What you need to know about Coronavirus and your HAP Coverage

Coverage when you travel

See how HAP is here for you when you’re on the go. Explore the travel benefits that come with a HAP Medicare plan.

Medical coverage when you travel

All HAP Medicare plans cover urgent and emergency medical care worldwide. 

HAP Medicare HMO Plans

When you travel, your HAP plan does, too. HAP HMO Medicare Advantage plans include a travel benefit in Florida, Arizona, Texas and out-of-area Michigan. This is a great option if you travel to warmer climates during the winter. 

  • Use your HAP coverage while you’re in Arizona, Florida, Texas and Michigan (out-of-area) for up to six months
  • Get the same HAP in-network cost-sharing rates as at home

To activate your travel benefit, just call HAP Customer Service before you depart. We’re also happy to help you locate a doctor, hospital or pharmacy.

HAP Medicare HMO- POS and PPO Plans

With a HAP HMO-POS and PPO Medicare Advantage plan, you can get care from thousands of leading doctors and hospitals in Michigan, as well as throughout the country. You will have reduced out of pocket costs when you stay in network.

HAP Medicare Supplement Plans

You can visit any doctor, specialist or hospital that participates in Medicare, anywhere in the U.S. And with a HAP plan, no referrals are necessary or required to see a specialist.

A few things to keep in mind:

  • Generally, the site where you seek care will ask for your health insurance card and for you to call the number on the back for billing or coverage questions.
  • If the doctor or hospital requires immediate payment for services, you're responsible for paying the hospital or doctor.
  • We will reimburse you for the covered services (please refer to your plan contract) less any copays or coinsurances you're required to pay.
  • If you're a HAP Medicare member and you're admitted to a hospital not affiliated with us, you or your designee should notify us within 48 hours. We need to follow up on your emergency care. Contact us at the phone number listed on the back of your member ID card.

Please refer to your HAP Evidence of Coverage or your Alliance Medicare Supplement® policy for complete benefit information.

Medical services reimbursement

If you would like to request reimbursement, mail a completed Medical Services Reimbursement Form (PDF) along with receipts to:

Health Alliance Plan
Attention: Member Reimbursement
2850 W. Grand Blvd.
Detroit, MI 48202

Prescription coverage when you travel 

HAP has more than 2,000 pharmacies in our network – including nationwide chains such as CVS – so it’s easy to find a convenient location near you. In an emergency or urgent care situation, you also have coverage for drugs purchased at a non-network pharmacy.

HAP will cover your prescription at a non-network pharmacy if at least one of the following applies:

  • The prescriptions are related to care for a medical emergency or urgently needed care
  • You're unable to obtain a covered drug in a timely manner within our service area because there is no plan pharmacy within a reasonable driving distance that provides 24-hour service
  • You're trying to fill a prescription for a covered drug not regularly stocked at an accessible plan retail or mail-order pharmacy

Before you fill your prescription in any of these situations, contact us to see if there’s a plan pharmacy in your area where you can fill your prescription.

If you go to a non-network pharmacy for any of the reasons listed above, you’ll have to pay the full cost (rather than paying just your copay) when you fill your prescription. Once you’ve paid for the medication, you can submit receipts to HAP for reimbursement. In addition to the normal copay, you’ll be responsible for any costs incurred above the HAP-negotiated pharmacy rate.

Only drugs approved by the Food and Drug Administration and sold in the United States qualify for Medicare Part D benefit coverage. All drugs purchased outside the United States, including Canada, are excluded from Medicare coverage.

Pharmacy reimbursement

To request reimbursement for our share of the cost, mail a completed Pharmacy Reimbursement Form (PDF) along with your receipts to:

HAP Claims Division
Pharmacy Reimbursement
2850 W. Grand Blvd.
Detroit, MI 48202

HAP and Assist America take the worry out of your travel plans

Travel emergencies can happen anyplace, anytime. When they do, HAP is here to help.

Assist America provides 24/7 travel assistance. HAP members can call on Assist America when they’re traveling 100 miles or more from home, for up to 90 consecutive days per trip. Assistance includes a wide range of travel emergencies at no extra cost such as: 

  • Critical care monitoring
  • Emergency medical evacuation
  • Hospital admission support
  • Lost luggage or document help
  • Medical help
  • Pre-trip information
  • Prescription help
  • Translator and legal help

Assist America's mobile app offers smartphone users a one-touch link to the operations center. 

Log in to your hap.org account and select Assist America in the Quick Links to get your exclusive code to use this service.

Have questions?

Send us an email or give us a call. Contact us.

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*Select HAP Medicare HMO members must call Customer Service to activate the travel benefit. Claims for nonemergent and non-urgent care may be denied if you do not call Customer Service prior to seeking medical care in Arizona, Florida, Michigan (out-of-service area), and Texas. This benefit is only applicable in the states referenced. Members will be charged in-network cost sharing for covered services received from providers that accept Medicare. All members are charged applicable cost sharing for emergent and urgent care as listed in the Evidence of Coverage. Members should receive prior authorization for services listed in the Evidence of Coverage when traveling to Arizona, Florida, Michigan (out-of-service area), and Texas.

Many of HAP’s individual Medicare Advantage plans include this benefit. If your employer provides your Medicare coverage, your benefit package is dependent on what your employer selected.

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

 Last Updated 2/10/2020

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).

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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)