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Plan First Family Planning
Plan First is a health coverage program administered by the Michigan Department of Health and Human Services. The Plan First program benefit is limited to family planning services only such as contraceptive services and supplies, sexually transmitted infection services, vaccines and other preconception health services.
Plan First family planning coverage is available to individuals who:
- Are of any age or gender
- Are not pregnant at the time of application
- Are a U.S. citizen or a qualified immigrant
- Are a Michigan resident
- Have a Social Security number or have applied for one
- Are not covered under another Medicaid benefit
- Meet income eligibility requirements (income at or below 195% of the Federal Poverty Level)
The Plan First program benefit is limited to family planning services only. The Plan First family planning program covers a broad range of family planning services which includes U.S. Food and Drug Administration (FDA)-approved contraceptive products and natural family planning methods for individuals who want to prevent pregnancy and to space births. It also includes pregnancy testing and counseling, sexually transmitted infection (STI) services, vaccines and other preconception health services.
- Office Visits for family planning related services
- Birth control medication and supplies
- Some lab tests
- Some cancer screenings
- Testing and treatment for sexually transmitted infections
- Voluntary sterilization procedures and follow-up care
*Coverage for abortions, Hepatitis, HIV and infertility are not covered under this program.
All Plan First enrollees have free choice of family planning providers and may obtain covered family planning services from any qualified Medicaid-enrolled providers. Qualified family planning providers working within their state licensure and scope of practice include, but are not limited to, Title X family planning clinics, Local Health Departments, Federally Qualified Health Centers, Tribal Health Centers, and primary care or obstetrical providers such as physicians, physician assistants, Certified Nurse-Midwives, Nurse Practitioners, and Clinical Nurse Specialists. Decisions about family planning methods, including sterilization procedures, are to be made only with the full and informed consent of the individual, either alone or with support, and free from coercion.
How Much Do I Have to Pay for Plan First Services?People with Plan First healthcare coverage generally will not have to pay for family planning services including co-pays.
Click here for a list of covered drug classes.
Click here for diagnoses (ICD-10-CM) covered under Plan First.
Click here for procedures and services (HCPCS and CPTs) covered under Plan First.