Health Plans
You may sign up for any of the following at Southside Community Coalition center:

(click on a plan below for more information)

Health Benefits for the Uninsured

What is Ingham Health Plan?
    Ingham Health Plan is a community-sponsored program that helps uninsured people and Adult Benefits Waiver (ABW) program recipients get medically necessary health care services.

What does Ingham Health Plan Cover?
    Ingham Health Plan covers medically necessary health care services including:

    Members determined eligible for the Adult Benefits Waiver (ABW) program by the Department of Human Services (DHS) office can also receive:

Who is eligible for Ingham Health Plan?

    Persons determined eligible for the Adult Benefits Waiver (ABW) program by the Department of Human Services (DHS) office are enrolled in Ingham Health Plan.

    Other people must meet the following requirements:

How much income is allowed?

    Each person's situation is different.  Call Lisa Hale at South Side Community Coalition Center at 517-394-3217

Do I have to be a US Citizen to qualify?

    No.  People who do not meet citizenship requirements are eligible for Ingham Health Plan if they meet the other requirements.

How do I become a member of Ingham Health Plan?

    Call Lisa at 517-394-3217.  You will be asked to bring with you:

        Proof of income (at least one):

            Recent paycheck stubs
            Unemployment checks
            Social Security benefit statements
            Previous year's tax form
            Other proofs of income

        Proof of current address (at least one):

            Drivers license
            Michigan ID
            Recent utility bill or paycheck stub with name and address on it

How does Ingham Health Plan Work?

    When you enroll in Ingham Health Plan, you will be asked to choose a doctor from the list of participating primary care doctors.  You will also receive information about how to use Ingham Health Plan services.

    Once you receive your Ingham Health Plan ID card in the mail (about two weeks after you enroll), you  can start receiving program services.  When you call the primary care doctor you are assigned to, tell the office that you are in the Ingham Health Plan.  Your primary care doctor will provide or arrange all of your care.  Your doctor will refer you to the right specialist and make arrangements for X-rays and lab tests if you need them.

How much does it cost me to be a member of Ingham Health Plan?

    It doesn't cost you anything to enroll and be a member of Ingham Health Plan.  You may have small co-pays for covered services.

    For more information online visit: http://www.communityhealthplans.org

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Plan First! - Free family planning services

Family Planning helps you decide when to have a baby.  This helps you and your babies stay healthy.
Family planning is more than just birth control.  Family planning includes screening services that help find serious health problems, such as low blood iron, high blood pressure, and infectious sooner.

What's Covered?

Coverage for abortions and infertility are not covered under this program.

Who is Eligilble?

    "Plan First!" will provide services to women who:

How do I get more information about Plan First! or get help applying?

For information or to get an application:

This new program has been approved for up to five years, beginning in mid-2006.

How do I apply for Plan First!?

    You must submit a signed application.  You can authorize someone to act for you.  You can apply for these benefits at South Side Community Coalition Center, at your local Department of Human Services (DHS), or by mail.  In addition, a number of community agencies, such as your local health department, offer help in applying for the "Plan First!" family planning program.  You can print an application from our web site http://www.michigan.gov/mdch .

    Once you have filled out and signed your application, mail to:

        Plan First!
        PO Box 30412
        Lansing, MI 48909

What kind of information do I need to provide?

    You need information about the following to apply:

How do I find out more about other Medicaid programs?

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MIChild

What is MIChild?

    MIChild is a health insurance program.  It is for uninsured children of Michigan's working families.  MiChild services are provided by many HMOs and other health care plans throughout Michigan.

    MIChild covers:

    We cover other services too.  Your health plan will give you the full list when your coverage begins.

At a price you can afford.

    If your child qualifies, you pay a monthly premium of only $10.00.  Even if you have more than one child you pay only $10.00 a month.  This may sound too good to be true, but it really is only $10.00 a month per family.  There are no co-pays and no deductibles.

How can I get MIChild?

    Call Lisa Hale at 517-394-3217 or 1-888-988-6300 for an application.  If you need an interpreter call 1-888-988-6300.  TTY for persons with hearing disabilities:  1-888-263-5897. 

    To qualify, children must:

    Although your income of family size may not fit into one of these categories, your children may still qualify for MIChild health insurance based on other family circumstances.

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Healthy Kids

    Healthy Kids is a program for pregnant women, babies, and children under age 19.  It covers women during pregnancy and the first two months after pregnancy ends.  Babies may be eligible for up to one year after birth.   Children may be covered up to age 19.

    Pregnant women and their babies need to get care early and return for regular checkups to stay healthy.  See your doctor, health plan, or call Lisa Hale, South Side Community Coalition Center at 517-394-3217, your local health department, or Family Independence Agency (FIA) office today.  Ask for the MIChild - Healthy Kids form and fill it out right away.

    For Pregnant Women Coverage Includes:

    People who do not meet citizenship requirements qualify for emergency health care services.  Pregnancy-related emergency services are:

What Healthy Kids covers?

    Healthy Kids cover most medically necessary health care needs including:

    Healthy Kids must assure necessary transportation.  You can get help getting a ride if:

    This policy also applies to dentist visits and getting dental items or services that are covered by Healthy Kids.  In some cases, the rides you need must be approved in advance.  If you belong to a health plan, contact your plan.  If you do not belong to a health plan, contact your local Family Independence Agency office.

What support services are covered?

    You may also qualify for Maternal Support Services (MSS) and Infant Support Services (ISS) to help you during your pregnancy and after your baby is born.

    Support includes:

    Healthy Kids will pay for MSS and ISS when your doctor orders them, and approved providers give the service.

How to apply for Healthy Kids.

    To apply for Healthy Kids, fill out the MIChild-Healthy Kids form.  For help in filling out the form, contact Lisa Hale, South Side Community Coalition Center at 517-394-3217, your local health department, or your local FIA office.

    When applying you must:

    If you or your family need help with food, shelter, or other daily living expenses, contact your local FIA office.  Ask for the Assistance Application.

    Children and pregnant women applying for assistance must also have a Social Security number or apply for one.  If you don't have one, and you have not already applied for one, we can help you apply.

How much Income is allowed?

    Every family's situation is different.  Call Lisa Hale at 517-394-3217 or 1-888-988-6300 to get more information that will help you find out if you qualify.

    When you become eligible you must join a health plan.  You will get a packet from Michigan Enrolls.  It tells you your health plan choices.

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Capital Area Prescription Program (CAPP)

What is the Capital Area Prescription Program (CAPP)?

    The CAPP card is a way for residents in Ingham, Clinton, and Eaton County who lack drug coverage to get medicine for less at participating pharmacies.

Who is eligible?

    To be eligible you must:

How much less will I pay or medicine?

    When you present a CAPP card at a participating pharmacy you can expect ot save about 20 percent off the retail price of a typical "market basket" of drugs.  Savings will typically be between 5 and 25 percent.  Discounts as high as 70 percent are possible but not typical.  Savings depend on the kinds of medicines used, where you shop, and if the pharmacy is already having a sale on the medicine.

How does it work?

    Take your prescription and your CAPP card to your pharmacy.  Almost all pharmacies participate, even out-of-state pharmacies that are part of the large chains like Rite Aid and CVS.  Give the pharmacist your CAPP card and prescription.  The pharmacist will fill the prescription and charge you the discounted price.  You will be expected to pay for the medicine at the discounted price.  Always show your card for refills.

Are all drugs covered?

    The discount is good on any medicine the pharmacy stocks and your doctor prescribes.  Over-the-counter drugs are not covered even if they are prescribed by your doctor.

Does it cost anything to get the cards?

    There is no cost for the card or to enroll in the program.  You just pay the discounted price to the pharmacy.

    The prices you pay may vary from pharmacy to pharmacy but they are always higher than the prices negotiated by pharmacy benefit managers operating on behalf of insurers.  The CAPP card levels the playing field for you.  You will be able to get medicine at a lower price.

Who is sponsoring this program?

    The program is sponsored by the Ingham Health Plan Corporation (IHPC).  The IHPC is a non-profit corporation that is organized to develop coverage programs for uninsured and under insured people.

    The IHPC is working with the Ingham County Health Department to bring you this program.  The Health Department is handling registration and enrollment in the program.

How can the IHPC get the discount?

    The IHPC works with a pharmacy benefit manager called Claimspro.  Claimspro has negotiated prices with pharmacies that are lower than the retail prices that you pay as a cash customer.  The lower prices are made available to you when you show your CAPP card at pharmacies.

How can I apply for the program?

    There are four ways to register for the CAPP program:

    Once the application is completed and processed, your card will be mailed to you along with a list of participating pharmacies in the three-county area.  You will receive your card in two to three weeks.

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Ingham County Advantage

Ingham County Advantage - The affordable Health Insurance Option for Small Businesses.

    Ingham County Advantage is a unique option that allows small businesses to provide health insurance to their employees.  The cost of the Ingham County Advantage coverage is shared by Ingham Health Plan Corporation, eligible employees, and their enrolled employees.  The result - an affordable health insurance plan.

Choice of Physician through Michigan's finest providers:  The PPOM Network.

    Ingham County Advantage provides its members access to the health care industry's finest doctors and most respected hospitals.  The PPOM Network includes conveniently located Lansing area hospitals and hundreds of area physicians (over 26,000 physicians and 200 hospitals throughout Michigan).  The Network carefully reviews the credentials and records of every participating provider.

Simplicity, Convenience, and Friendly Customer Service.

    Ingham County Advantage makes it easy to navigate the health care maze.  There are no claim forms to submit when visiting network providers.  Members simply present their ID card at the time they receive health care services.  The provider bills the program directly.  Friendly, first-rate service means that program members get quick responses to questions and concerns.

Health Care is Priceless

    For most people, health insurance is a precious commodity.  It can help keep them feeling their healthy best and coverage can reduce financial hardship.  We're pleased to offer you affordable health insurance and we look forward to helping your employees stay healthy!

Features, Requirements, and Provisions.

    Group Eligibility

        At the time an employer enters into an agreement with the program for coverage, "Qualified Employer" means an employer that meets all of the following criteria upon its initial enrollment in the program:

    Effective Dates

        An employer group is eligible the first of the month following the month in which proper documentation and first month's premium is submitted to the program.

    Pre-Existing Conditions

        For new employees, the Plan will not make any payment exceeding $100 for a condition for which medical advice, diagnosis, care or treatment, including the use of prescription drugs, was recommended or received during the 6-month period ending on the enrollment date until six (6) consecutive months after enrollment.

    Provider

        PPOM Network.  No benefits are provided outside of PPOM Network, except in the case of life-threatening emergencies.

    Maximums

        All benefits are applied to one lifetime or annual maximum per insured individual.

    Claim Forms

        Members do not submit claim forms when they use Network providers.  Members simply present their ID card at the time they receive health care services.  The provider will bill the program directly.

    Pre-Certification

        Covered individuals must obtain authorization before any elective hospital admission.  For an emergency hospital admission, notification must occur within 48 hours or on the first business day following the hospital admission.  A $300 reduction of the payable benefit amount will apply for non-compliance.

    Limitation/Exclusions

        Coverage under the insurance policy is subject to limitations, exclusions, and maximums.  Please refer to the policy for details.

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