Health Alliance Plan HMO

The Health Alliance Plan HMO offers low out-of-pocket costs within a defined network of doctors and hospitals for residents of Genesee, Lapeer, Livingston, Macomb, Oakland, St. Clair, Washtenaw, and Wayne counties.        

Summary of Benefits

  • No annual deductible
  • No out-of-pocket cost to you for preventive care
  • $25 copay for office visit for injury or illness
  • $30 copay for specialist visit
  • $25 copay for urgent care
  • $100 copay for emergency care (waived if admitted)
  • $25 copay for mental health, behavioral health or substance abuse services
  • No out-of-pocket cost to you for inpatient services
  • No out-of-pocket cost to you for outpatient surgery
  • $6,350 individual/$12,700 family out-of-pocket maximum

For complete information on benefits and coverage, please refer to the plan documents.

Using the Plan

Members must choose a Primary Care Physician (PCP) from the HAP network.   In order to visit a specialist, you will need a referral from your PCP.  Services received outside of the network are not covered, except in the event of emergency (refer to plan documents for details).

Plan Documents & Forms

Plan Contact Information

hap.org

800-422-4641

Health Alliance Plan
2850 West Grand Boulevard
Detroit, MI 48202

Group number: 1-0000736