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

HAP Personal Alliance HMO Genesys Choice Bronze 7000

$235.68/mo

Apply For This Plan

Zip Code48228
Applicant6/26/1987 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameHAP Personal Alliance HMO Genesys Choice Bronze 7000
Plan IDhhs-37651MI0300006
Plan Year2021
Insurance ProviderHealth Alliance Plan
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$7,000
Out-of-Pocket Maximum$8,550
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$55 Copay
Specialist Visit$85 Copay
Laboratory Outpatient and Professional Services40.00% Coinsurance after deductible
X-rays and Diagnostic Imaging40.00% Coinsurance after deductible
Diagnostic Imaging such as MRIs, CT, and PET scans40.00% Coinsurance after deductible
Deductible - Family$14000 per group
Out-of-Pocket Maximum - Family$17100 per group

Prescription drug coverage

Generic Drugs$10 Copay
Preferred Brand Drugs50.00% Coinsurance after deductible
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.hap.org/INDGenesysChoicedirectory
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

Hospital services

Emergency Room Services40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services40.00% Coinsurance after deductible
Emergency Transportation or Ambulance Service40.00% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care$85 Copay
Delivery and all inpatient services for maternity care40.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services$55 Copay
Mental/Behavioral Health Inpatient Services40.00% Coinsurance after deductible
Substance use disorder outpatient services$55 Copay
Substance use disorder inpatient services40.00% Coinsurance after deductible

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
Non-Preferred Generic Drugs
Telehealth Services
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
Long-Term/Custodial Nursing Home Care
PremiumPlan NameDeductible
from $1,540MyPriority HSA Bronze 7050 - Bronson Healthcare Partners$7,050.00Select
from $231MyPriority HMO HSA Bronze 7000 - St. John Providence Network$7,000.00Select
from $240MyPriority HMO HSA Bronze 7000 - Beaumont Health Network$7,000.00Select
from $240MyPriority HMO HSA Bronze 7000 - St. Joseph Mercy Health System$7,000.00Select
from $242MyPriority HSA Bronze 7050 - Ascension St. John Providence Network$7,050.00Select
/
Please select the correct zip
William, Prechel
View All Details
Satish, Khanzode
View All Details
Physio Matrix Inc.
View All Details
Prince, Eubanks
View All Details
Prechel Family Clinic, Pc
View All Details
Juanita, Williams
View All Details
Halo Pediatrics
View All Details
Deidre, Flowers
View All Details
Javid, Khan
View All Details
Janet, Lang
View All Details
Iamerica Behavioral & Mental Health
View All Details
Wadeeah, Alshawi
View All Details
Deandra, Robinson
View All Details
Karen, Eddings-howell
View All Details
Vannessa, Robinson
View All Details
Mojtaba, Al-modhafir
View All Details
Taylor, Banks
View All Details
Joel, Shreve
View All Details
Briana, Lamar
View All Details
Roxsanna, Collins
View All Details
Roslyn, Mcgee
View All Details
William Prechel, D.O.
View All Details
  • Phone Number
    (313) 584-3624
  • Office Locations
    16551 W Warren Ave
    Detroit, MI 48228
16551 W Warren Ave Detroit MI, 48228

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.

Health Plans Found

 

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

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.