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Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital

COMMERCIAL PRODUCTS EPO/POS Includes HealthFund, Aexcel Plus, Aetna Choice, and Managed Choice Aetna Institute Of Excellence - Transplants

Aetna PPO Includes Aetna Preferred, Allied Benefit Systems, and Aetna Signature Administrators (ASA) Alliance Health & Life Insurance Co. (AHLIC)

* Ambetter from Meridian

Ascension Patient Transfer and On-Call Coverage - Hand Surgery

Ascension Smart Health

BCBSM GM ConnectedCare: HFHS

Beaumont Employee Health Plan - Extended Plan Option PPO

Beaumont Employee Health Plan EPO

Beaumont Employee Health Plan PPO HFHS is a Tier 2 Provider Beech Street PPO

Blue Care Network HMO

Blue Care Network Local Network

Blue Cross High Performance Network

* Blue Cross Metro HMO

Blue Cross Physician Choice PPO

Friday, September 10, 2021 Page 1 of 8 Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

COMMERCIAL PRODUCTS * Blue Cross Preferred HMO

* Blue Cross Premier

* Blue Cross Select (BCN PCP Focus Network) Limited PCP Selection Blue Cross Traditional

Blue Distinction Centers for Transplants

Blue Preferred Plus (Autos only)

Blue Preferred PPO / Community Blue PPO / TRUST / Blue Cross Simply Blue PPO/Healthy Blue Achieve

ChampVA

Choice Care PPO - Humana

CIGNA HMO

CIGNA Lifesource Transplant Network

CIGNA PPO

Cofinity

First Health

FrontPath Health Coalition

Golden Rule

Great West Life

HAP HMO

Friday, September 10, 2021 Page 2 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

COMMERCIAL PRODUCTS HAP Personal Alliance HMO - Henry Ford Choice

HAP Personal Alliance HMO / PPO

HAP Preferred PPO

Healthsmart

Humana Military ( PRIME)

Humana National Transplant Network

Humana One PPO (Individual product)

Immergrun

Interlink Transplant Network

Joint Venture Hospital Laboratories, LLC

* McLaren Commercial HMO/POS

McLaren Health Advantage PPO

McLaren Health Rewards

Mercy Primary Care Clinic

Meritain Health

* Molina Marketplace

Multiplan

* My Priority HMO & PPO

Ontario Health Insurance Plan

Friday, September 10, 2021 Page 3 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

COMMERCIAL PRODUCTS OptumHealth Transplant Network

* Oscar Insurance Company

PHCS PPO & Open Access

* Physicians Health Plan of Mid-Michigan HMO

Priority Health HMO & POS-A

Priority Health PPO/EPO/POS-B

* Total Health Care USA / Totally You

Total Health Care USA Select - POS

TRICARE Select

TriWest/Veterans' Choice Program (VCP) Now VA

United HealthCare

United HealthCare W500 Wrap product covering Emergency, Urgent and related inpatient services only. VA CCN

Veterans Evaluation Services

Friday, September 10, 2021 Page 4 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

MEDICAID / HEALTHY MICHIGAN / COUNTY PROGRAMS Aetna Better Health - Medicaid HMO / Healthy Michigan HFMG PCPs for Pediatrics and Family Medicine ages 18 and under. Specialists for all ages. Aetna Better Health - MI Child

Blue Cross Complete - MiChild

Blue Cross Complete - Medicaid HMO / Healthy Michigan

HAP Empowered - MI Child

HAP Empowered MI - Medicaid HMO / Healthy Michigan

MCHD Breast and Cervical Cancer Screening Program

MCHD TB Screening Program

McLaren Medicaid HMO / Healthy Michigan

Medicaid

Meridian - MI Child

Meridian Health Plan - Medicaid HMO / Healthy Michigan HFMG PCPs for Pediatricians and Family Medicine ages 18 and under. Specialists for all ages. Molina - Medicaid HMO / Healthy Michigan Effective 1/6/2021, HFHS PCPs are closed to all new adult Molina members for primary care. Molina - MI Child Effective 1/6/2021, HFHS PCPs are closed to all new adult Molina members for primary care. Out of State Medicaid

Priority Health Medicaid HMO / Healthy Michigan

Friday, September 10, 2021 Page 5 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

MEDICAID / HEALTHY MICHIGAN / COUNTY PROGRAMS Total Health Care - Medicaid HMO / Healthy Michigan

United Community Plan - Medicaid HMO / Healthy Michigan

Friday, September 10, 2021 Page 6 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

MEDICARE ADVANTAGE / DUAL ELIGIBLE PRODUCTS Aetna Better Health Premier Plan (MI Health Link)

AETNA Extended Service Area (ESA)

Aetna MA HMO

Aetna MA PPO

Alliance PPO

Amerihealth Caritas VIP Care Plus (MI Health Link)

BCBSM Medicare Plus Blue PPO/PFFS

BCN Advantage ConnectedCare HMO

BCN Advantage HMO

BCN Advantage HMO Healthy Saver

BCN Advantage HMO Healthy Value

Center for Senior Independence - PACE

Erickson Advantage

HAP Choice Medicare - West Michigan (HMO)

HAP Empowered - Duals (HMO SNP) & MI Health Link (MMP)

HAP Primary Choice Medicare (HMO)

HAP Senior Plus (HMO/PPO)

Humana Choice PPO

Friday, September 10, 2021 Page 7 of 8 Henry Ford Health System Insurance Participation Grid

* Indicates Product is sold on Health Insurance HFMG Henry Ford West Bloomfield Wyandotte Macomb Allegiance Marketplace PCPs Specialists Hospital Hospital Hospital Hospital Hospital

MEDICARE ADVANTAGE / DUAL ELIGIBLE PRODUCTS Humana Gold Choice PFFS

Humana Gold Plus HMO

Humana National Transplant Network

Meridian Complete - MI Health Link

Michigan Complete Health (HMO / MI Health Link)

Molina Dual Options (MI Health Link)

Molina Medicare Complete Care (HMO SNP) Effective 1/6/2021, HFHS PCPs are closed to all new adult Molina members for primary care. Priority Health Medicare Advantage HMO

Priority Health Select Medicare Advantage PPO

Reliance HMO

Sierra Health and Life PPO

Thome PACE

United Dual Complete (DSNP)

United Health Group Medicare Advantage PPO

United Healthcare Medicare Advantage HMO

WellCare MA

Zing Health, Inc.

Friday, September 10, 2021 Page 8 of 8