HAP Personal Alliance HMO Bronze 7000 Plan Details for 2021- HealthPocket

HAP Personal Alliance HMO Bronze 7000

$348.76/mo

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Zip Code48228
Applicant11/27/1986 Male
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameHAP Personal Alliance HMO Bronze 7000
Plan IDhhs-37651MI0150007
Plan Year2021
Insurance ProviderHealth Alliance Plan
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$0
Out-of-Pocket Maximum$0
Plan Highlights

Access to doctors and hospitals

Provider directory URLhttps://www.hap.org/INDHMOdirectory
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Yes - Varies based on service and provider network; visit hap.org for details.
Does this plan cover services outside plan service area?No - Urgent and emergency services only
Does this plan cover services outside the country?No - Urgent and emergency services only

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
Does this plan offer a wellness program?Not Covered

Vision Coverage

Routine Eye Exam for ChildrenIncluded
Eye Glasses for ChildrenIncluded
Routine Eye Exam for AdultsIncluded

Child Dental Coverage

Child Dental Coverage - Routine Dental CareNot Covered
Child Dental Coverage - Basic Dental CareNot Covered
Child Dental Coverage - OrthodontiaNot Covered
Child Dental Coverage - Major Dental CareNot Covered

Adult Dental Coverage

Adult Dental Coverage - Routine Dental CareNot Covered
Adult Dental Coverage - Basic Dental CareNot Covered
Adult Dental Coverage - OrthodontiaNot Covered
Adult Dental Coverage - Major Dental CareNot Covered

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Preventive Care/Screening/Immunization
Infertility Treatment
Weight Loss Programs
Imaging (CT/PET Scans, MRIs)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Home Health Care Services
Durable Medical Equipment
Hospice Services
Routine Foot Care
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Nutritional Counseling
Prosthetic Devices
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited BenefitsSkilled Nursing Facility
Bariatric Surgery
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Cosmetic Surgery
Hearing Aids
Long Term Care
Private-Duty Nursing
Dental Check-Up for Children
Non-Emergency Care When Traveling Outside the U.S.
Dental Care - Adult
Abortion for Which Public Funding is Prohibited
Non-Preferred Generic Drugs
Telehealth Services
Long-Term/Custodial Nursing Home Care
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  • Phone Number
    (313) 584-3624
  • Office Locations
    16551 W Warren Ave
    Detroit, MI 48228
16551 W Warren Ave Detroit MI, 48228

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HealthPocket.com is a free information source. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.