MiCSC - Insurance Plans

Click a plan button to view summaries, rates, and contact info.

PPO

State Health Plan PPO
Blue Cross Blue Shield
of Michigan (BCBSM)
800-843-4876
www.bcbsm.com/som

2019-2020
Rates
Plan Summary

2018-2019
Rates
Plan Summary

Behavioral Health/Substance Abuse Administrator for the State Health Plan PPO
Blue Cross Blue Shield of Michigan (BCBSM) in partnership with New Directions

Inquiries for Benefits, Claims, or ID Cards
800-843-4876 (BCBSM)

Authorizations or Referrals
866-503-3158 (New Directions)

www.bcbsm.com/som
BH/SA FAQs

Note: Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with New Directions, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Abuse carrier.
OptumRx
www.optumrx.com/SOM
Copay Structure
Specialty Pharmacy FAQs

Active Employees and Non-Medicare Retirees
866-633-6433
- Active Employee & Non-Medicare Retiree Formulary
Medicare Eligible Retirees
866-635-5941
- Medicare-Eligible Retiree Formulary
- Medicare-Eligible Wrap Coverage Drug List
- 2019-2020 HMO/PPO Plan Comparison
- 2019-2020 HMO Plan Comparison

HMO/DMO

Blue Care Network
800-662-6667
www.bcbsm.com/som

2019-2020
- Rates
- Plan Summary
2018-2019
- Rates
- Plan Summary
Health Alliance Plan (HAP)
800-422-4641
www.hap.org

2019-2020
- Rates
- Plan Summary
2018-2019
- Rates
- Plan Summary
McLaren Health Plan
888-327-0671
www.mclarenhealthplan.org

2019-2020
- Rates
- Plan Summary
2018-2019
- Rates
- Plan Summary
Physician's Health Plan (PHP)
800-832-9186
517-364-8500
www.phpsom.com

2019-2020
- Rates
- Plan Summary
2018-2019
- Rates
- Plan Summary
Priority Health
800-446-5674
www.priorityhealth.com/som

2019-2020
- Rates
- Plan Summary
2018-2019
- Rates
- Plan Summary
Dental Maintenance Organization (DMO)
Midwestern Dental Plans, Inc.
800-544-6374
www.midwesterndental.com
- Plan Booklet
- DMO Out-of-Area Waiver
To determine individual eligibility for HMO health plans and the DMO dental plan, use the HMO/DMO Zip Code Tool.

OTHER

COPS Health Trust (MSPTA represented only)
Phone: 248-524-0454
Fax: 248-524-2752
www.copstrust.com
Catastrophic Health
Blue Cross Blue Shield of Michigan (BSBSM)
800-843-4876

2019-2020
Rates
Plan Booklet

2018-2019
Rates
Plan Booklet
Delta Dental of Michigan
800-524-0150
www.deltadentalmi.com

State Dental Plan
Active and MSPTA Plan Booklet
Dental Plan Comparison Chart

Preventive Dental Plan
Plan Booklet
EyeMed
833-279-4355
www.eyemedvisioncare.com/som
Flexible Savings Account (FSA)
Health Care & Dependent Care

www.wageworks.com
877-924-3967

www.mi.gov/fsa

Eligible Expenses:
- Health Care FSA
- Dependent Care FSA
Employee & Dependent Life Insurance
Securian Financial Group, Inc.
Underwritten by Minnesota Life Insurance Company
877-867-5781

Group Employee & Dependent Life Insurance Certificate
Long Term Disability (LTD)
Sedgwick
800-324-9901

Plan Summary
Plan Booklet

Note: These booklets are not a contract. Rather, they are intended to be a summary description of benefits. Every effort has been made to ensure the accuracy of this information. However, if statements in this description differ from the applicable coverage documents, then the terms and conditions of those documents will prevail.