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:

Plan Name	CMS #	County	Summary of Benefits
Ascension Complete Michigan Reward (HMO)	H0482- 001	Genesee, Kalamazoo, and Saginaw counties	Summary of Benefits, H0482-001 - English (PDF)
Ascension Complete Michigan Secure (HMO)	H0482- 002	Genesee, Kalamazoo, and Saginaw counties	Summary of Benefits, H0482-002 - English (PDF)

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:

Plan Name	CMS #	County	Evidence of Coverage (EOC)
Ascension Complete Michigan Reward (HMO)	H0482- 001	Genesee, Kalamazoo, and Saginaw counties	Evidence of Coverage, H0482-001 - English (PDF)
Ascension Complete Michigan Secure (HMO)	H0482- 002	Genesee, Kalamazoo, and Saginaw counties	Evidence of Coverage, H0482-002 - English (PDF)

Over-the-Counter Benefits

Optional Supplemental Benefits Flyer (PDF)

Optional Individual Benefits Form (PDF)

If you have questions please, contact Member Services.

Michigan Plan Benefit Materials

Summary of Benefits

Evidence of Coverage (EOC)

Over-the-Counter Benefits

Optional Supplemental Benefits Flyer

Optional Individual Benefits Form

Brochures, Flyers and Inserts