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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 Aetna EPO/POS Includes HealthFund, Aexcel Plus, Aetna Choice, and Managed Choice Aetna Institute Of Excellence - Transplants Aetna PPO Includes Aetna Michigan 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 Detroit HMO Blue Cross Physician Choice PPO Friday, September 10, 2021 Page 1 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 * 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 (Tricare 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 Optum 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 Medicare 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.