO Participating
PriorityHMO 3500 HMO Participating
PriorityHMO 3500 – Southeast MI Partners HMO Tier 2
PriorityHMO 3500 – West MI Partners HMO Tier 2
PriorityHMO 4500 HMO Participating
PriorityHMO 475 HMO Participating
PriorityHMO 500 HMO Participating
PriorityHMO 850 HMO Participating
PriorityHRA HMO 1500 (500) HMO Participating
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
PriorityHRA HMO 2000 (1000) HMO Participating
PriorityHRA HMO 4000 (600) HMO Participating
PriorityHRA HMO 5000 (2600) HMO Participating
PriorityHRA HMO 5000 (600) HMO Participating
PriorityHRA HMO 6750 (5750) HMO Participating
PriorityHRA HMO 6750 (6100) HMO Participating
PriorityHRA POS 1500 (500) HMO/POS Participating
PriorityHRA POS 2000 (1000) HMO/POS Participating
PriorityHRA POS 4000 (600) HMO/POS Participating
PriorityHRA POS 5000 (2600) HMO/POS Participating
PriorityHRA POS 5000 (600) HMO/POS Participating
PriorityHRA POS 6750 (5750) HMO/POS Participating
PriorityHRA POS 6750 (6100) HMO/POS Participating
PriorityHSA HMO 1400 HMO Participating
PriorityHSA HMO 1400 – Southeast MI Partners HMO Tier 2
PriorityHSA HMO 1400 – West MI Partners HMO Tier 2
PriorityHSA HMO 2000 HMO Participating
PriorityHSA HMO 2000 – Southeast MI Partners HMO Tier 2
PriorityHSA HMO 2000 – West MI Partners HMO Tier 2
PriorityHSA HMO 3000 HMO Participating
PriorityHSA HMO 6900 HMO Participating
PriorityHSA POS 1400 HMO/POS Participating
PriorityHSA POS 2000 HMO/POS Participating
PriorityHSA POS 2300 100% HMO/POS Participating
PriorityHSA POS 2300 100% HMO/POS Participating
PriorityHSA POS 3000 HMO/POS Participating
PriorityHSA POS 6900 HMO/POS Participating
PriorityPOS 1000 HMO/POS Participating
PriorityPOS 1000 - Southeast MI Partners HMO/POS Tier 2
PriorityPOS 1500 HMO/POS Participating
PriorityPOS 2000 HMO/POS Participating
PriorityPOS 250 90% HMO/POS Participating
PriorityPOS 250 100% HMO/POS Participating
PriorityPOS 2500 HMO/POS Participating
PriorityPOS 2750 HMO/POS Participating
PriorityPOS 3500 HMO/POS Participating
PriorityPOS 4500 HMO/POS Participating
PriorityPOS 475 HMO/POS Participating
PriorityPOS 500 HMO/POS Participating
PriorityPOS 850 HMO/POS Participating
Priority Health Insurance (PPO)
Individual and Family Plans
MyPriority PPO PPO N/A Participating
MyPriority Short-Term PPO PPO N/A Participating
Small Business Plans
November 12, 2020
Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2021
Plan Name Plan Type Metal Tier U-M Status
PriorityHSA PPO 1400 PPO Gold Participating
PriorityHSA PPO 2000 PPO Silver Participating
PriorityHSA PPO 2300 100% PPO Silver Participating
PriorityHSA PPO 3000 PPO Silver Participating
PriorityHSA PPO 6900 PPO Bronze Participating
PriorityPPO 1000 PPO Gold Participating
PriorityPPO 1500 PPO Gold Participating
PriorityPPO 2000 PPO Silver Participating
PriorityPPO 250 90% PPO Platinum Participating
PriorityPPO 250 100% PPO Platinum Participating
PriorityPPO 2500 PPO Silver Participating
PriorityPPO 2750 PPO Silver Participating
PriorityPPO 3500 PPO Silver Participating
PriorityPPO 500 PPO Gold Participating
PriorityPPO 850 PPO Gold Participating
Total Health Care USA
Individual and Family Plans
Total HMO Standard HMO Gold Non-Participating
Total Saver Complete HMO Bronze Non-Participating
Total Saver Plus HMO Bronze Non-Participating
Totally You HMO Silver Non-Participating
Totally You - Complete HMO Silver Non-Participating
Totally You – Simple Choice HMO Silver Non-Participating
Totally You - Value HMO Silver Non-Participating
Small Business Plans
Total Gold Complete HMO Gold Non-Participating
Total Gold Premier HMO Gold Non-Participating
Total Gold Signature HMO Gold Non-Participating
Total Platinum Complete HMO Platinum Non-Participating
Total Platinum Premier HMO Platinum Non-Participating
Total Platinum Signature HMO Platinum Non-Participating
Total Platinum Ultimate HMO Platinum Non-Participating
Total Select Gold Complete HMO/POS Gold Non-Participating
Total Select Platinum Complete HMO/POS Platinum Non-Participating
Total Select Platinum Premier HMO/POS Platinum Non-Participating
Total Select Platinum Signature HMO/POS Platinum Non-Participating
Total Select Silver Complete HMO/POS Platinum Non-Participating
Total Value Complete HMO Silver Non-Participating
Total Value Plus HMO Silver Non-Participating
Total Value Signature HMO Silver Non-Participating
US Health and Life
Small Business Plans
Platinum 90% AV PPO Platinum Varies by Network, Confirm with Plan.