Skip to content

HAP MSU-HC Medicare Prime (PPO)

4
Service Area
Enroll now Schedule virtual appointment
Questions?
Call a HAP Medicare expert at: (833) 647-2333 (TTY: 711)
Monthly Premium You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.
$0*
Max out of pocket
$5,300
Deductible
$0
Copays (PCP/Specialist)
$0/$35. Out-of-Network: $20/$45
Dental
$0 preventive - 2 cleanings, 2 exams, 2 fluoride treatments & a set of bite-wing x-rays per year. $0 copay, no deductible, maximum benefit of $2000 per calendar year. Comprehensive dental covered 50%. Delta Dental PPO only network. 
Vision
$0 routine exam. $150 yearly allowance for eyeglasses or contact lenses. 20% discount over $150 base allowance for frames, lenses, lens options. 40% discount applies on the purchase of any additional eyeglasses; must use EyeMed provider.
Hearing / Hearing Aids
$0 routine exam. Copays for hearing aids - 1 per ear/per year; must use NationsHearing.
Inpatient Hospital
$350 Days 1-5, $0 for Days 6-90. 35% coinsurance for Out-of-Network. 
Preventive Care
No copay for services considered preventive.
Outpatient Diagnostic Labs, Procedures, Tests
$0 lab tests. $0 - $250 copay depending on service. 35% coinsurance for Out-of-Network. 
Emergency Room / Urgent Care
$125/$45; worldwide coverage
Physical, Occupational and Speech Therapy
$20. 35% coinsurance for Out-of-Network. 
Prepaid Benefits Mastercard
$105 per quarter for retail over-the-counter, dental, vision, hearing, transportation and more. 
Enroll now
 * You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.  
HAP Senior Plus (HMO-POS), HAP Medicare MedicalAccess (HMO), HAP Senior Plus Henry Ford Tiered Access (HMO), HAP Medicare Connect (HMO), HAP Medicare Superior (HMO), Henry Ford Select (HMO), HAP Senior Plus (PPO), HAP Medicare Explore (PPO), HAP Medicare Prime (PPO), HAP Member Assist (PPO), HAP Medicare Diabetes and Heart (HMO C-SNP), and HAP CareSource™ MI Coordinated Health (HMO D-SNP) has a contract with Medicare. Enrollment depends on contract renewal.