HMO Enrollment Information

This table displays HMOs participation in offering health care coverage either on or off the Health Insurance Marketplace (sometimes referred to as the Marketplace) or both.  The initial individual open enrollment period on and off the Marketplace is held October 1, 2013, through March 31, 2014.  During this period qualified individuals (non-group) may apply to become members of an HMO.  Qualified individuals may purchase health care coverage provided by an HMO either on the Marketplace or off the Market place depending on the HMO.  An HMO must ensure an effective coverage date of January 1, 2014, for coverage purchased on or before December 15, 2013.  For individuals purchasing health care coverage from an HMO between the first and fifteenth day of any subsequent month during the initial open enrollment period the effective date is the first day of the following month.  For qualified individuals purchasing health care coverage between the sixteenth and last day of the month, the coverage effective date is the first day of the second following month.  For example, if an individual purchases coverage on February 16, 2014, coverage would begin April 1, 2014.

After the initial open enrollment period qualified individuals may enroll in an HMO on or off the Marketplace if they qualify for a special enrollment period based on certain qualifying life events including but not limited to marriage, birth of a child, adoption, or moving out of the service area.

Two of the below HMOs will start off Marketplace enrollment sometime after November 1, 2013, and will continue open enrollment through October 14, 2014.

For those HMOs listed as offering Medicaid, the open enrollment periods and eligibility requirements are established by the Michigan Department of Community Health. 

The table also lists HMO annual enrollment figures, profit or non-profit status of the HMO, and the date the HMO was issued its certificate of authority. If you have any questions, please contact the Department of Insurance and Financial Services toll free at 877-999-6442.

2014 Annual Enrollment Information

HMO and Date of Original License

On or Off Marketplace Open Enrollment Dates

Status

Groups

Medicare Supple-mental

Medicare

Medicaid

Individual

Other

Total
Membership

Blue Care Network of Michigan
800-662-6667
5/13/1981

On and Off Marketplace
10/1/13 - 3/31/14

Non-Profit

491,047

8,387

44,299

0

3,125

22,371

569,229

Blue Cross Complete of Michigan
800-228-8554
11/13/2002

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

0

18,970

0

0

18,970

Coventry Cares of Michigan
313-259-4000
12/23/1975

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

0

45,858

492

0

46,350

Fidelis SecureCare of Michigan, Inc.
734-779-1680
7/13/2005

All year - limited to special needs program does include Medicare Advantage

Profit

0

0

943

0

0

0

943

Grand Valley Health Plan, Inc.
616-949-2410
4/5/1982

Not Holding Individual Open Enrollment

Profit

6,388

0

0

0

73

1,464

7,925

Harbor Health Plan, Inc.*
313-925-4607
12/19/2000

Medicaid Only
Not subject to an open enrollment period

Profit

0

0

0

1,946

0

0

1,946

Health Alliance Plan of MI
313-872-8100
2/8/1979

On and Off Marketplace
10/1/13 - 3/31/14

Non-Profit

271,249

0

39,278

0

2,068

18,619

331,214

HealthPlus of MI, Inc.
800-332-9161
9/1/1979

Off Marketplace
11/1/13 - 11/14/14

Non-Profit

54,172

0

15,213

0

445

3,352

73,182

HealthPlus Partners, Inc.
800-332-9161
12/13/2002

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

0

66,768

0

0

66,768

Humana Medical Plan of Michigan
502-580-1000
2/29/2012

On and Off Marketplace
10/1/13 - 3/31/14

And Medicare Advantage
10/15/13 - 12/7/13

Non-Profit

0

0

0

0

0

0

0

McLaren Health Plan, Inc.
888-327-0671
12/14/1999

On and Off Marketplace
10/1/13 - 3/31/14

And Medicaid
Not subject to an open enrollment period

Non-Profit

17,163

0

0

76,229

35

0

93,427

Meridian Health Plan of MI, Inc.
888-437-0606
2/22/1989

On Marketplace
10/1/13 - 3/31/14

And Medicaid
Not subject to an open enrollment period

Profit

0

0

153

290,434

0

0

290,587

Midwest Health Plan, Inc.
313-581-2600
11/25/1998

Medicaid Only
Not subject to an open enrollment period

Profit

0

0

455

74,079

506

0

75,040

Molina Healthcare of Michigan, Inc.
888-898-7969
9/7/2000

On Marketplace
10/1/13 - 3/31/14

And Medicaid
Not subject to an open enrollment period

Profit

0

0

8,229

212,914

1,178

0

222,321

Paramount Care of Michigan, Inc.
734-529-7800
6/7/1996

Not Holding Individual Open Enrollment

Profit

3,393

0

1,461

0

7

0

4,861

Physicians Health Plan
800-832-9186
3/19/1981

Not Holding Individual Open Enrollment

Non-Profit

33,359

0

0

0

157

1234

34,750

Physicians Health Plan - FamilyCare
800-832-9186
12/10/2002

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

0

18,147

0

0

18,147

Priority Health
800-446-5674
9/17/1986

On and Off Marketplace
10/1/13 - 3/31/14

Non-Profit

360,765

3,119

58,580

0

1,525

0

423,989

Priority Health Choice, Inc.**
800-446-5674
10/01/2002

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

0

64,356

1,752

0

66,108

Total Health Care, Inc.
800-826-2862
313-871-2000
3/22/1976

Off Marketplace
11/1/13 - 11/14/14

Non-Profit

0

0

0

52,185

74

0

52,259

Total Health Care, USA
800-826-2862
313-871-2000
8/18/2005

On and Off Marketplace
10/1/13 - 3/31/14

Non-Profit

27,907

0

0

0

0

0

27,907

UnitedHealthcare Community Plan
800-903-5253
7/12/1996

Medicaid Only
Not subject to an open enrollment period

Profit

1,009

0

3,281

242,185

0

0

246,475

Upper Peninsula Health Plan, Inc.
800-835-2556
6/21/2000

Medicaid Only
Not subject to an open enrollment period

Non-Profit

0

0

182

28,723

578

0

29,483

Totals

9 Profit
15 Non-Profit

1,266,452

11,506

172,555

1,277,760

12,015

47,040

2,737,328

Note: The following three HMOs are not listed in the above table; Aetna Health, Inc., McLaren Community HMO, and AmeriHealth Michigan, Inc. These three HMOs have a certificate of authority as an HMO to conduct business in Michigan; however, neither of the HMOs has members or is currently accepting new members. The other enrollment column includes Federal Employee Health Benefit Plan Enrollees, and MIChild.

*   Formerly named Pro Care Health Plan, Inc.          
**  Formerly named Priority Health Government Programs, Inc.