Skip to content
Menu
Contact
Resources
About HAP
Health programs
Prescription drug coverage
Member discounts
Blog
Events
Newsroom
Agents
Providers
Employers
Keyword
Search
Medicare
Submenu for Michigan Medicare Plans
Individuals and family plans
Submenu for Individual and family plans
Employer sponsored
Submenu for Insurance through your employer
Medicaid and MI Health Link
Find a doctor
Login
Learn more
Learn more
Member Resources
Member Resources
Medicare Advantage
Medicare Advantage
Medicare Supplement
Medicare Supplement
Employer-Sponsored Medicare
Employer-Sponsored Medicare
How Medicare Works
How Medicare Works
Schedule an Appointment
Schedule an Appointment
Medicare Plan Information
Medicare Plan Information
Prescription Coverage
Prescription Coverage
Supplemental Benefits
Supplemental Benefits
2024 Plans
2024 Plans
Medicare Advantage Plan Finder
Medicare Advantage Plan Finder
How to enroll
How to enroll
Medicare Star Ratings
Medicare Star Ratings
Delta Dental supplemental coverage
Delta Dental supplemental coverage
Prescription coverage
Prescription coverage
How to enroll
How to enroll
Types of Medicare
Types of Medicare
Enrollment Timeline
Enrollment Timeline
What is Open Enrollment?
What is Open Enrollment?
Account Management
Account Management
Additional Information
Additional Information
Appointing a representative
Appointing a representative
Care during a disaster
Care during a disaster
Contact us
Contact us
Grievances, appeals and determinations
Grievances, appeals and determinations
Formulary drug list
Formulary drug list
Help paying for prescriptions
Help paying for prescriptions
Pharmacies
Pharmacies
Medication therapy management
Medication therapy management
Non-Opioid Directive Form
Non-Opioid Directive Form
Utilization management
Utilization management
Delta Dental supplemental coverage
Delta Dental supplemental coverage
Fitness Benefit
Fitness Benefit
Healthy Living Rewards Program
Healthy Living Rewards Program
Over the counter benefit
Over the counter benefit
Coverage when you travel
Coverage when you travel
HAP Medicare Connect (HMO)
HAP Medicare Connect (HMO)
HAP Medicare MedicalAccess (HMO)
HAP Medicare MedicalAccess (HMO)
HAP MSUHC Medicare (HMO)
HAP MSUHC Medicare (HMO)
HAP Senior Plus Henry Ford Tiered Access (HMO)
HAP Senior Plus Henry Ford Tiered Access (HMO)
HAP Senior Plus (PPO)
HAP Senior Plus (PPO)
HAP Medicare Explore (PPO)
HAP Medicare Explore (PPO)
HAP Senior Plus (HMO-POS)
HAP Senior Plus (HMO-POS)
HAP Medicare Complete Duals (HMO D-SNP)
HAP Medicare Complete Duals (HMO D-SNP)
Transition policy
Transition policy
Medicare contract information
Medicare contract information
Disenrollment
Disenrollment
New Employer-Sponsored Medicare Members
New Employer-Sponsored Medicare Members
New HAP Medicare members
New HAP Medicare members
New HAP Medicare Supplement members
New HAP Medicare Supplement members
Important forms and documents
Important forms and documents
Health Partners
Health Partners
HAP Network
HAP Network
Making Medicare changes
Making Medicare changes
Referrals and prior authorizations
Referrals and prior authorizations
Appeals
Appeals
Grievances
Grievances
Determinations
Determinations
Exceptions
Exceptions
Care Management
Care Management
Health and wellness programs
Health and wellness programs
Learn more about individual and family plans
Learn more about individual and family plans
Shop individual and family plans
Shop individual and family plans
Member resources
Member resources
Contact Us
Contact Us
Plan basics
Plan basics
Prescription coverage
Prescription coverage
Why choose HAP?
Why choose HAP?
Discounts
Discounts
Nationwide and worldwide coverage
Nationwide and worldwide coverage
Non-Opioid Directive Form
Non-Opioid Directive Form
Pay your bill
Pay your bill
Prescription Coverage
Prescription Coverage
Referrals and prior authorizations
Referrals and prior authorizations
Understanding Explanations of Benefits
Understanding Explanations of Benefits
Language assistance
Language assistance
Dental and vision
Dental and vision
Plans overview
Plans overview
Special enrollment period
Special enrollment period
Why choose HAP?
Why choose HAP?
Plan basics
Plan basics
Member resources
Member resources
Genesys Choice Network members
Genesys Choice Network members
Henry Ford Choice Network members
Henry Ford Choice Network members
Plan Basics
Plan Basics
Coverage for dependents
Coverage for dependents
HAP’s networks and service areas
HAP’s networks and service areas
Nationwide and worldwide coverage
Nationwide and worldwide coverage
Prescription coverage
Prescription coverage
Referrals and authorizations
Referrals and authorizations
Understanding Explanations of Benefits
Understanding Explanations of Benefits
Coverage Dependents
Coverage Dependents
Close
Close
Resources
About HAP
Health programs
Prescription drug coverage
Member discounts
Blog
Events
Newsroom
Contact
Login
Agents
Providers
Employers
Keyword
Search
Close
Have Medicare questions?
(800) 888-9885 (TTY: 711) Monday–Friday, 8 am to 8 pm
Chat with an expert
Shop & compare plans
Home
>
Health plans for employers
>
Large business
>
Pricing (form)
>
Print
In this section
Pricing (form)
Thank you
Pricing form
* Asterisk indicates required field
Contact information
* First name
* Last name
* Company name
* Number of full time employees
Phone number
* Email
Comment
I'm interested in (select all that apply):
HMO Plans
EPO Plans
PPO Plans
Health Savings Accounts HSA
Health Reimbursement Accounts HRA
Flexible Spending Accounts FSA
Self-Funded and Share-Funded Plans
Pivotal
I am not sure
Comments:
Additional information
