What is the out-of-pocket limit in 2017?

As of January 1, 2017, non-grandfathered health plans must cap in-network out-of-pocket expenses to: $7,150 individual $14,300 family...

How do I see a specialist?

When specialty services, beyond routine OB/GYN care, are medically necessary, your PCP will direct you to a specialist.

Do I need a refferal to see a OB/GYN doctor?

No, members can seek OB/GYN services from any plan-affiliated doctor without a refferal. Services can include: Pap test Breast exam ...

How long will it take to see a physician?

Here is the maximum length of time you should have to wait to see your doctor: Preventive visits (nonsymptomatic office visits such as an...

Am I required to receive specialty care within the Henry Ford Preferred network?

Yes, unless services are not available in the Henry Ford Health System Henry Ford Preferred Network. If services are not available, your PCP will...

Which obstetrical and gynecological services are considered nonroutine?

Treatment for a condition requiring multiple visits such as surgery Inpatient OB/GYN care (not including delivery and hospital stays immediately...

Can I enroll in a HAP indvidual plan if my employer offers other coverage?

You can purchase HAP coverage from the Marketplace, but because you have access to coverage through your employer, you will not be eligible for...

I have an HMO plan. Do I need to choose a primary care physician?

As an HMO member, you are required to select a HAP-affiliated PCP to manage your health care. A PCP will coordinate your medical treatment whether...

What if my physician leaves their network?

Members are notified when their PCP leaves the network and are given the opportunity to choose another PCP in the assigned network or transfer to...

I have a Henry Ford Medical Group doctor. Which Henry Ford hospitals can I use?

Specific diagnostic and therapy services can be received at Henry Ford Hospital, Henry Ford Wyandotte, Henry Ford Macomb, Henry Ford Macomb-Warren...

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