Provider Search – MI Health Link
- Provider Search – Search for primary care providers and specialists in your area.
- Hospital Search – Search for hospitals in your area.
- Facility Search – Search for ancillary providers in your area, including audiology, dialysis, durable medical equipment, physical therapy, and more.
- Behavioral Health Search – Search for Behavioral Health providers in your area.
- Long-Term Support Services – Search for long-term support services providers in your area.
- Pharmacy Search– Search for pharmacies that participate with the plan. If you need to locate a pharmacy outside of Michigan’s Upper Peninsula please click here. (Clicking on this link will take you away from UPHP’s website.) (Scroll down for additional Pharmacy information.)
- Dentist Search – Search for dentists that participate with the plan. (Clicking on this link will take you away from UPHP’s website.)
- Upper Peninsula Health Plan (UPHP) MI Health Link (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees.
- This searchable directory lists health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as adult day health and home health providers) that you may see as a UPHP MI Health Link member. We also list the pharmacies that you may use to get your prescription drugs.
- We will refer to these groups as “network providers” in this directory. These providers signed a contract with us to provide you services. This is a list of UPHP MI Health Link’s network providers for the Upper Peninsula of Michigan, including Alger, Baraga, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Keweenaw, Luce, Mackinac, Marquette, Menominee, Ontonagon, and Schoolcraft counties.
- You can get this information in print for free in other languages. Call UPHP MI Health Link Customer Service 1-877-349-9324 (TTY: 711) seven days a week from 8 a.m. to 9 p.m. Eastern time. The call is free.
- Puede obtener esta información de forma gratuita en otros idiomas. Llame a Servicio al cliente de Upper Peninsula Health Plan (UPHP) MI Health Link (Plan Medicare-Medicaid) al número 1-877-349-9324 (TTY 711) los 7 días de la semana, de 8 a. m. a 9 p. m., hora del este. La llamada es gratis. يمكنك الحصول على هذه المعلومات بلغات أخرى مجانًا. اتصل بخدمة العملاء الخاصة ببرنامج UPHP MI Health Link برنامج التابع للبرنامج الصحي لشبه الجزيرة العليا على الرقم (TTY 711) 1-877-349-9324 والذي يعمل أيام في الأسبوع من 8 ص إلى 9 م بالتوقيت الشرقي. المكالمة مجانية.
- You can also get this information for free in other formats, such as large print, Braille, or audio. Call 1-877-349-9324 (TTY: 711) seven days a week from 8 a.m. to 9 p.m. Eastern Time to request alternate formats. You can also make a standing request for materials. The call is free.
- Providers are health care professionals and support providers such as doctors, nurses, pharmacists, therapists, and other people who provide care and services. Services include medical care, long-term supports and services, supplies, prescription drugs, equipment and other services.
- The term providers also includes facilities such as hospitals, clinics, and other places that provide medical services, medical equipment, and long-term supports and services.
- Providers that are a part of our plan’s network are called network providers.
- Network providers are the providers that have contracted with us to provide services to members in our plan. The providers in our network generally bill us directly for care they give you. When you see a network provider, you usually pay nothing or pay only your share of the cost for covered services.
- A primary care provider (PCP) is a physician, physician assistant or nurse practitioner who gives you routine health care. Your PCP will keep your medical records and get to know your health needs over time. Your PCP will also give you a referral if you need to see a specialist or other provider.
- Specialists are doctors who provide health care services for a specific disease or part of the body. There are many kinds of specialists. Here are a few examples:
- Oncologists care for patients with cancer.
- Cardiologists care for patients with heart conditions.
- Orthopedists care for patients with certain bone, joint, or muscle conditions.
- You may need a referral to see a specialist or someone that is not your PCP. A referral means that your network PCP or our plan must give you approval before you can see the other provider.
- Referrals from your network PCP or our plan are not needed for:
- Emergency care;
- Urgently needed care;
- Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plan’s service area; or
- Services from a women’s health specialist.
- Additionally, if you are eligible to receive services from Indian health providers, you may see these providers without a referral. We must pay the Indian health provider for those services even if they are out of our plan’s network.
- More information on referrals is available in Chapter 3 the Member Handbook.
- Referrals from your network PCP or our plan are not needed for:
- Your provider may need prior authorization or an approval from UPHP MI Health Link before you get certain services. Covered services that need prior authorization are marked in the Benefits Chart in Chapter 4 of the Member Handbook. Some drugs are covered only if you get prior authorization from us. Covered drugs that need prior authorization are marked in the List of Covered Drugs.
- You also have access to a Care Coordinator and a Care Team that you choose.
- A Care Coordinator helps you manage your medical providers and services.
- Your Care Team includes you, your chosen allies or legal representative, PCP, Care Coordinator, LTSS Coordinator and/or PIHP Supports Coordinator (as applicable), and others as needed. Everyone on the Care Team works together to make sure your care is coordinated. This means that they make sure tests and labs are done once and the results are shared with the appropriate providers. It also means that your PCP should know all medicines you take so that he or she can reduce any negative effects. Your PCP will always get your permission before sharing your medical information with other providers.
- who has been recommended by someone you trust, or
- that you use now, or
- whose offices are easy for you to get to.
- You may change providers within the network at any time. If you have been going to one network provider, you do not have to keep going to that same provider. For some providers, you may need a referral from your PCP.
- UPHP MI Health Link works with all the providers in our network to accommodate the needs of people with disabilities. As applicable, the list of network providers in this searchable directory includes information about the accommodations they provide. If you need to see a provider and are not sure if they offer the accommodations you need, UPHP MI Health Link can help you. Talk to your Care Coordinator for assistance.
- Health care professionals including PCPs, who may be physicians, physician assistants, nurse practitioners, hearing, dental, or vision specialists.
- Facilities including hospitals; urgent care centers; nursing facilities; Prepaid Inpatient Health Plan (PIHP) facilities for needs related to behavioral health, intellectual/developmental disability, and/or substance use.
- Support providers including adult day services; assistive technology; chore services; community transition; environmental modifications; home-delivered meals; LTSS and non-LTSS home health agencies; non-medical transportation; personal care; preventive nursing; private duty nursing and/or respite care.
This directory provides a list of pharmacies in UPHP MI Health Link’s network. These network pharmacies are pharmacies that have agreed to provide prescription drugs to you as a member of the plan.
- You must use network pharmacies to get prescription drugs except in emergency or urgent situations. If you go to an out-of-network pharmacy for prescriptions when it is not an emergency, you will have to pay out of pocket for the service. Read the UPHP MI Health Link Member Handbook for more information.
- Some network pharmacies may not be listed in this directory.
- Some network pharmacies may have been added or removed from our plan after this directory was published.
The pharmacy network may change at any time. You will receive notice when necessary.
For up-to-date information about UPHP MI Health Link’s network pharmacies in your area, please use this directory or call Customer Services at 1-877-349-9324 (TTY 711) seven days a week from 8 a.m. to 9 p.m. Eastern Time. The call is free.
To get a complete description of your prescription coverage, including how to fill your prescriptions, please read the Member Handbook.
UPHP MI Health Link has contracts with pharmacies that equal or exceed requirements of the Centers for Medicare and Medicaid Services (CMS) and Michigan Department of Health and Human Services (MDHHS) for pharmacy access in your area. UPHP MI Health Link has contracts with many pharmacies in the service area.
We generally cover drugs filled at an out-of-network pharmacy only when you are not able to use a network pharmacy. Here are the circumstances when we would cover prescriptions filled at an out-of-network pharmacy.
Plan drugs may be covered for up to a 30-day supply in special circumstances—for instance, illness while traveling outside of the plan’s service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy’s full charge for the drug and submit documentation to receive the reimbursement from UPHP MI Health Link. Depending on your income and institutional status, you will be reimbursed by UPHP MI Health Link up to the full cost of the drug, minus the co-payment.
In these situations, please check first with Customer Service to see if there is a network pharmacy nearby.
To find a pharmacy that participates with UPHP MI Health Link, you can use the search tool above.
Our Pharmacy Search Tool allows you to search for pharmacies in your area.
To locate a network pharmacy, please follow the steps below:
- Identify the “Pharmacy Type” you are looking for (Retail, Home Infusion, Long Term Care, I/T/U); And/or
- Search and locate the “Pharmacy Type” section within this directory; or
- Search and locate the “County” you are looking for (counties are listed in alphabetical order); or
- Search and locate the “City” you are looking for (cities are listed in alphabetical order); or
- Search and locate a pharmacy by “Pharmacy Name” (pharmacies are listed in alphabetical order.
Please call UPHP MI Health Link at 1-877-349-9324 (TTY: 711) seven days a week from 8 a.m. to 9 p.m. Eastern Time if you would like assistance locating a network pharmacy.
Identifying Pharmacies in our Network
Along with retail and chain pharmacies, your plan’s network of pharmacies includes:
- Home infusion pharmacies
- Long-term care (LTC) pharmacies
- Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies.
You are not required to continue going to the same pharmacy to fill your prescriptions. You can go to any of the pharmacies in our network.
Long-term Supplies of Prescriptions
UPHP MI Health Link’s does not offer a long-term supply of drugs.
Home Infusion Pharmacies
Search the list of UPHP MI Health Link Network pharmacies to find a home infusion pharmacy provider in your area. For more information, contact Customer Service at the number provided above.
Long-term Care Pharmacies
Residents of a long-term care facility, such as a nursing home, may access their prescription drugs covered under UPHP MI Health Link through the facility’s pharmacy or another network pharmacy.
Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies
Only Native Americans and Alaska Natives have access to Indian Health Service/ Tribal/Urban Indian Health Program (I/T/U) Pharmacies through UPHP MI Health Link’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to go to these pharmacies under limited circumstances (i.e. emergencies). I/T/U Pharmacies are not accessible to all members.
Page Last Updated: 02/6/2019
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