Eligibility Notice: SHP enrollment is closed, effective November 5, 2008

Saginaw Health Plan has the following programs available.  Eligiblity information for each program is as follows:

Plan A

Plan A is the Adult Benefit Waiver Program through Michigan Department of Community Health.  Eligibility and program open enrollment dates are determined by MDCH.  Visit their website at http://www.michigan.gov/mdch/0,1607,7-132-2943-66333--,00.html or contact them by calling 1-800-642-3195.

Plan B

If you live in Saginaw County, are between the ages of 19-64, have no health insurance, are a U.S. citizen, and meet the income requirements below, you may qualify for Plan B. You may have Medicaid spend down and be eligible to enroll. You must come into the office and complete an application.. Please call (989) 758-3855 if you have additional questions.

To enroll in Plan B, your household income must be no more than the amount in the table below.

Family Size

Annual Income Limit

Monthly Income Limit

One

$9,800.00

$820.00

Two

$13,200.00

$1,100.00

Three

$16,600.00

$1,385.00

Four

$20,000.00

$1,670.00

Five

$23,400.00

$2,035.00

For each additional dependent in your family, add $4,250.00 per year.

TriShare

Tri Share is a program that will be funded by individuals, their employer nd county funds.   More information regarding Tri Share will be coming in the near future.
When You Enroll

When you enroll, you will need proof of income (a paystub), your social security card and a picture ID. A Michigan Identification Card or driver’s license will do. You will receive an enrollment card within ten business days. If you do not receive a card, please call us at (989) 797-7610.

You will need to show identification when you use your enrollment card to received health care services.

Only the person listed on the card may use it to receive services. Keep it with you at all times.

When you receive your card, you will note that your coverage will end in one year. It is your responsibility to contact Saginaw Health Plan at  (989) 758-3855 to make sure your coverage isn’t interrupted.
Choosing a Doctor

You must see a Saginaw Health Plan doctor or provider for your health services. If you did not select a primary care physician at the time of enrollment, you should call (989) 797-7610 to choose a doctor. If you did not choose a doctor at enrollment, or have not called to choose a doctor, the 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.

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 the identification card. Describe why you need to see the doctor.

The doctor’s assistant may give you an appointment. 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
  • Bring with you any medications 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.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 Saginaw Health Plan

Other Insurance

If you become eligible for any kind of insurance, you will not be eligible for enrollment in Saginaw Health Plan or the State Medical Program. Please notify Saginaw Health Plan at (989) 797-7610. This is a local call.

Moving out of Saginaw County

You must live in Saginaw County. Please notify Saginaw Health Plan at (989) 797-7610 if you move out of Saginaw County.

Change of Income

Please notify the Saginaw County Health Department at (989) 758-3855 of any change in income or circumstances.