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MICHIGAN HEALTH CARE COVERAGE PROVIDERS FOR CHILDREN

Health Insurance Providers Toll Fee Number Web Site Employer Employer Group Individual Healthy Kids MIChild 1-866-582-9629 www.aetna.com X American Community 1-800-991-2642 www.american-community.com X Assurant 1-800-647-9106 www.assuranthealth.com X Blue Cross Blue Shield of Michigan 1-877-469-2583 www.bcbsm.com XX X BlueCaid of Michigan 1-800-228-8554 www.MiBCN.com/BlueCaid X Blue Care Network 1-800-662-6667 www.mibcn.com XX Blue Coss Blue Shield Young Adult 1-877-469-2583 www.bcbsm.com/myblue/plan_youngadultblue.shtml X CareSource of Michigan 1-800-390-7102 www..com X 1-866-438-2446 www.cigna.com X Golden Rule - United Health One 1-800-444-8990 www.goldenrule.com X Grand Valley Health Plan 1-800-335-1977 www.gvhp.com XX X Great Lakes Health Plan 1-800-903-5253 www.glhp.com X Health Alliance Plan 1-800-422-4641 www.hap.org XX HealthMarkets, Inc. 1-800-527-5504 www.healthmarketsinc.com X HealthPlus of Michigan, Inc. 1-800-332-9161 www.healthplus.org XX X HealthPlus Partners, Inc. 1-800-332-9161 www.healthplus.org X HealthPlus Insurance Company 1-800-332-9161 www.healthplus.org X Health Plan of Michigan 1-888-437-0606 www.hpmich.com X Humana 1-866-215-7343 www.humana.com XX McLaren Health Plan 1-888-327-0671 www.mclarenhealthplan.org XX Midwest Health Plan 1-888-654-2200 www.midwesthealthplan.com X Molina Healthcare of Michigan 1-888-898-7969 www.molinahealthcare.com XX NGS American - Employer Only Plans 1-800-521-1555 www.ngs.com XX OmniCare Health Plan 1-866-316-3784 www.omnicarehealthplan.com X Paramount Care of Michigan 1-800-462-3589 www.paramounthealthcare.org X PHP of Mid-Michigan 1-800-562-6197 www.phpmm.org X PHP FamilyCare 1-800-562-6197 www.phpmm.org X Principal Mutual 1-800-986-3343 www.principal.com XX Priority Health 1-888-975-8102 www.priority-health.com XXXX ProCare 1-877-255-3055 www.procarehp.com X Total Health Care 1-800-826-2862 www.totalhealthcareonline.com XX UNICARE 1-800-683-2273 www.unicare.com XX United Healthcare 1-888-545-5205 www.uhc.com XX Upper Peninsula Health Plan 1-800-835-2556 www.uphp.com XX

*The insurance companies in this table are compiled from information published by the Michigan Department of Energy, Labor, and Economic Growth, Office of Financial and Insurance Regulation and other sources.This table is not intended to be a complete list of all options available to Michigan residents nor is it intended to be an endorsement of any insurance company. MICHIGAN HEALTH CARE COVERAGE PROVIDERS FOR CHILDREN

2010 Federal Poverty Guidelines Size of family unit 150 Percent of 185 Percent of 200 Percent of Poverty Poverty Poverty 1 $16,245 $20,036 $21,660 2 $21,855 $26,955 $29,140 3 $27,465 $33,874 $36,620 Children up to age 1 are eligible for Medicaid up to 185% of 4 $33,075 $40,793 $44,100 poverty. Through age 18, eligibility for Medicaid is up to 5 $38,685 $47,712 $51,580 150% of FPL. For all groups, MIChild fills in the gap up to 6 $44,295 $54,631 $59,060 200% of FPL. 7 $49,905 $61,550 $66,540 8 $55,515 $68,469 $74,020

State Health Care Program Phone Number Web Sites Information Applications MEDICAID (Healthy Kids) -Below 150% Federal 888-642-7434 https://healthcare4mi.com/michild-web/ Contact local Department of Human Services or County Health Department for Poverty Level (FPL) Requirements vary per family assistance with application. There is no monthly premium. https://www.mibridges.michigan.gov/access/ MIChild - Families between 150% FPL and 200% 888-988-6300 https://www.healthcare4mi.com Contact local Department of Human Services or County Health Department for FPL www.michigan.gov/mdch/0,1607,7-132-2943_4845_4931---,00.html assistance with application. There is a monthly premium for a family of $10.00 per month. MiRx (Perscription Drug Discount Card) Income 866-755-6479 http://www.mihealth.org/mirx/index.html The MiRx card is free and savings equal about 20% at your local level based

Other Available Health Care Sources Toll Free Number Web Sites Information Federal Web site http://www.healthcare.gov/index.html Federal government web site to assist with choices Blue Cross - Help with Health Care Brochure 800-658-6715 http://www.bcbsm.com/home/healthier/help_with_health_care_broc "Help with Health Care" brochure list resources for the uninsured in Michigan hures.shtml Children's Health Insurance Program YMCA 616-855-9686 http://[email protected] (Email) Provides resources for obtaining health insurance coverage, mainly in Kent and Ottawa Co. Children's with Special Health Care Services 800-359-3722 http://www.michigan.gov/documents/mdch/Dch-1239_-_DCH- Contact local health department - Services determined by disability eligibility and (CSHCS) 1273_-_DCH-1342-_How_to_Apply-2007fill-in_175400_7.doc income County Health Plans 517-241-7185 http://www.michigan.gov/documents/mdch/County_Health_Plans- Local county information - Services determined by eligibility and income Website_and_Phone_260703_7.pdf Eaton Rural Heatlh Care Clinic Springport 517-857-4500 www.eatonrapidsmedicalcenter.org Accept , Medicaid, MIChild and private insurance - county residents and Riverside 517-999-4500 non-residents Federal Employees Program 877-888-3337 http://www.opm.gov/INSURE/HEALTH/ Based on federal employee eligibility Federally Qualified Health Centers (FQHCs) See web site http://www.michigan.gov/documents/FQHC_and_FQHC- Clinics in Michigan that accept Medicare, Medicaid, MIChild and private insurance LA_sites_woth_phone_numbers_MPCA_-6-28-06_164256_7.pdf Michigan Primary Care Association 800-752-7268 http://www.mpca.net/locator.html Provides health care services by location School Community Health Centers See web site http://www.scha-mi.org/pages/centers_prog/search.html Services vary by location (Military Health Care Benefits) 800-538-9552 http://www.military.com/benefits Based on military eligibility

Health Care Information Toll Free Numbers Web Sites Department of Community Health 517-373-3740 http://www.michigan.gov/mdch/0,1607,7-132-2943_52115---,00.html Department of Human Services 517-373-2035 http://www.michigan.gov/dhs/0,1607,7-124-5453_5530---,00.html Depart of Human Services County Offices See web site http://www.michigan.gov/dhs/0,1607,7-124-5461---,00.html Michigan Association of Health Plans 517-371-3181 http://mahp.org/healthplans.html Michigan Local County Health Departments See web site http://www.malph.org/page.cfm/108 (search engine) 800-977-8860 http://www.ehealthinsurance.com Truth Benefits (search engine) 888-218-4712 http://www.truthbenefits.com/index.html