Frequently Asked Questions

What if I speak a language other than Arabic, Spanish, or English?
We have interpreters that speak any language, just call HAP Midwest Health Plan Customer Service toll free at (888) 654-2200 and we will help you.

How do I find a primary care physician (PCP) or change a PCP?
To find or change doctors, call HAP Midwest Health Customer Service department toll-free at (888) 654-2200 and a representative will help you. Our provider directory is available on the HAP Midwest Health Plan website, or by mail, upon request. For a list of our primary care physicians, click here .

What is a primary care physician?
A primary care physician is a doctor that you choose to take care of yourself and your family. This doctor is your personal physician. This doctor is responsible for making sure you get the health care you need. In order for the doctor to help you, you must visit your doctor and follow his directions.

Do I need a referral to see a specialist?
In most cases you need a referral from your PCP to see a specialist. Call HAP Midwest Health Customer Service toll free (888) 654-2200 for more information.

Do I have to pay a co-pay for any services?
No, HAP Midwest Health Plan does not have co-pays for any covered services.

What if I need help after business hours?
We are here 24 hours a day, Seven days a week, and 365 days a year. Call HAP Midwest Health Plan Customer Service toll free at (888) 654-2200 if you need us at any time.

How do I know what my benefits are?
When you enrolled with HAP Midwest Health Plan, you received a Membership Guide. This booklet discussed all your benefits. You can contact HAP Midwest Health Plan Customer Service toll free at (888) 654-2200 to get information about your benefits.

What medications are covered as a benefit?
HAP Midwest Health Plan follows the Michigan Medicaid Common Formulary for those members covered by Medicaid. For MI Health Link and HAP Midwest Advantage members, we have a Formulary (a list of covered drugs) for each plan. Look under the Pharmacy tab to find the Formulary for the plan you are enrolled in. We cover most commonly ordered drugs for your heart, diabetes, high blood pressure, asthma, antibiotics for infections, birth control pills, and many, many others. We do not charge you a co-payment for any drugs. If you have a question about which drugs are on the Medicaid formulary, contact your pharmacist, doctor, or HAP Midwest Health Plan. There are some drugs that must have approval from your doctor or HAP Midwest Health Plan before you can get them. You or your doctor can call HAP Midwest Health Plan Customer Service toll free at (888) 654-2200 to get information about these drugs and how to obtain approval.

How do I know that the doctors and the other companies HAP Midwest Health Plan uses for my care are qualified?
HAP Midwest Health Plan assures its members that all of the doctors and other network providers meet the education, training and license requirements to provider your care. These requirements are checked before a provider can join HAP Midwest Health Plan, rechecked every three years, and continuously monitored for changes that might affect your care.
Here is a list of phone numbers you may need:
HAP Midwest Health Plan Customer Service (888) 654-2200 toll free
TTY for the Hearing Impaired 711
Michigan Medicaid Helpline (800) 642-3195
Heritage Optical (for your routing vision needs) (800) 252-2053
Delta Dental (800) 482-8915