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Michigan Health Insurance

Michigan Health Insurance Companies

Aetna
Alliance Health and Life Insurance Company
Assurant
Blue Cross Blue Shield of Michigan
Humana
Unicare

Learn more about each health insurance carrier in Michigan and their respective insurance plans - Michigan Health Insurance Plans.

Learn more about each insurance carrier here: Aetna, Celtic, Golden Rule, Humana, Unicare, Unicare Area A, Unicare Area B, Unicare Essential

Click here to view sample quotes for Michigan

Compare health insurance quotes from nearby states:   Indiana Health Insurance,  Ohio Health Insurance

Michigan Health Insurance

Currently in Michigan, the number of uninsured adults (age 19-64) has reached 907,730 approximately 15% of the population. The costs of health insurance premiums have also risen by 66.4% which shows how essential it is to find the most affordable plan that best fits your lifestyle and needs. Coverage for individual health insurance in Michigan is provided through assorted plans depending on medical needs of the applicants. There is medical underwriting allowed in Michigan with exceptions for HMOs and Blue Cross Blue Shield of Michigan. Medical underwriting is the process a health insurance company goes through to assess the health status of individuals and use such information to determine if the insurance company wants to accept and application. Health insurance companies can look review your medical history for the last 6 months prior to coverage and coverage can be excluded for up to 12 months. For HMOs and BCBS of Michigan, pre-existing health conditions are covered and there is a 6 month limit on look back and exclusionary periods.  

The state of Michigan does not offer a high risk pool; therefore, BCBS of Michigan must offer health care coverage to all medically uninsurable individuals. HMO’s must offer guarantee issue coverage to all resident individuals during annual open enrollment periods. Those who receive health insurance through Blue Cross Blue Shield of Michigan cannot be eligible for COBRA, or government programs and they must be a resident of Michigan. The rates under BCBS of Michigan are not restricted and depend solely on the plan. (www.coverageforall.org)

Michigan Group Health Insurance (Small Business: 2-50 employees)

In Michigan, medical underwriting is allowed for group and small business health insurance.  There is a 6 month look back and 12 month exclusionary period limit for preexisting conditions for those without prior healthcare. HMO and BCBS of Michigan may have no exclusionary period. If uninsured for a previous 1-6 months, a waiting period for coverage of pre-existing conditions may apply and benefits will vary depending on the chosen plan.

In Michigan, there are some factors that determine eligibility for group and small business health insurance. They include:

-          Company size 2-50 employees

-          Two employees must work for at least 6 months out of the year, and work 20 hours per week for coverage

-          Owner can count as an employee

-          Owner name on business license must draw wages from the company

The average monthly premium for group and small business health insurance in Michigan in 2006 was $315 for single coverage, but can depend on employer contribution and $826 for family coverage according to AHIP, The Center for Policy and Research.

Michigan COBRA Individual Health Coverage

Michigan offers COBRA, the Consolidate Omnibus Budget Reconciliation Act of 1985. COBRA coverage is only available to someone who leaves a group of 20 or more employees. Groups with fewer than 20 employees, churches, and federal government plans are exempt from COBRA. You must apply through your group for COBRA continuation within 60 days of loss of coverage.  To be eligible for COBRA coverage, your previous health insurance coverage must have been terminated for the following reasons:

-          Layoff or reduction of hours

-          Termination of employment which can be voluntary or involuntary

-          Divorce or legal separation from a covered employee

-          Death of a subscriber

-          Loss of dependent eligibility status

-          Marriage of a dependent child

Taken from www.bcbsm.com

Medicaid in Michigan

Medicaid is a state/federal program that pays for medical and long-term care services for low-income pregnant women, children, certain people on Medicare, disabled individuals and nursing home residents. These individuals must meet certain income and other requirements.
 
Income requirements
Children
Children (ages 1-5)-133% of the Federal Poverty Level
Children (Ages 6-19)-100% of the Federal Poverty Level
 
Pregnant Women and Infants
Pregnant Women-185% of the Federal Poverty Level
Infants (ages 0-1)-185% of the Federal Poverty Level
 
Parents
Non-Working Parents-35% of the Federal Poverty Level
Working Parents-59% of the Federal Poverty Level
 
Other populations
Medically Needy Individuals- 57% of the Federal Poverty Level
Medically Needy Couples- 56% of the Federal Poverty Level
Supplemental Security Income Recipients- 74% of the Federal
Poverty Level
Aged, blind, and disabled- 100% of the Federal Poverty Level
 
Covered Services
Hospital outpatient, rural health clinic, federally qualified health centers, laboratory and x-ray, nursing home, physician services, dental, early periodic screening diagnosis and treatment, family planning, clinic services, prescription drugs, case management, medical transportation, nurse midwife, extended services for pregnant women, and ambulatory prenatal care.
 
Co-Payments
Co-payments vary. There are no co-payments if you are under 18, pregnant, living in a nursing home, or receiving family planning services.
 
You may learn more about Michigan Medicaid at http://www.michigan.gov/mdch/0,1607,7-132-2943_4860---,00.html
 

Other Michigan Health Insurance Programs

Michigan offers MiChild to children under 19 years old, who are residents of Michigan, whose family income is up to 200% of the federal Poverty Level, and who do not qualify for Medicaid. Please visit the MiChild website for more detailed information at http://www.michigan.gov/mdch/1,1607,7-132-2943_4845_4931---,00.html
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