You must see a Genesee Health Plan doctor or provider for your health services. Referrals to a specialist must be within the same health system as your primary care physician. Your doctor has a list of these providers. If you did not select a primary care physician at the time of enrollment, you should call (810) 720-7785 to choose a doctor from the provider list. If you did not choose a doctor at enrollment, or have not called to choose a doctor, Genesee Health Plan will pick a doctor for you and notify you by mail. You may choose your doctor once a year. However, we will be happy to work with you to find a doctor if there are special issues or concerns. It is recommended that after you have enrolled in Genesee Health Plan, contact your primary care physician and schedule an initial appointment.
Your doctor will arrange for your care, including referrals to a specialist, x-rays or prescriptions. If you need to see your doctor, call for an appointment. The number is on your enrollment card. Describe why you need to see the doctor. The doctor’s assistant may give you an appointment. He or she may also suggest that you try something at home or go to a specialist.
Be ready for your appointment with the doctor:
- Write down how you are feeling.
- Write down any questions you want to ask.
- Write down the names of any medicines you are taking.
- Ask questions about your doctor’s directions.
If you need to change or cancel an appointment, please call your doctor the day before. It is your
responsibility to keep all doctor appointments. You may be charged for appointments not kept. This
allows your doctor to see someone else who may need services. If you have a life-threatening emergency, you should go directly to an emergency room or call 911.
Disenrollment From Genesee Health Plan
If you become eligible for any kind of insurance, you will not be eligible for enrollment in Genesee Health Plan or the State Medical Program. Please notify Genesee Health Plan at (810) 720-7785. This is a local call.
Moving out of Genesee County
You must live in Genesee County. Please notify Gemesee Health Plan at (810) 232-7740 if you move out of Genesee County.
Change of Income
Please notify the Genesee County Health Plan at (810) 232-7740 of any change in income or circumstances.
Fraud and Abuse
Genesee Health Plan (GHP) does not condone activities of fraud and abuse by its members. Activities of fraud and abuse include:
* Altering or forging a prescription by the member.
* Drug-seeking behavior, attempting to go to multiple physicians or pharmacies to get narcotics or other addictive medicines.
* Aggressive or threatening behavior to GHP Staff or to GHP contracted providers or their office staff.
* Misrepresentation of themselves or the information a member provides.