IHP COVERED SERVICES 1015.pdfIHP COVERED SERVICES 0815.pdf

BENEFITS

WHAT'S COVERED...

The Ingham Health Plan covers basic office and outpatient care and services. Members are assigned to a primary care provider (PCP). The PCP manages member care and makes referrals to specialty care providers.

(Summary ONLY - Not a Complete List)
COVERAGE CO-PAY
Office Visits $5
Specialty Services $5
Outpatient Lab Tests $0
Outpatient X-rays $0
Outpatient Tests & Surgeries $0
Prescription Medication (on approved list) $5 Generic/$10 Brand
Physical Therapy (limited benefit) $0
Preventive Services $0
Walk-in/Urgent Care Visits $5
Dental Care (Delta Dental EPO Plan) $0 Preventative Care/Varies All Other Services

Many services require an authorization in order to be covered by IHP. Refer to the Provider Manual and Member Guidebook (click here) for a complete list of covered and non covered services. You many also call Plan Management Services (toll free) at 866-219-8691 for questions about eligibility and covered benefits.

More Information

BENEFITS AT A GLANCE (PDF) DENTAL BENEFITS MEDICATION PARTICIPATING URGENT CARE CLINICS (PDF) WHEN DO I NEED PRIOR APPROVAL?

Follow IHPC:

ph: 866-291-8691

fax: 517-394-4590

planmanagement@ihpmi.org

P.O. BOX 30125
LANSING, MI 48909
© 2016 INGHAM HEALTH PLAN CORPORATION