Planes de salud de Medicaid en Alger service area, MI

Servicios para miembros: 1-800-835-2556

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• Member incentive rewards

  UPHP promotes member incentives that reward members for engaging in care, including completion of tobacco cessation, diabetes care, immunizations, and cancer screening.

• No out-of-pocket costs

  UPHP does not charge copayments or other out-of-pocket costs for covered services under the Medicaid or Healthy Michigan Plan programs.

• Upper Peninsula Health Plan Obtenido el 2026-07-17
• Upper Peninsula Health Plan Obtenido el 2026-07-17

enrollment.portal_url, enrollment.portal_name, and enrollment.phone are quote-gate verified against a captured Michigan Department of Health and Human Services (MDHHS) enrollment-broker training document (michigan.gov, "Michigan ENROLLS: Enrolling Into a Medicaid Health Plan"). enrollment.choice_window_days is left null with an honest not_found fact: the same source states the switch window as "three months" in prose rather than an exact day count, so no precise number was quote-gated (AGENTS.md rule 3, no invented figures). All 9 service area roster facts (areas.<slug>.plans) are quote-gate verified against a captured snapshot of MDHHS's own "Michigan Medicaid Health Plan Listed by County" PDF (michigan.gov MHP_Service_Area_Listing.pdf, dated 1-10-2025), which lists, on one page per county, every Medicaid Health Plan (MHP) approved to serve that county. Michigan's 83 counties were parsed from that snapshot page by page and grouped into 9 roster-distinct service areas (an unusually clean grouping: unlike most states, Michigan's per-county MHP rosters only take 9 distinct shapes nationwide, so 9 areas cover all 83 counties with no overlap or gap). Each area's single verbatim_quote anchors only that area's representative county's page header (e.g. "Alcona (01)"), never a span attempting to cover every plan the county lists, the same minimal-anchor convention NY.json's roster facts use. This is deliberate, not just cautious: the PDF's original two-column per-county layout means different text-extraction passes reflow the same page differently. A columnar-aware local extraction pass (poppler pdftotext -layout) was used to compile the actual roster in each fact's value field, county page by county page, and produced a very clean structural result -- Michigan's 83 counties collapse into exactly 9 distinct MHP roster shapes with no leftover or ambiguous county, which is itself strong evidence the extraction was faithful. The snapshot this repo actually captured and quote-gates against (via its own headless/unpdf pipeline) reflows the same two columns differently: a county's own plan blocks sometimes land partly before and partly after that county's own header string in the captured text stream (confirmed for Alger/Allegan, Clinton, and Genesee by direct inspection), which is exactly why the verbatim_quote for each area is kept to the single stable county-header string rather than any longer span -- a longer quote would be brittle against this specific extraction's reordering, while the header string itself is confirmed to appear exactly once, verbatim, in the captured snapshot. I also cross-checked the per-county pages against this same PDF's own trailing plan-by-plan "Service Area" summary table and found several counties (for example Otsego, Ogemaw, and Van Buren) where the summary table's wrapped county list did not match what that county's own dedicated page showed -- the same column-reflow artifact, not a real discrepancy in the state's underlying data -- which is why that summary table was not used as the roster source. The 9 Medicaid Health Plans and their county service areas took effect October 1, 2024 under MDHHS's Comprehensive Health Care Program contracts; each plan's carrier legal name was cross-checked against MDHHS's own April 2024 contract-award announcement (michigan.gov newsroom, cited informally, not quote-gated). Michigan runs a single Medicaid Health Plan Common Formulary used by every contracted MHP (michigan.gov/mdhhs, Medicaid Health Plan Pharmacy Benefit page), so every plan record's formulary_url points to that same state page rather than a plan-run formulary. Per-plan member_phone numbers come from the same MHP directory snapshot rather than a separate quote-gated fact, the same convention TX.json/CA.json/NY.json use for county/area rosters and per-plan phone. Provider directory URLs and extra benefits for all 9 plans were independently verified live on each plan's own official Michigan Medicaid page but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today. The enrollment portal healthcare4mi.com is not a .gov or state .us domain, so it is reported separately as a pending broker host for Kian's review; Michigan ENROLLS itself (the broker name and phone) is MDHHS's own program, fully quote-gate verified.