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).
Copyright © 2017 HAP
2017 Health Alliance Plan of Michigan
Y0076_ALL_2018029 Website MP
CMS Approved: 6/26/2017
Last Update: 6/21/2017
HAP Senior Plus HMO, HMO-POS, and PPO are health plans with a Medicare contract. Enrollment in these plans depends on contract renewal. HAP Senior Plus PPO is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP. Alliance Medicare Supplement 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. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.