Core Benefits

We want to help keep you and your family healthy. We strive to do that by providing the health care benefits you need, when you need them. Below are the core health care benefits that are covered for all our UPHP Medicaid members, regardless of what program you are enrolled in.

UPHP covers most care without a referral or medical review. Some services require prior authorization, also known as preauthorization. This approval from UPHP may be required before you get a service, medical equipment, or fill a prescription in order to be paid for by UPHP.

For more detail and a full list of benefits, see the UPHP Member Handbook or the Certificate of Coverage specific to your plan:

For benefits specific to the Healthy Michigan Plan, visit the Healthy Michigan Plan Web page.

Page Last Updated: 09/19/2022