Except in an emergency or urgent care situation, there is no coverage for drugs purchased at a non-network pharmacy. In an emergency or urgent situation, if drugs are obtained at a non-network pharmacy, you will be responsible for costs incurred above the HAP-negotiated pharmacy rate. Quantity limitations and restrictions may apply. We cannot pay for drugs purchased outside of the United States, even for a medical emergency.
If you have limited income and resources, you may qualify for Extra Help to help you with the costs for your prescription drug coverage.
Part D benefits are provided through a network of contracted pharmacies. There are more than 2,000 pharmacies in the HAP Senior Plus® network. We meet Centers for Medicare & Medicaid Services (CMS) standards for access based on our service areas, as follows:
- 100% of beneficiaries who live in rural areas have a pharmacy within a 15-mile radius
- 100% of beneficiaries who live in suburban areas have a pharmacy within a 5-mile radius
- 100% of beneficiaries who live in urban areas have a pharmacy within in a 2-mile radius
The pharmacy network may change at any time. You will receive notice when necessary.
Get more information about the Health Alliance Plan of Michigan and Alliance Health and Life Insurance Company contracts with the Centers for Medicare and Medicaid Services (CMS).
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2018 Health Alliance Plan of Michigan
Y0076_2019 HAP Website
CMS Accepted 10/1/2018
HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health 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 in the plans depends on contract renewals. HAP Senior Plus (PPO) is a product of Alliance Health and Life Insurance company, a wholly owned subsidiary of HAP.
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).
