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.