HAP will be moving from its Southfield office effective November 26, 2018. Please note the new address is 1414 E. Maple in Troy

Explore HAP’s 2019 plan information brochure

Using your Medicare plan

HAP benefit summaries for UAW Trust Medicare Eligible members

New to Medicare?

You are eligible for an introductory “Welcome to Medicare” preventive visit within the first 12 months you have Part B (medical insurance). This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including certain screenings, shots, and referrals for other care, if needed. You pay nothing for the “Welcome to Medicare” preventive visit, however, if your doctor or other health care provider performs additional tests or services during the same visit that aren’t covered under these preventive benefits, you may have to pay a copay and/or deductible if applicable.

What is an HMO?

HMO stands for health maintenance organization. All of your care is coordinated through a primary care physician (PCP) whom you can select. Your PCP will provide your covered preventive care, keep your medical history and help you choose a specialist when you need one. While you can refer yourself to some in-network specialists, such as an allergist or a dermatologist, you will need a referral from your PCP in order to get specialty care. You are covered worldwide for emergency and urgent care.

Where can I seek care with an HMO?

In addition to worldwide Emergency Room and Urgent Care coverage, you can seek care in any of the following counties:

  • Arenac
  • Bay
  • Genesee
  • Huron
  • Iosco
  • Lapeer
  • Livingston
  • Macomb
  • Monroe
  • Oakland
  • Saginaw
  • Sanilac
  • Shiawassee
  • St. Clair
  • Tuscola
  • Washtenaw
  • Wayne

Find an HMO doctor

Students away at school

Members that have children that are away from home can rest assured they will be covered under HAP, even while they’re at school. Children ages 5 to 26, who go to school outside HAP’s coverage area, are covered for emergencies and urgent care.

Additional covered services

While students are away at school, common medical services are treated as in-network service, with prior approval:

  • Required maintenance visits for chronic conditions as authorized by HAP
  • Allergy injections
  • Prescription coverage as allowed under the member’s Prescription Medication Rider
  • When related to an acute illness or injury:
  • Routine immunizations/vaccines according to the recommendations from the Centers for Disease Control and Prevention (CDC)

Choosing your primary care physician (PCP)

All HAP HMO plan members pick a primary care physician (PCP). The PCP coordinates your care and keeps your medical history up to date. Thankfully, HAP’s networks give you access to thousands of doctors and the leading hospitals.

  • Choose who you like — when you like. Unlike other HMOs, you can change your PCP whenever you like. Everyone on your HAP HMO plan is free to choose the PCP of their choice. Your PCP keeps your health care history and can speak to specialists on your behalf. This way, you’re not alone. You always have a health care team collaborating about your care.
  • Freedom to see your HAP dermatologist or your kids’ allergist without referrals. In fact, you won’t need referrals to visit many of our specialists.
  • Paperless and hassle-free referrals. If you need a referral to a specialist or ancillary provider, such as X-rays or lab tests, it’s paperless with HAP. Your PCP does all the work for you. You simply show up at your appointment and your paperwork has already arrived.

Emergency and urgent care overview

Dealing with an urgent or emergency situation isn’t something you want to go through. But knowing where to go for care before something happens is important. With HAP, you can quickly take care of any health issue that may come up. Across the nation or the around globe - your HAP medical coverage will be there for you.

Knowing the difference between urgent and emergency conditions

It’s important to know the difference between the two situations 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.

Why urgent care is often a better option than the emergency room

In most cases it will cost you less out-of-pocket to visit an affiliated urgent care center than an emergency room.

So unless there’s a medical emergency (broken bone, chest pains, difficulty breathing, severe burn, etc.), it usually makes more sense to go to urgent care – and save yourself the extra money.

Urgent care centers are staffed by fully accredited doctors and are as equally equipped as ERs to handle issues like sprains, cuts that require stitches, minor burns, back pain, the flu and more. Wait times at urgent care centers also tend to be shorter than ERs.

Quick, easy access to your health information once you’re a HAP member

You can access all your important information in one convenient place through at the member portal at hap.org. Here you can log on and review or print:

  • Plan documents such as:
    • Subscriber contracts
    • Benefit summary
    • Riders
  • Claims information
    • Explanation of Benefit statements

Understanding deductibles

A deductible is a plan cost-sharing element for HMOs offered through the Trust.

It is a fixed amount of money you have to pay annually before HAP begins paying its portion of your medical costs. Generally, medical services covered by a flat copay, and prescription drugs, do not count toward the deductible. All other covered services without copays count toward the deductible.

A health insurance deductible works similar to auto insurance. Let’s say you are involved in an accident; you have to pay your deductible amount and then your insurance company pays for the rest of the repair work. Health insurance deductibles work the same way.

Enroll in HAP in one easy step. Call Retiree Health Care Connect at (866) 637-7555.

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