Medicaid 101

What is Medicaid?

Medicaid is a health care program funded by the state and federal government that provides health care services to eligible, low-income Michigan citizens, including adults, children, the elderly, pregnant woman, and some people with disabilities.

The Upper Peninsula Health Plan (UPHP) is a managed care organization licensed by the State of Michigan to provide Medicaid medical services. UPHP is the only organization of this kind in the Upper Peninsula. Once you enroll in a Medicaid program in our service area, you will most likely be auto-enrolled into UPHP. If you are not auto-enrolled, call Michigan ENROLLS toll-free at 1-888-367-6557 and ask to be enrolled into UPHP.

Our service area includes all counties of Michigan’s Upper Peninsula:

UP County Map

UPHP Medicaid Programs

Michigan Medicaid provides health care coverage for low-income individuals of all ages. UPHP covers children, families, pregnant women, the elderly, and disabled individuals. Medicaid members have no copays and do not need to pay for medically-necessary services that are covered on the contracted fee schedule and coordinated with your primary care provider.

The Healthy Michigan Plan provides health care benefits to Michigan residents at a low cost so that more people can have health coverage. To be eligible, you must be between the ages of 19-64 and have an income at or below 133 percent of the federal poverty level. Healthy Michigan Plan members have cost sharing in the form of copayments and contributions. See the Healthy Michigan Plan Web page for more information

MIChild is a Medicaid program for uninsured children of Michigan’s working families. UPHP provides coverage to children who are less than 19 years old and reside in the Upper Peninsula of Michigan. You pay just $10 a month for your whole family to be covered (even if you have more than one child).

Children’s Special Health Care Services (CSHCS) is a program within the Michigan Department of Health and Human Services. It is for children and some adults with health care needs and their families. CSHCS members do not have any copayments.

No matter which plan you qualify for, you can rest easy knowing your care is covered, including:

  • Doctor visits and preventive care
  • Hospital stays
  • Urgent and emergency care
  • Maternity care
  • Prescription drugs
  • And more

 


Page Last Updated: 06/10/2019