Prescription coverage

HAP is here with zero dollar deductibles for covered prescriptions

Most HAP Medicare Advantage Plans include prescription drug coverage (or Part D) and a $0 annual prescription deductible. Other highlights include $0 copays for Tier 1 drugs purchased at a preferred pharmacy and 90-day supply mail order for Tier 1 and Tier 2 prescriptions.

You can use our shopping tool to compare plans. If enrolling during Annual Enrollment Period, you can complete an application starting Oct. 15. View our 2019 plans for Medicare coverage this year.

Find out if you qualify for Extra Help with prescription premium costs

Compare prescription drug benefits and costs

If your medication is covered by your Medicare insurance, you can use our online tool Express Scripts to compare prescription drug benefits across different plans. You also can compare plan options against current medication costs to choose the plan that best meets your needs. To use Express Scripts and see if your medication is covered, select your plan type below:

2020 Medicare Advantage Plans 

HAP Senior Plus (HMO)
HAP Primary Choice (HMO)
HAP Senior Plus Henry Ford Tiered Access (HMO)
HAP Choice Medicare (HMO) Option 1 
HAP Choice Medicare (HMO) Option 2
HAP Senior Plus (HMO-POS) Option 1 
HAP Senior Plus (HMO-POS) Option 2
HAP Senior Plus (PPO) Option 1 
HAP Senior Plus (PPO) Option 2
HAP Senior Plus (PPO) Option 3
HAP Senior Plus (PPO) Option 4
HAP Empowered Duals (HMO SNP)

2019 Medicare Advantage plans 

HAP Senior Plus Option 1 (PPO) 
HAP Senior Plus Option 2 (PPO) 
HAP Senior Plus Option 3 (PPO) 
HAP Senior Plus Option 4 (PPO) 
HAP Senior Plus (HMO)
HAP Senior Plus Henry Ford Tiered Access (HMO)
HAP Senior Plus Option 1 (HMO-POS)
HAP Senior Plus Option 2 (HMO-POS) 
HAP Senior Plus Option 3 (HMO-POS)
HAP Primary Choice (HMO) 
HAP Empowered Duals (HMO SNP)

Will my medication be covered?

If you’re shopping for a Medicare plan, you’re probably wondering if your insurance covers your prescription medication. The easiest way to tell if your medication is covered is to download the 2020 HAP Medicare formulary (PDF). Press Ctrl+F (Command+F for Mac) and type in the name of the drug to see whether it’s included in the covered drug list for your type of plan. The drug name will be highlighted.

You can also download the 2019 HAP Medicare Formulary (PDF) and the 2019 HAP Empowered Duals Formulary (PDF) 

Your Medicare Part B (Medical Insurance) does cover some outpatient prescription drugs under specific conditions. Learn more at Medicare.gov.

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To be covered by the plan, you must have your prescriptions filled at either plan retail pharmacies or our mail-order pharmacies. In some cases, prescriptions filled at a non-plan pharmacy may also be covered.

For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits are described in the Evidence of Coverage for each plan.

The formulary may change at any time. You will receive notice when necessary.

Copyright © 2019 HAP
2019 Health Alliance Plan of Michigan
Y0076_ALL 2020 HAP Website_M
CMS Accepted 9/29/2019

 Last Updated 9/26/2019

Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.

This information is not a complete description of benefits. For more information call Medicare Michigan customer service at (800) 868-9885 (TTY: 711) 8 a.m. to 8 p.m., seven days a week (Oct. 1 – March 31) / 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30).


Contact us

  • HAP Medicare Sales:

    (800) 868-9885 (TTY: 711)

  • (800) 868-3153 (TTY: 711)

    HAP Senior Plus®

    (800) 801-1770 (TTY: 711)

  • HAP Senior Plus®(PPO)

    (888) 658-2536 (TTY: 711)

  • Alliance Medicare Supplement:

    (800) 873-7526 (TTY: 711)