Click a plan button to view summaries, rates, and contact info.
PPO
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State Health Plan PPO
Blue Cross Blue Shield
of Michigan (BCBSM)
800-843-4876
www.bcbsm.com/som2018-2019
Rates
Plan Summary2017-2018
Rates
Plan Summary -
OptumRx
www.optumrx.com/SOM
Copay Structure
Specialty Pharmacy FAQsActive Employees and Non-Medicare Retirees
866-633-6433Medicare Eligible Retirees
866-635-5941 -
Mental Health & Substance Abuse Treatment
Provider for the State Health Plan PPO
http://www.magellanassist.com/
866-503-3158
Magellan Member Handbook
HMO/DMO
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Blue Care Network
800-662-6667
www.bcbsm.com/som2018-2019
2017-2018
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Health Alliance Plan (HAP)
800-422-4641
www.hap.org
2018-20192017-2018
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McLaren Health Plan
888-327-0671
www.mclarenhealthplan.org2018-2019
2017-2018
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Physician's Health Plan (PHP)
800-832-9186
517-364-8500
www.phpsom.com2018-2019
2017-2018
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Priority Health
800-446-5674
www.priorityhealth.com/som
2018-2019
2017-2018
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United Healthcare
844-554-5499
www.miemployee.welcometouhc.com2018-2019
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Dental Maintenance Organization (DMO)
Midwestern Dental Plans, Inc.
800-544-6374
www.midwesterndental.com -
To determine individual eligibility for HMO health plans and the DMO dental plan, use the HMO/DMO Zip Code Tool
OTHER
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COPS Health Trust (MSPTA represented only)
Phone: 248-524-0454
Fax: 248-524-2752
www.copstrust.com
Rates
COPS Trust 1
COPS Trust 1 Rx Copays
COPS Trust 2
COPS Trust 3
COPS Trust 2 & 3 Rx Copays -
Catastrophic Health
Blue Cross Blue Shield of Michigan (BSBSM)
800-843-48762018-2019
Rates
Plan Summary2017-2018
Rates
Plan Summary -
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 (Effective 10/1/2018)
833-279-4355
www.eyemedvisioncare.com/som -
Vision Plan
Blue Cross Blue Shield of Michigan
partnered with Vision Service Plan® (VSP)
855-356-4362
www.vsp.com- Plan Booklet
- Active Employee Summary of Benefits
- Retiree Summary of Benefits
- Specialty Computer and Safety Glasses - Effective 10/9/2016
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Flexible Savings Account (FSA)
Health Care & Dependent Carewww.wageworks.com
877-924-3967Eligible Expenses:
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Employee & Dependent Life Insurance
Minnesota Life Insurance Company
866-293-6047 -
Long Term Disability (LTD)
York Risk Services Group
800-324-9901
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.