MEDICARE MEMBERS: PROTECT YOURSELF AGAINST MEDICARE FRAUD AND IDENTIFY THEFT! THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF INSPECTOR GENERAL IS ALERTING THE PUBLIC ABOUT A FRAUD SCHEME INVOLVING GENETIC TESTING. LEARN HOW TO PROTECT YOURSELF.
Michigan Plan Benefit Materials
This booklet gives you a summary of costs and coverage in your plan. Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Ascension Complete Michigan Reward (HMO) | H0482- 001 | Genesee, Iosco, Kalamazoo, and Saginaw | |
Ascension Complete Michigan Secure (HMO) | H0482- 002 | Genesee, Iosco, Kalamazoo, and Saginaw | |
Ascension Complete Michigan Reward (HMO) | H0482- 003 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne | |
Ascension Complete Michigan Secure (HMO) | H0482- 004 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne |
For HMO D SNP Members:
Plan Name | CMS # | County | Summary of Benefits |
---|---|---|---|
Ascension Complete Michigan DSNP (HMO D-SNP) | H0482- 005 | Genesee, Iosco, Kalamazoo, and Saginaw |
For PPO Members:
Plan Name
CMS #
County
Summary of Benefits
Ascension Complete Michigan Access Plus (PPO)
H7512- 001
Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne
Ascension Complete Michigan Access Plus (PPO)
H7512- 002
Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne
Ascension Complete Michigan Access Plus (PPO)
H7512- 003
Genesee, Iosco, Kalamazoo, Saginaw
Ascension Complete Michigan Access (PPO)
H7512- 004
Genesee, Iosco, Kalamazoo, Saginaw
This booklet gives you a complete list of services, limitations and exclusions for your plan coverage. Please select the document for your plan and county:
For HMO Members:
Plan Name
CMS #
County
Evidence of Coverage (EOC)
Ascension Complete Michigan Reward (HMO)
H0482- 001
Genesee, Iosco, Kalamazoo, and Saginaw
Ascension Complete Michigan Secure (HMO)
H0482- 002
Genesee, Iosco, Kalamazoo, and Saginaw
Ascension Complete Michigan Reward (HMO)
H0482- 003
Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne
Ascension Complete Michigan Secure (HMO)
H0482- 004
Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne
For HMO D SNP Members:
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete Michigan DSNP (HMO D-SNP) | H0482- 005 | Genesee, Iosco, Kalamazoo, Saginaw |
For PPO Members:
Plan Name | CMS # | County | Evidence of Coverage (EOC) |
---|---|---|---|
Ascension Complete Michigan Access Plus (PPO) | H7512- 001 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne | |
Ascension Complete Michigan Access (PPO) | H7512- 002 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne | |
Ascension Complete Michigan Access Plus (PPO) | H7512- 003 | Genesee, Iosco, Kalamazoo, Saginaw | |
Ascension Complete Michigan Access (PPO) | H7512- 004 | Genesee, Iosco, Kalamazoo, Saginaw |
If you were enrolled in Ascension Complete last year, this booklet will tell you about changes to your plan’s costs and benefits for the coming year. Please select the document for your plan and county:
For HMO Members:
Plan Name | CMS # | County | Annual Notice of Changes (ANOC) |
---|---|---|---|
Ascension Complete Michigan Reward (HMO) | H0482- 001 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne | |
Ascension Complete Michigan Secure (HMO) | H0482- 002 | Lapeer, Livingston, Macomb, Oakland, St. Clair, Wayne |
Ascension Complete Michigan Reward (HMO)
Genesee, Kalamazoo, and Saginaw counties
Lapeer, Livingston, Macomb, Oakland, St. Clair, and Wayne counties
If you have any questions please, contact Member Services.