Cabrini Clinic How to enroll in the Healthy Michigan Plan Better understanding of your health insurance Nuts and bolts of how to use your health insurance New healthcare program for adults ID: 1045274
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1. How to Get and Use your Health InsuranceCabrini Clinic
2. How to enroll in the Healthy Michigan Plan Better understanding of your health insuranceNuts and bolts of how to use your health insurance
3. New healthcare program for adults Adults began joining on April 1st, 2014Adults may apply at any time
4. Visit: www.HealthyMichiganPlan.org Cabrini Clinic can help!
5. 1. Outpatient services (includes Ambulance) Doctors2. Emergency servicesER3. HospitalizationIn the Hospital4. Maternity carePregnant5. Mental health and substance use disorder treatment services, including behavioral health treatmentCounselingWhat do you get with the Healthy Michigan Plan?
6. What do you get with the Healthy Michigan Plan?6. Prescription DrugsMedicines with a Dr. order7. Rehabilitative services and devices services and devicesWheelchairs, physical therapy8. Laboratory servicesBlood work, scans9. Preventive and wellness services and chronic disease managementEat right, Becoming healthy10. Pediatric services for 19 and 20 year olds, including oral and vision careKids age 19-20
7. Other things you can getVisionDentalHearingPodiatryTransportation
8. How to Get the Healthy Michigan PlanFour ways to sign up – Pick oneMAKE APPOINTMENT AT CABRINI CLINICGo online: www.HealthyMichiganPlan.org Call 855.789.5610Sign up at the Department of Human Services Office
9. After you Sign Up…Four Things:Pick health insurance plan through Michigan EnrollsPick a primary care provider (PCP) - DoctorSchedule an appointment with your PCP (Doctor) (must be within 60 days of picking your health insurance)Complete the Healthy Michigan Plan Health Risk Assessment form
10. 1st Step: Pick a Health Insurance Plan
11. 2nd Step: Pick a Primary Care ProviderAlso known as your DOCTORs for Doctor?Primary Care – the first point of contact a person has with the health system; where people receive most of their everyday care. It includes the prevention, diagnosis, treatment and follow-up of various health conditions.
12. A Primary CareSome things to consider:
13. 3rd Step: Schedule An AppointmentScheduling AppointmentsMichael Goes to the DoctorKeeping AppointmentsRequesting Medical RecordsTalking with your DoctorWhat to take with you when you gogree or need help?
14. 4th Step: Complete HRA
15. Do I have to pay anything?Healthy Michigan Plan has some copaysCopays are paid through a special health care account called the MI Health AccountCost SharingReducing what you pay with an HRANot every service costs money 15
16. Copays – When do you pay?16
17. Copays – When don’t you pay?17
18. What happens next?
19. Looking Closer Into Your Insurance
20. A Primary CareSome things to consider:
21. B Urgent CareWhy would we use Urgent Care instead of the Emergency Room or our Doctor?Need medical care today and feel safe to wait a few hoursTried to see your Doctor and could not reach themYour Doctor told you to go to an Urgent Care Centere is the nearest urgent care?
22. C Emergency CareWhy would we use the Emergency Room?Need medical care right now and do not feel safe waiting.Issues such as: Trouble breathingChest painFaintingSudden numbnessUncontrollable bleeding
23. Maria Goes to the PharmacyWritten prescriptionsWhere to goWhat to doTaking MedicineKeeping track
24. Health Insurance for KidsChildren’s Special Health Care Services (CSPCS)Offers coverage offered for children under the age of 21 with special needsCost determined by family’s needsMedicaid (Known as Healthy Kids for those under age 19)Offers coverage for children, parents, pregnant women, people with disabilities and seniors with very low incomes No cost MICHILD (Michigan’s Children’s Health Insurance Program, also known as CHIP)Offers coverage to children under the age of 19 who’s families make too much money to qualify for Medicaid but not enough to afford health careLow costTo learn more about these programs, visit at www. michigan/gov/MDCH24
25. Medicare vs. MedicaidMedicare 65 and older or people with disabilities/specific health conditionsResponsible for premiumGenerally needs a supplemental PlanMedicare counselors are available Medicaid Variety of programs Administered by the state and funded with federal dollars Designed for people with low income 25