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
Telehealth Visits (during COVID) $5
COVID-19 Testing $0

Many services require an authorization in order to be covered by IHP.

COMMON SERVICES NOT COVERED BY IHP

    • Conditions that have alternate eligibility such as Family Planning, Pregnancy, TB services, Breast & Cervical Cancer Control Programs
    • Emergency Care or Transportation (Ambulance)
    • Inpatient Hospital Services
    • Alcohol or Drug Use Monitoring or Treatment
    • Chemotherapy
    • Chiropractic Care & Services
    • Contraceptive Devices & Aides
    • Dialysis Care
    • Hearing Aids or Related Services
    • Vision Exams
    • Fertility Drugs or Sterilization
    • Speech & Respiratory Therapy
    • Medical Equipment, Prosthetics, Orthotics
    • Medical Supplies
    • Cosmetic Procedures
    • Bariatric Surgery or weight-loss programs
    • Services or supplies related to sexual reassignment
    • Services related to injury to the extent they are covered under auto insurance, Workers Compensation, Occupational Law, etc.
    • Any experimental or investigational treatment, supplies, devices or medications
    • Any covered service not deemed medically necessary

    Refer to the Provider Manual and Member Guidebook for a complete list of covered and non covered services. You many also call Plan Management Services (toll free) at 866-291-8691 for questions about eligibility and covered benefits.

For More Information about IHP Covered Services:

DENTAL BENEFITS MEDICATION PARTICIPATING URGENT CARE CLINICS (PDF) WHEN DO I NEED PRIOR APPROVAL?
IHPC logo
  • P.O. Box 30125
  • Lansing, MI 48909
  •  
  • planmanagement@ihpmi.org
  • 866-291-8691
  • 517-394-4590