Medicaid is a health care program that provides comprehensive health care services to low income adults and children. Services covered by Medicaid are offered through what is called fee-for-service or through Medicaid Health Plans:
- Fee-for-service is the term for Medicaid paid services that are not provided through a health plan. This means that Medicaid pays for the service. People under fee-for-service will use the mihealth card to receive services.
- Most people must join a health plan. The health plan pays for most of the services. For people that need to join a health plan, Michigan Enrolls will send a letter with more information. After enrollment with a health plan, both the mihealth card and the health plan card are needed to access services.
Enrollees do not have to pay the full cost of covered services; however, a small amount called a co-pay may be required. People age 21 and older may have a co-pay for the services listed in the co-pay chart.
Medicaid and MIChild cover medically necessary services such as:
- doctor visits
- emergency services
- family planning
- hearing and speech services
- home health care
- hospice care
- inpatient and outpatient hospital care
- medical supplies
- medicine prescribed by a doctor
- mental health services
- non-emergency medical transportation
- nursing home care
- personal care services
- physical and occupational therapy
- podiatry (foot care)
- pregnancy care (prenatal, delivery, and post-partum)
- private duty nursing
- immunizations (shots)
- substance use disorder treatment services
A yearly health exam is covered. Some of these services are limited and may not be covered for beneficiaries age 21 and older. Some of these services may require prior approval.
To apply for Medicaid, complete an application online at www.michigan.gov/mibridges.