Frequently Asked Questions

What if I speak a language other than Arabic, Spanish, or English?

We have interpreters that speak any language, just call us at 1-888-654-2200 and we will help you.

How do find a primary care physician (PCP) or change a PCP?

To find or change doctors, call the Customer Service department toll-free at 1-888-654-2200 or at 1-313-581-3700. A Customer Service representative will help you. 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 Customer Service at 1-888-654-2200 for more information.

Do I have to pay a co-pay for any services?

No, MHP does not have co-pays for any covered services.

What if I need help after business hours?

We are here 24 hours a day, 7 days a week, and 365 days a year. Call 1-888-654-2200 if you need us at any time.

How do I know what my benefits are?

When you enrolled with Midwest Health Plan, you received a Membership Guide. This booklet discussed all your benefits. Midwest Health Plan covers any service that is included in the State of Michigan's Medicaid list of benefits.

What medications are covered as a benefit?

Midwest Health Plan follows the Michigan Medicaid Formulary. 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 Midwest Health Plan. There are some drugs that must have approval from your doctor or Midwest Health Plan before you can get them. You or your doctor can call Customer Service at 1-888-654-2200 to get information about these drugs and how to obtain approval.

Is there a co-payment for medications?

Midwest Health Plan will cover your prescription needs at no cost to you - you will not be charged a co-payment. You make take your prescriptions to over 200 local drug stores, including Kroger, Farmer Jack, CVS, Rite Aid, Walgreen, and K-mart Drug Stores. Midwest Health Plan also uses some local, independent drug stores. If you have questions about a local pharmacy, please call Customer Service at 1-888-654-2200.

How do I know that the doctors and the other companies Midwest Health Plan uses for my care are qualified?

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 Midwest Health Plan,rechecked every three years, and continuously monitored for changes that might affect your care.

Here is a list of websites and phone numbers you may need: