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HAP Senior Plus

 

Compare HAP Senior Plus - Henry Ford options

Compare HAP Senior Plus - Expanded Network options

Compare Medicare Part D prescription benefits for each HAP Senior Plus - Henry Ford option

Compare Medicare Part D prescription benefits for each HAP Senior Plus - Expanded Network option

Optional dental coverage

How to get extra help with Medicare Part D costs

Drugs and Pharmacy Information
Learn more about the drugs our plans cover.

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Healthy living starts with finding a health partner that keeps an eye out for your well-being, and a health plan that combines rich benefits, services, programs, and valuable extras that support a healthy lifestyle. You will find all that and more at HAP Senior Plus.

  • Value
    Stay active and healthy with preventive care and wellness programs, including our Flexible  Health Options benefit that gives you a benefit of up to $25 monthly for membership in health clubs, weight management programs, chiropractic services not covered by Medicare, and even acupuncture
  • Choice
    Choose the health and prescription drug benefit package that fits your budget and your needs. You can also add dental coverage if you need it
  • Responsive service
    Rely on your Personal Service Coordinator for assistance and information
  • Security
    Travel with confidence, with worldwide emergency and urgent care coverage
  • Experience
    Rely on a Michigan-based company that has been serving the community for over 45 years
  • Coordinated health team
    Select your Personal Care Physician (PCP), a doctor who knows you and your medical history. As your health partner, your PCP recommends specialists and coordinates all your care to make sure you get the care you need, at the right time and in the right setting

    You select your PCP from our group of providers.

    HAP Senior Plus - Henry Ford
    HAP Senior Plus - Henry Ford serves people with Medicare who live in Wayne, Oakland and Macomb counties and prefer to use the Henry Ford Health System. Henry Ford Health System operates as an integrated delivery system. Your Personal Care Physician (PCP) will coordinate your care and make arrangements for you, as necessary, to see other affiliated doctors and hospitals.

    HAP Senior Plus - Expanded Network
    HAP Senior Plus - Expanded Network serves people with Medicare who live in Wayne, Oakland, Macomb, Genesee, Lapeer, Livingston, Monroe, St. Clair and Washtenaw counties.

    HAP Senior Plus - Expanded Network has two delivery system options:

    A. Integrated Delivery System - If your choice of Personal Care Physician (PCP) is part of the Henry Ford Medical Group (HFMG), Detroit Medical Center (DMC) or Genesys PHO, you will be part of an integrated delivery system. Your Personal Care Physician (PCP) will coordinate your care and make arrangements for you, as necessary, to see other affiliated doctors and hospitals.

    B. Open Delivery System - All other providers and hospitals in the HAP Senior Plus - Expanded Network operate as an open delivery system. Your Personal Care Physician (PCP) will still coordinate your care, but you may seek needed care from any HAP contracted specialist, and you may use any HAP contracted hospital.

    With either delivery system, you must receive all your care from HAP Senior Plus providers, except for emergency and urgent care or out-of-area renal dialysis services. In some cases, coverage for specialist services may require a referral from your PCP.

Who can join

You may be eligible to enroll if:

  • You are enrolled in Medicare Part A and Part B
  • You reside within the plan service area
  • You must continue to pay your Part B premium after you enroll, if it is not paid for under Medicaid or by another third party.

Important information

HAP Senior Plus is a health plan with a Medicare contract. Our Medicare contract is renewed annually. The availability of coverage beyond the end of the contract year is not guaranteed. Please contact HAP for details.

You must use plan providers except in emergent or urgent care situations or for out-of-area renal dialysis. If you choose to go to a doctor outside your plan's service area for routine care, you must pay for the services yourself. Neither HAP nor Original Medicare will pay for these services.

Check to see if your doctor is already a HAP Senior Plus care provider. If not, give us a call, and we will talk with your doctor about joining our delivery system.

Other than emergency care situations, generally your prescription drug benefits are only available at contracted network pharmacies.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact the plan.

Can't find the information you want?

Call or write to us for more information about our benefits, enrollment periods, formulary or networks. Call toll-free:

Phone(800) 868-3153
TDD (800) 956-4325

Office Hours:
Monday - Friday 8 a.m. to 8 p.m.
Saturday 8 a.m. to noon.
At all other times, you may access our Interactive Voice Recording system at the same number.

Extended hours from November 15 - March 1:
7 days a week, including holidays, 8 a.m. to 8 p.m.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact the plan.

Already a member?
Contact Client Services.

Or mail your questions to:
MailHAP Client Services
Attn: Medicare
2850 West Grand Boulevard
Detroit, Michigan 48202

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