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Pivotal network for HAP members in Michigan

Experience quality care with the Pivotal network

HAP is proud to offer the Pivotal network, providing members with access to high-quality health care close to home. This network is designed to deliver outstanding care from a select group of doctors and health care providers while helping you save on monthly premiums. Here’s what you need to know about the Pivotal network and how to make the most of your benefits.

What is the Pivotal network?

The Pivotal network is an employer-sponsored HMO plan created in collaboration with HAP and Henry Ford Health. It leverages the strengths and innovation of both organizations to provide a comprehensive health care solution for business owners and their employees. The network focuses on delivering world-class care while reducing medical costs.

Network accessibility:

  • Extensive provider network:

    • The Pivotal network includes over 13,000 physicians and specialists.
    • Members have access to 13 acute care hospitals and over 500 sites of care, including Henry Ford Health, Henry Ford Physician Network, Henry Ford Allegiance Health, Jackson Health Network and Ascension Hospitals.
  • Finding a provider:

    • Use the Find-a-Doctor tool at hap.org to locate a primary care physician (PCP) within the Pivotal network.
    • Select "Pivotal Product" under the insurance plan dropdown and click "Search Providers".

Access to care:

  • Coordinated care:

    • Your PCP will be part of the Henry Ford system and will coordinate your care with other doctors within the network.
  • Emergency and urgent care:

    • All HAP health plans, including Pivotal plans, cover emergency care at any hospital.
  • Virtual care:

    • Members can see any doctor with virtual care capabilities for a variety of services with a $0 copay.
    • While traveling outside Michigan, Pivotal members can use HAP’s contracted rate with Amwell (American Well) for urgent telehealth services.
      • Not all providers in the Pivotal network offer virtual care services, and not all services can be performed virtually.

Member utilization:

  • Lower monthly premiums:

    • By choosing providers within the Pivotal network, you can benefit from lower monthly premiums compared to the full HMO network.
    • Coordinated care within the network helps reduce unnecessary expenses, contributing to overall cost savings.
  • Health care at your fingertips:

    • Use the MyChart online portal to securely manage and receive information about your health. You can message providers, schedule appointments, renew prescriptions, review medical records and view test results.
  • Personalized attention:

    • With our concierge phone support, members have an exclusive phone number to call for assistance. Members can call (888) 427-9473.
    • Members can get same-day appointments with PCPs for sick visits and appointments within 10 business days for specialist visits or annual physicals.