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C o n fi d e n c e c o m e s w i t h e v e r y c a r d .
Help With
Health Care Resources for the uninsured
and underinsured
Southeast Michigan
2
2
Table of Contents
Introduction ................................................................................2
How to get health insurance coverage in Michigan ....................2
Overview..................................................................................... 2
Healthy Michigan Plan................................................................ 3
Health Insurance Marketplace .................................................... 5
How to find free and low cost health care services
and other health care resources..................................................8
State and federal programs........................................................ 8
Dental ......................................................................................... 9
Vision ........................................................................................ 11
Mental health and substance abuse services ........................... 11
Free and low cost health centers.............................................. 14
Help lines and special programs .............................................. 20
Additional resources................................................................. 21
Understanding health insurance and
how to access health care services............................................22
5 costs that make up a health plan........................................... 22
Finding a doctor ....................................................................... 23
Making the most of your appointment..................................... 23
Where to go for health care ..................................................... 23
11
Did you
know
Introduction
Your health is important to us thats why we developed this Help with Health Care brochure. Its designed to help you understand how to get health insurance coverage and find free and low cost health care services. This brochure is divided into three sections:
1. How to get health insurance coverage in Michigan
2. How to find free and low cost health care services and other health care resources
3. Understanding health insurance and how to access health care services
Weve listed the health care and services information in the following counties:
Macomb, Monroe, Oakland and Wayne
How to get health insurance coverage in Michigan
1
The Affordable Care Act gives people more choices for health coverage. There are two types of plans that provide financial help getting health coverage: the Healthy Michigan Plan and the Health Insurance Marketplace.
The Healthy Michigan Plan is health coverage from the state of Michigan. Eligibility is determined by a list provided in the next section. The Health Insurance Marketplace offers coverage through private health insurance companies. Eligibility for the Health Insurance Marketplace is based on your income.
1. The Healthy Michigan Plan
These plans lower costs by reduced cost-sharing, called a subsidy. Cost-sharing lowers the amount you pay out of pocket for deductibles, coinsurance, and copayments, to help cover costs such as doctor visits.
Did you
know 2
3 2
The Healthy Michigan Plan expands the Medicaid Program to make health care benefits available to Michigan residents at a low cost. Eligibility for the Healthy Michigan Plan is listed below:
Ages 1964
Not currently eligible for or enrolled
in other Medicaid programs
Not eligible for or enrolled in Medicare
Not pregnant when applying for the Healthy Michigan Plan
Have income at or below 133% of the federal poverty level (approximately $16,000 for a single person or $33,000 for a family of four)
A resident of Michigan
The Healthy Michigan Plan includes many health care benefits and services covered under the federal health care law. This means its easier to get the health care you need at a cost you can afford. The Healthy Michigan Plan includes the following services:
There are three easy ways to apply for the Healthy Michigan Plan:
Ambulatory patient services Hospitalization
Emergency visits Maternity care
Lab services and fees Prescription drugs
Mental health and Pediatric services for 19 to 20 substance abuse treatment year olds including dental and
vision care Preventative and wellness
treatment and chronic
disease management
Visit michigan.gov/mibridges*
Call the Michigan Health Care Hotline at 1-855-789-5610
Visit your local Department of Health and Human Services office
After you enroll in a Healthy Michigan Plan, youll be asked to fill out
a Health Risk Assessment Form. You can get the form sent to you by mail, from your doctors office, or online at michigan.gov/healthymiplan.* Once you get the form and fill it out, make an appointment with your doctor. Your doctor and your health plan will be able to use this form to provide you with the health care you need. The health form should be completed each year.
The Healthy Michigan Plan has copays. After you are enrolled in a health plan, most copays will be paid through a special health care account called the MI Health Account. The monthly amount you pay is based on the services you received the first six months. If your income is between 100-133% of the federal poverty level, youll also be required to pay a small amount of your yearly wages for cost sharing purposes. You will get more information about your MI Health Account, copays and contributions from your health plan. Copay amounts are in the chart below.
Covered services Copay
Physician office visits (including free-standing urgent care centers) $ 2
Outpatient hospital clinic visit $ 1
Emergency room visit for non-emergency services Copayment ONLY applies to non-emergency services There is no co-payment for true emergency services
$ 3
Inpatient hospital stay (with the exception of emergent admissions) $ 50
Pharmacy $ 1 generic $ 3 brand
Chiropractic visits $ 1
Dental visits $ 3
Hearing aids $ 3 per aid
Podiatric visits $ 2
Vision visits $ 2
You can reduce your copays by working to improve your health. Copays are not required for certain services that help you get or stay healthy. These include preventive services and services that help you manage a chronic condition.
4
5 4
2. The Health Insurance Marketplace The Health Insurance Marketplace offers coverage provided by private health insurance companies at a reduced rate for families with limited incomes. You can visit the Marketplace at healthcare.gov.* If your income is between 100 percent and 400 percent of the federal poverty level, you may be eligible for tax credits or a subsidy. This will help lower the cost of your health coverage. To get an estimate of the subsidy for which you might be eligible, go to bcbsm.com/subsidy.
There are four types of plans available in the Marketplace:
Bronze plans cover 60% of health care costs
Silver plans cover 70% of health care costs
Gold plans cover 80% of health care costs
Platinum plans cover 90% of health care costs
To enroll in a plan on the Marketplace, youll need:
Number of dependents. This is the number of people you claimed on your last tax return.
Social Security numbers or immigration document numbers.
Estimated household income. This is the yearly income for you and each of your dependents. This can be found on last years W-2 tax forms.
Policy numbers for current insurance.
http:healthcare.gov
Did you
know
The table below shows income levels for premium tax credit and reduced cost sharing eligibility.
Number of people in your family/ household
If your household income is in this range, you may be eligible for a premium tax credit through the Health Insurance Marketplace
If your household income is in this range, you may be eligible for reduced cost-sharing through the Health Insurance Marketplace
1 $16,394 - $47,080 $16,394 - $29,425
2 $22,108 - $63,720 $22,108 - $39,825
3 $27,821 - $80,360 $27,821 - $40,225
4 $33,534 - $97,000 $33,534 - $60,625
5 $39,247 - $113,640 $39,247 - $71,025
6 $44,960 - $130,280 $44,960 - $81,425
7 $50,687 - $146,920 $50,687 - $91,825
8 $56,428 - $163,560 $56,428 - $102,225
9 $62,169 - $180,200 $62,169 - $112,625
10 $67,910 - $196,840 $67,910 - $123,025
Income levels are based on the 2016 federal poverty guidelines. These guidelines are updated each year.
Did you
know If you qualify, the Health Insurance Marketplace plan lowers monthly premiums through premium tax credits.
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7 6
Questions about health insurance or how to get coverage Visit these sites to answer questions about health care reform, health plans and enrolling in coverage:
Visit https://www.whitehouse.gov/healthreform*
for information on health care reform
Blue Cross Blue Shield of Michigan sites.
Visit bcbsm.com/getinsurance for information on health plans and costs
Visit bcbsm.com/sbc for a summary of benefits and coverage
Call Blue Cross Blue Shield of Michigan at 1-855-269-9898 with any other questions
If you would like to speak with a representative of Blue Cross in person, you can visit one of our 12 statewide walk-in centers. Visit bcbsm.com/index/health-insurance-help/locations.html and type in your ZIP code to find your nearest walk-in center.
https://www.whitehouse.gov/healthreform
2 How to find free and low cost health care services and other health care resources
If you are uninsured, underinsured or needing additional help, check the list below to find a low-cost health care clinic near you.
State and federal programs
The Michigan Department of Health and Human Services has an online directory of free or low-cost health care services and resources at michigan.gov/healthcarehelp.* You can find a list of health departments by county below.
Childrens Special Health Care Services 800-359-3722 michigan.gov
Women, Infant and Children Programs 800-262-4784 michigan.gov/wic
Macomb
Macomb County Department of Health and Human Services 19700 Hall Rd., Suite A Clinton Township, MI 48038 586-412-6100
Mt. Clemens Department of Health and Human Services 21885 Dunham Rd., Suite 7 Clinton Township, MI 48036 586-469-7700
Sterling Heights Department of Health and Human Services 41227 Mound Rd., Suite A Sterling Heights, MI 48314 586-254-1500
Warren Department of Health and Human Services 27690 Van Dyke Ave. Warren, MI 48093 586-427-0600
Monroe
Monroe County Department of Health and Human Services 903 S. Telegraph, Suite A Monroe, MI 48161 734-243-7200
Oakland
Madison Heights Department of Health and Human Services 30755 Montpelier Madison Heights, MI 48071 248-583-8700
8
http:michigan.gov
8
Oakland County Department of Health and Human Services 51111 Woodward Ave. Pontiac, MI 48342 248-975-5700
Pontiac Department of Health and Human Services 235 N. Saginaw Pontiac, MI 48342 248-975-5200
Southfield Department of Health and Human Services 25620 W. 8 Mile Rd. Southfield, MI 48033 248-262-6400
Wayne
Wayne County Department of Health and Human Services 3040 W. Grand Blvd., Suite 5650 Detroit, MI 48202 313-456-1000
Dental and vision
The following clinics provide dental or vision services only.
Discount Dental services
Macomb
MyCare Dental 6900 10 Mile Rd. Center Line, MI 48015 586-467-0980 mycarehealthcenter.org
Trinity Community Care 47511 Van Dyke Shelby Township, MI 48317 586-649-3014 trinitycommunitycare.org
Monroe Family Medical Center of Michigan 130 Medical Center Dr. Carleton, MI 48117 734-654-2169 familymedicalmi.org
Family Medical Center of Michigan 8765 Lewis Ave. Temperance, MI 48182 734-850-6920 familymedicalmi.org
Oakland
Baker College Dental Hygiene Clinic 34401 S. Gratiot Ave., Building C Clinton Township, MI 48035 586-790-5238 dentalhealthcouncil.org
Covenant Community Health Center 27776 Woodward Ave. Royal Oak, MI 48067 248-556-4900 covenantcommunitycare.org
9
http:covenantcommunitycare.orghttp:dentalhealthcouncil.orghttp:familymedicalmi.orghttp:familymedicalmi.orghttp:trinitycommunitycare.orghttp:mycarehealthcenter.org
10
Joslyn Smile Center 816 Joslyn Ave. Pontiac, MI 48340 248-758-1231 oihn.org
Oakland County Community College Dental Clinic 73500 Cooley Lake Rd. Waterford, MI 48327 248-942-3260 dentalclinicdirectory.com
Tri-County Dental at Jewish Family Services 29699 Southfield Rd. Southfield, MI 48076 248-223-4410 dentalhealthcouncil.org
Wayne
Childrens Dental Center 79 W. Alexandrine, 3rd floor Detroit, MI 48201 313-833-2895 ahcdetroit.org
Covenant Community Care 5176 Michigan Ave. Detroit, MI 48210 313-554-3880 covenantcommunitycare.org
Covenant Community Care at Grace Community Church 20901 Moross Rd. Detroit, MI 48236 313-626-2620 covenantcommunitycare.org
Covenant Community Health Center 18917 Joy Rd. Detroit, MI 48228 313-446-8800 covenantcommunitycare.org
Dr. Sophie Womack Health Center 7900 Kercheval Detroit, MI 48214 313-579-3242 dchcquality.org
East Area Medical Center 4909 E. Outer Dr. Detroit, MI 48234 313-369-3935 wellplan.com
Gateway Medical Center 2888 W. Grand Blvd. Detroit, MI 48202 313-875-5131 wellplan.com
Malta Dental Clinic 4860 15th St. Detroit, MI 48208 313-894-2240 maltaclinic.org
Nolan Family Dental Center 62 W. 7 Mile Rd. Highland Park, MI 48203 313-366-5200 dchcquality.org
http:dchcquality.orghttp:maltaclinic.orghttp:wellplan.comhttp:wellplan.comhttp:dchcquality.orghttp:covenantcommunitycare.orghttp:covenantcommunitycare.orghttp:covenantcommunitycare.orghttp:ahcdetroit.orghttp:dentalhealthcouncil.orghttp:dentalclinicdirectory.comhttp:oihn.org
11 10
St. Vincent DePaul Dental Clinic 3000 Gratiot Ave. Detroit, MI 48207 313-393-3009 svdpdet.org
University of Detroit Mercy School of Dentistry 2700 Martin Luther King Jr. Blvd. Detroit, MI 48208 313-494-6700 udmercy.edu/dental
Wayne County Community College Dental Clinic 8200 W. Outer Dr. Detroit, MI 48219 313-943-4010 wcccd.edu
St John Riverview Oral and Maxillofacial Clinic 7633 E. Jefferson, Suite 70 Detroit, MI 48214 313-499-4775 stjohn.org
Dr. Feleta Wilson Dental Center 6550 W Warren Detroit, MI 48210 313-897-7700 dchcquality.org
Vision services Eye Care America 877-877-6327 aao.org/eyecare-america
Lions Club International 630-571-5466 lionsclubs.org
Vision USA 800-766-4466 aoafoundation.org
Oakland
Black and White Look Optical Southfield 15675 W. 10 Mile Rd. Southfield, MI 48075 248-557-6444
Wayne
Black and White Look Optical Detroit 12871 E. Jefferson Detroit, MI 48215 313-331-1701
Black and White Look Optical Eastpointe 18023 E. 8 Mile Rd. Eastpointe, MI 48225 586-777-2020
http:aoafoundation.orghttp:lionsclubs.orghttp:dchcquality.orghttp:stjohn.orghttp:wcccd.eduhttp:svdpdet.org
Mental health and substance abuse services
Every county in Michigan has a community mental health agency. These agencies provide mental health and substance abuse services for residents in that county. For more information, see the list of agencies below by county or visit mhweb.org/directory.htm.*
The Guidance Center 734-785-7700 guidance-center.org
Macomb
ACC Behavioral Health Center Macomb 38219 Mound Rd., Suite 102 Sterling Heights, MI 48310 586-939-5016 myacc.org
Macomb County Community Mental Health 22550 Hall Rd. Clinton Township, MI 48036 586-469-5275 mccmh.net
Monroe
Monroe County Community Mental Health 1001 S. Raisinville Rd. Monroe, MI 48161 734-243-7340 monroecmha.org
PACE - Warren Alternative Care Setting 30713 Schoenherr Rd. Warren, MI 48088 855-445-4554 pacesemi.org
Oakland
ACC Behavioral Health Center - Oakland 26400 Lasher, Suite 220 Southfield, MI 48033 248-354-8460 myacc.org
Centro Multicultural La Familia 35 W. Huron, Suite 500 Pontiac, MI 48342 248-858-7800 centromulticultural.org
Jewish Family Services 25900 Greenfield Rd., #405 Oak Park, MI 48237 248-592-2313 jfsdetroit.org
Jewish Family Services 6555 W. Maple Rd. West Bloomfield, MI 48322 248-592-2300
Michigan Psychological Services 42902 Woodward Ave., Suite 230 Bloomfield Hills, MI 48302 248-647-8412 jfsdetroit.org
12
http:jfsdetroit.orghttp:jfsdetroit.orghttp:centromulticultural.orghttp:myacc.orghttp:pacesemi.orghttp:monroecmha.orghttp:mccmh.nethttp:myacc.orghttp:guidance-center.org
13 12
Oakland County Community Mental Health 1200 N. Telegraph Rd., Building 32E Pontiac, MI 48341 248-464-6363occmha.org
Wayne ACC Behavioral Health Center - Detroit 62 W. 7 Mile Rd. Detroit, MI 48203 313-893-6172 my acc.org
ACC Behavioral Health Center - Detroit 16921 W. Warren Detroit, MI 48228 313-581-7287 myacc.org
American Indian Health and Family Services 4880 LLawndale St. Detroit, MI 48210 313-846-6030 aifhs.org
Covenant Community Care 1700 Waterman Detroit, MI 48209 313-841-1699 covenantcommunitycare.org
Covenant Community Health Center 3427 Woodward Ave. Detroit, MI 48201 313-446-8800 covenantcommunitycare.org
Detroit Central City Community Mental Health Center 3427 Woodward Ave. Detroit, MI 48201 313-831-316 dcccmh.org
Detroit Rescue Mission Ministries 150 Stimson St. Detroit, MI 48201 313-993-4700 drmm.org
Detroit Wayne Mental Health Authority 707 Milwaukee St. Detroit, MI 48202 313-833-2500 dwmha.com
Northeast Guidance Center 12800 E. Warren Ave. Detroit, MI 48215 313-308-1400 neguidance.org
Operation Get Down 10100 Harper Ave. Detroit, MI 48213 313-921-9422 operationgetdown.org
PACE - Detroit Northwest 7800 W. Outer Dr., Suite 240 Detroit, MI 48235 855-445-4554 pacesemi.org
http:pacesemi.orghttp:operationgetdown.orghttp:neguidance.orghttp:dwmha.comhttp:drmm.orghttp:dcccmh.orghttp:covenantcommunitycare.orghttp:covenantcommunitycare.orghttp:aifhs.orghttp:myacc.orghttp:248-464-6363occmha.org
PACE - The Thome Rivertown McLaren Macomb Neighborhood 250 McDougall St. Detroit, MI 48207 855-445-4554 pacesemi.org
Southeastern Michigan Community Alliance 25363 Eureka Rd. Taylor, MI 48180 734-229-3500 semca.org
Starfish Family Services 30000 Hiveley Inkster, MI 48141 734-728-3400 starfishfamilyservices.org
Free and low-cost health centers
Below is a list by county of places you can go for free or low-cost medical care. Many of these clinics may provide additional services, such as dental services, vision services and mental health treatment.
Macomb
Advantage Family Health Center 4669 E. 8 Mile Rd. Warren, MI 48091 313-416-6200 ahcdetroit.org
1000 Harrington Blvd. Mount Clemens, MI 48043 586-493-8000 mclaren.org/macomb/macomb.aspx
Medical Outreach Clinic 92 New St. Mount Clemens, MI 48035 586-493-3640
My Care Health Center 42627 Garfield Rd., Suite 213 Clinton Township, MI 48038 586-783-3904 mycarehealthcenter.org
MyCare Health Center 18 Market St., Suite C Mount Clemens, MI 48043 586-783-2222 mycarehealthcenter.org
MyCare Health Center 6900 10 Mile Rd. Center Line, MI 48015 586-756-7777 mycarehealthcenter.org
MyCare Health Center 43740 N. Groesbeck Highway Clinton Township, MI 48036 586-493-0961 mycarehealthcenter.org
Neighbors Caring for Neighbors 15420 19 Mile Rd., Suite 200 Clinton Township, MI 48038 586-427-5005 henryford.com
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http:henryford.comhttp:mycarehealthcenter.orghttp:mycarehealthcenter.orghttp:mycarehealthcenter.orghttp:mycarehealthcenter.orghttp:ahcdetroit.orghttp:starfishfamilyservices.orghttp:semca.orghttp:pacesemi.org
15 14
Neighbors Caring for Neighbors 62324 Van Dyke Rd. Washington Township, MI 48094 586-336-9288 henryford.com
New Haven Medical Center 58144 Gratiot Ave. New Haven, MI 48048 586-749-5197 downrivercs.org
Our Lady of Grace Church 26256 Ryan Rd. Warren, MI 48091 586-755-1313 vietmd.net
Trinity Community Care 47511 Van Dyke Shelby Township, MI 48317 586-649-3014 trinitycommunitycare.org
Monroe
Faithworks Charitable Clinic 15269 Dixie Hwy. Monroe, MI 48161 734-770-5504 elevate-church.org
Family Medical Center, Carlton 130 Medical Center Dr. Carleton, MI 48117 734-654-2169 familymedicalmi.org
Family Medical Center, Monroe 905 N. Macomb Monroe, MI 48162 734-240-4851 familymedical.mi.org
Family Medical Center, Temperance 8765 Lewis Ave. Temperance, MI 48182 734-847-3802 familymedical mi.org
Oakland
Baldwin Health Center 1701 Baldwin Ave., Suite 203 Pontiac, MI 48340 248-724-7600 oihn.org
Covenant Community Health Center 27776 Woodward Ave. Royal Oak, MI 48067 248-556-4900 covenantcommunitycare.org
Dr. Gary Burnstein Community Health Clinic 45580 Woodward Ave. Pontiac, MI 48341 248-309-3752 garyburnsteinclinic.org
Family Medicine Center 461 W. Huron St, Suite 107 Pontiac, MI 48341 248-724-7600 oihn.org
http:oihn.orghttp:garyburnsteinclinic.orghttp:covenantcommunitycare.orghttp:oihn.orghttp:familymedical.mi.orghttp:familymedicalmi.orghttp:elevate-church.orghttp:trinitycommunitycare.orghttp:vietmd.nethttp:downrivercs.orghttp:henryford.com
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FernCare Free Clinic Inc. 459 E. Nine Mile Rd. Ferndale, MI 48220 248-677-2273 ferncare.org
Health Centers Detroit Medical Group Greenfield 23077 Greenfield Rd, Suite 400 Southfield, MI 48075 313-822-9801 ext. 3 hcdmg.org
MAPI Clinic 28235 Southfield Rd. Lathrup Village, MI 48076 248-996-9214 mapiclinic.com
Mercy Place Free Clinic 55 Clinton St. Pontiac, MI 48342 248-333-0840 stjoesoakland.org
Mycare Health Center at Sacred Heart 1400 E. 12 Mile Rd. Madison Heights, MI 48071 248-658-1116 mycarehealthcenter.org
Northwest Medical Center 21040 Greenfield Oak Park, MI 48237 248-967-6500 ext. 1 wellplan.com
Oakland Primary Health Services 501 N. Cass Lake Rd., Room 213 Waterford, MI 48328 248-674-4876 oaklandprimaryhealth.org
Oakland Primary Health Services 46 N. Saginaw Pontiac, MI 48342 248-322-6747 oaklandphs.org
Orchard Lake Center 114 Orchard Lake Rd. Pontiac, MI 48341 248-724-7620 oihn.org
Plum Hollow Center 22200 W. Nine Mile Rd. Southfield, MI 48033 248-359-8778 oihn.org
POH Childrens Clinic 673 Martin Luther King Jr. Blvd. Pontiac, MI 48342 248-334-0024
Pontiac Middle School Health Center 1275 N Perry St. Pontiac, MI 48340 248-451-8030 oaklandphs.org
http:oaklandphs.orghttp:oihn.orghttp:oihn.orghttp:oaklandphs.orghttp:oaklandprimaryhealth.orghttp:wellplan.comhttp:mycarehealthcenter.orghttp:stjoesoakland.orghttp:mapiclinic.comhttp:hcdmg.orghttp:ferncare.org
17 16
Pontiac High School Health Center 1051 Arlene St. Pontiac, MI 48340 248-451-7365 oaklandphs.org
Summit Center 279 Summit Dr. Waterford, MI 48328 248-724-7700 oihn.org
The Wellness Plan Medical Center 44405 Woodward Ave. Pontiac, MI 48341 248-858-3126 ext. 1 wellplan.com
Wayne
ACCESS Clinic 6450 Maple Dearborn, MI 48126 313-216-2200 accesscommunity.org
Bell Community Health Center 882 Oakman Blvd. Detroit, MI 48238 313-416-4991 ahcdetroit.org
Cabrini Clinic 1234 Porter St. Detroit, MI 48226 313-961-7863 cabriniclinic.org
Cass Clinic 3745 Cass Ave. Detroit, MI 48201 313-883-2277 cassclinic.med.wayne.edu
CHASS Southwest Center 5635 W. Fort St. Detroit, MI 48209 313-849-3920 chasscenter.org
Childrens Health Center 79 W. Alexandrine Detroit, MI 48201 313-835-5990 ahcdetroit.org
Covenant Community Care at Grace Community Church 20901 Moross Rd. Detroit, MI 48236 313-626-2600 covenantcommunitycare.org
Covenant Community Care 5716 Michigan Ave. Detroit, MI 48210 313-554-1095 covenantcommunitycare.org
Covenant Community Health Center 18917 Joy Rd. Detroit, MI 48228 313-446-8800 covenantcommunitycare.org
Detroit Central City Health Center 3427 Woodward Ave. Detroit, MI 48201 313-578-6123 dcccmh.org
http:dcccmh.orghttp:covenantcommunitycare.orghttp:covenantcommunitycare.orghttp:covenantcommunitycare.orghttp:ahcdetroit.orghttp:chasscenter.orghttp:cassclinic.med.wayne.eduhttp:cabriniclinic.orghttp:ahcdetroit.orghttp:accesscommunity.orghttp:wellplan.comhttp:oihn.orghttp:oaklandphs.org
18
Detroit Medical Clinic 4059 W. Davison Detroit, MI 48238 313-491-5400 dmc.org
Detroit Medical Group 6455 Gratiot Ave. Detroit, MI 48207 313-921-8600 dmc.org
Detroit Medical Group 14071 E. 7 Mile Rd. Detroit, MI 48207 313-371-2828 dmc.org
Detroit Medical Group 8282 Woodward Ave. Detroit, MI 48207 313-874-3440 dmc.org
Detroits Samaritan Center 5555 Conner Ave., Suite 2691 Detroit, MI 48213 313-579-1182 udmercy.edu
Dr. Feleta Wilson Health Center 6550 W. Warren Detroit, MI 48210 313-897-7700 dchcquality.org
Dr. Sophie Womack Health Center 7900 Kercheval Detroit, MI 48214 313-921-5500 dchcquality.org
East Riverside Health Center 13901 E. Jefferson Detroit, MI 48215 313-822-0900 dchcquality.org
Fort St. Presbyterian Church Clinic 631 W. Fort St. Detroit, MI 48226 313-961-3617
Friends Medical Family Clinic 30 E. Forest St. Detroit, MI 48214 313-924-0085 friendsofdetroit.com
Gateway Medical Center 2888 W. Grand Blvd. Detroit, MI 48202 313-875-4200 ext. 1 wellplan.com
Great Lakes Family Medical Clinic 4420 E. Davison Hamtramck, MI 48212 313-369-1500
Hamtramck Health Center 9021 Joseph Campau Hamtramck, MI 48212 313-871-1926 waynecounty.com/hhs/940.htm
Health Centers Detroit Medical Group East Jefferson 7633 E. Jefferson, Suite 340 Detroit, MI 48214 313-822-9801 ext. 2 hcdmg.org
http:hcdmg.orghttp:wellplan.comhttp:friendsofdetroit.comhttp:dchcquality.orghttp:dchcquality.orghttp:dchcquality.orghttp:udmercy.edu
19 18
Health Centers Detroit Medical Group University 4201 Saint Antoine St., Suite 7A Detroit, MI 48201 313-745-4091 hcdmg.org
Hope Medical Clinic 33608 Palmer Rd. Westland, MI 48185 734-710-6688 thehopeclinic.org
HUDA Community Clinic 13240 Woodrow Wilson St. Detroit, MI 48238 313-865-8446 hudaclinic.org
Latino Family Services 3815 W. Fort St. Detroit, MI 48216 313-841-730 latinofamilyservices.org
Malta Medical Clinic 4860 15th St. Detroit, MI 48208 313-894-2240 maltaclinic.org
NOAH at Central United Methodist Church 23 E. Adams Detroit, MI 48226 313-965-5422 noahprojectdetroit.org
Nolan Family Health Center 111 W. 7 Mile Rd. Detroit, MI 48203 313-369-2600 dchcquality.org
Thea Bowman Community Health Center 15400 W. McNichols Detroit, MI 48235 313-835-5990 ahcdetroit.org
Waller Health Care Center 60 E. Warren Ave. Detroit, MI 48201 313-416-6261 ahcdetroit.org
Western Wayne Health Center 2700 Hamlin Court Inkster, MI 48141 313-561-5100 wwfhc.org
Western Wayne Health Center 26650 Eureka Rd., Suite C Taylor, MI 48180 734-941-4991 wwfhc.org
Western Wayne Health Center 25650 W. Outer Dr. Lincoln Park, MI 48146 313383-1897 wwfhc.org
Woodward Corridor Family Medical Center 611 Martin Luther King Jr. Blvd. Detroit, MI 48201 313-832-6300 dchcquality.org
http:dchcquality.orghttp:wwfhc.orghttp:wwfhc.orghttp:wwfhc.orghttp:ahcdetroit.orghttp:ahcdetroit.orghttp:dchcquality.orghttp:noahprojectdetroit.orghttp:maltaclinic.orghttp:latinofamilyservices.orghttp:hudaclinic.orghttp:thehopeclinic.orghttp:hcdmg.org
Wyandotte Clinic for the Working Uninsured 3333 Biddle Ave., Suite A Wyandotte, MI 48192 734-365-3560 wyandotteclinic.org
ZIAD Healthcare 11901 Cherokee Circle Shelby Township, MI 48315 313-815-8767 ziadhealthcare.orgziadhealthcare.org
Helplines and Special Programs
Oakland
Dermhouse 29425 Northwestern Hwy., Suite 202 Southfield, MI 48034 248-219-7007
Long Term Ombudsman Program 866-485-9393 aaanm.org
Wayne
Wolverine Human Services 15100 Mack Ave. Grosse Pointe Park, MI 48230 313-824-4400 wolverinehs.org
20
http:wolverinehs.orghttp:aaanm.orghttp:wyandotteclinic.org
21 20
Additional Resources United Way 2-1-1 Collaborative can help with finding health care,
food, housing, employment, health care, counseling and more. They can answer your questions and connect you to the appropriate programs or services. Dial 2-1-1 or visit mi211.org* for quick and easy access to information about services in your community.
Find MI Care is a website that helps patients find doctors and other health care services in their area. Visit findmicare.org* and search by region or zip code.
http:findmicare.orghttp:mi211.org
Understanding how to use health insurance and how to access health care services
3
An important part of understanding health care is understanding the costs and whats covered in your plan. Weve described a list of health care costs below:
1. Premiums. A fixed monthly amount paid to the insurance company for health coverage. This cost varies based on whats covered in your plan and the doctors you see.
2. Copayments. Fixed dollar amounts you pay at the time of your services, such as a doctor visit.
3. Deductible. A fixed dollar amount paid by you for medical services before the insurance company starts to pay. You pay 100 percent of covered medical costs until the deductible amount is reached. Preventative services are covered 100 percent and dont count toward the deductible.
4. Coinsurance. A fixed percentage of cost of covered services that is shared with the insurance company after the deductible is met. For example, an 80/20 coinsurance means the insurance company pays 80 percent and you pay 20 percent.
5. Out of pocket maximum. This is the maximum amount you pay in deductibles, copayments and coinsurance in one plan year. Once you meet the out of pocket maximum, the health insurance company will typically cover 100 percent of covered services for the rest of the plan year.
*Blue Cross Blue Shield of Michigan does not control this website or endorse its general content.
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To get the best care possible, its important for you to play an active role in your own health care. Work closely with your doctor to get the best possible care. Keep informed by asking your doctor questions about prevention, diagnosis, treatment and recovery. This will help ensure your safety, prevent errors and improve your overall health. Below are some tips on how to find a doctor, make an appointment and talk with your doctor.
Find a doctor For Blues members visit: bcbsm.com/find-a-doctor.
If you have a different health plan, go to healthgrades.com* to find a list of doctors along with their ratings.
Once you find your doctor, make the most of your appointment
Bring your health plan ID card, photo ID or Social Security number.
Gather a list of current medical records including medications,
immunizations, allergies and family medical history.
Write down questions and concerns you want to talk about with
your doctor.
Understand your out of pocket costs and whats covered under your plan.
Follow your doctors advice and schedule follow-up appointments.
Where to go for health care Your primary care physician is the best place to start when an illness or injury occurs. When your primary doctor isnt available, its okay use a local urgent care center. Urgent care centers treat illnesses that are not life-threatening. Non-life-threatening illness and medical issues may grow worse if left untreated. The hospital or emergency room should be used only in the case of serious, potentially life-threatening medical emergencies.
http:healthgrades.com
Im sick or hurt... Where do I go?
(Or, where do I take my child or parent?)
CALL OR SEE MY DOCTOR
Need medical care and feel safe to wait a day. Examples are: Runny nose Simple backache Sore throat Earache
GO TO URGENT
CARE
Need medical care today and feel safe to wait a few hours. Examples are: Tried but could not reach my doctor Reached the doctor and told to go to an
Urgent Care Center
GO TO EMERGENCY
ROOM OR CALL 911
Need medical care now and do not feel safe to wait. Examples are: Trouble breathing or chest pain Fainting Sudden numbness or weakness Uncontrolled bleeding Severe pain or serious injury
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Notes:
You can download copies of this brochure from our website at bcbsm.com/home/healthier/help_with_health_care_brochures.html.
You can also email [email protected] to order extra copies free of charge. When you send an email, be sure to include your name, address, phone number, number of brochures youd like and which version you need (Southeast Michigan, Mid-Michigan, West Michigan or Northern Michigan and the Upper Peninsula).
CB 9135 FEB 17 R057802
mailto:[email protected]
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