Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual...

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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

Transcript of Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual...

Page 1: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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

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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

Page 3: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

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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

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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

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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

Page 7: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

Page 8: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

Page 9: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

Page 10: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

Page 11: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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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

Page 12: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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

Page 13: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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

Page 14: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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

Page 15: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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

Page 16: Michigan Individual Health Insurance Marketplace and Small ...January 15, 2020 Michigan Individual Health Insurance Marketplace and Small Business Health Options (SHOP) Plans 2020

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.