HMO Accreditation Information
Below is a list of HMOs in Michigan that are accredited by an accreditation organization. The accreditation information is current as of 01/21/21.
For additional information about the accrediting organization, its accreditation processes, and current accreditation status of an HMO, visit the organization's website. Michigan HMOs not listed are not accredited.
Lines of Business
Some HMOs may be listed more than once as they have different lines of business.
- Commercial: private health care plans not paid for by the government.
- Marketplace: as part of the Affordable Care Act, the federal government set up Health Insurance Marketplaces (also called Exchanges) where individuals and small groups can shop for health care coverage and compare plans offered by private health care companies.
- Medicaid: a joint federal and state program that helps eligible low-income individuals or families pay for health care costs.
- Medicare: a federal program that provides health insurance for individuals aged 65 or higher and those with certain disabilities.
|HMO||Line of Business||NCQA Accreditation Level||Expiration Date|
|Aetna Better Health of Michigan||Medicaid||Accredited||09/11/2021|
|Blue Care Network of Michigan||Commercial||Accredited||05/23/23|
|Blue Care Network of Michigan||Marketplace||Accredited||09/12/2020|
|Blue Care Network of Michigan||Medicare||Accredited||05/23/23|
|Blue Cross Complete of Michigan||Medicaid||Accredited - Under Corrective Action||02/23/21|
|HAP Midwest Health Plan||Medicaid||Commendable||07/02/2022|
|Health Alliance Plan of Michigan||Commercial||Commendable||07/02/2022|
|Health Alliance Plan of Michigan||Medicare||Commendable||07/02/2022|
|McLaren Health Plan||Medicaid||Commendable||07/16/2021|
|McLaren Health Plan Community||Commercial||Accredited||07/16/2021|
|McLaren Health Plan Community||Marketplace||Accredited||07/16/2021|
|Meridian Health Plan of Michigan, Inc.||Marketplace||Accredited||09/27/2022|
|Meridian Health Plan of Michigan, Inc.||Medicaid||Commendable||09/27/2022|
|Molina Healthcare of Michigan||Marketplace||Accredited||04/11/23|
|Molina Healthcare of Michigan||Medicaid||Accredited - Under Corrective Action||04/11/23|
|Priority Health Choice||Medicaid||Accredited||09/26/23|
|Total Health Care, Inc.||Medicaid||Commendable||08/27/2022|
|Total Health Care USA||Commercial||Accredited||08/27/2022|
|Total Health Care USA, Inc. HMO||Marketplace||Accredited||08/27/2022|
|Total Health Care USA, Inc. HMO/POS||Marketplace||Accredited||08/27/2022|
|United Healthcare Community Plan||Medicaid||Commendable||10/11/2022|
|Upper Peninsula Health Plan||Medicaid||Commendable||02/27/2021|
|HMO||Line of Business||URAC Accreditation Level||Expiration Date|
|Physicians Health Plan||Commercial||Full Accreditation||07/01/2021|
|Physicians Health Plan||Marketplace||Full Accreditation||07/01/2021|