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Getting Care

Do I need a primary care physician?

HMO: HMO members need to choose a PCP. Our HMO network includes thousands of doctors and leading hospitals.

PPO: Our vast network of doctors gives you great choices for care. HAP is affiliated with leading hospitals in Michigan. Our PPO plans don’t require you to choose a PCP, but we recommend you do. 

You can also call a PCP selection specialist at (888) 742-2727

Where to go for care – urgent, emergency, telehealth 

It's important to know the difference between urgent and emergency conditions to make sure you get the right care at the right time. This can save you out-of-pocket expenses and ensure you're treated quickly based on your condition. In most cases it will cost you less out-of-pocket to visit an affiliated urgent care center than an emergency room.   

Preventive services 

Most Preventive care is covered at no cost to you. Preventive care is an important part of staying healthy. HAP members are covered for a wide range of routine services including annual wellness checkups, breast cancer screenings, immunizations and more. 

For a personalized list of your recommended preventive services, log in to hap.org, and look under MyHealth reminders. 

Prescription coverage 

To make sure you receive the appropriate medications, HAP has a list of covered drugs, also called a formulary. These drugs are covered at different copay levels called tiers. 

Immunizations