McLaren Health Plan Community - Policies

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McLaren Silver Exchange

Plan Type: HMO
Plan Tier: Silver
Individual Deductible $3,700.00
Family Deductible $7,400.00
Individual Out of Pocket Max $8,150.00
Family Out of Pocket Max $16,300.00
Primary Care Visit: $30.00
Specialist Visit: $65 Copay after deductible
Emergency Room: 20% Coinsurance after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC:
Plan Brochure:

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $10.00
Non-Preferred Brand Drugs: $125.00
Preferred Brand Drugs: $75.00
Specialty Drugs: 40% Coinsurance after deductible
Summary of Benefits https://www.mclarenhealthplan.org/community-member/pharmacy-mhp

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About The Carrier

McLaren Health Plan is a Health Maintenance Organization dedicated to meeting the health care needs of each member. McLaren Health Plan (MHP) has been operating as a Michigan-based licensed Health Maintenance Organization (HMO) since 1998 and today delivers health care benefits to 260,000 members. The HMO was started to serve Michigan’s Medicaid population and has added group, individual and Medicare products along with a Third Party Administrator called Health Advantage, Inc., for self-funded employer groups.

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