Healthy Michigan Plan

Asthma and COPD Care

Do you have trouble managing asthma, allergies or COPD symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Help you stay active.

တၢ်ကွၢ်ထွဲတၢ်ပၢဆှၢရဲၣ်ကျဲၤ

Do you or a family member have a serious health problem or a high-risk pregnancy? If so, our care managers are in your corner. They will:

• Explain medical terms in plain language.
• Coordinate your doctor appointments.
• Provide your care team with your medical records.

Your care manager will stay with you on your medical journey. He or she will:

• Think beyond your medical needs.
• Make sure you have support at home.

So you can focus on getting better.

Choice of Birth Center

If you become pregnant while you are a Healthy Michigan Plan member:

Where you have your baby is an important choice. That's why you can pick from nearly 100 hospitals across Michigan.

We encourage you to tour the hospital's birthing center. This way you will be familiar with it. And you'll be more relaxed when you have your baby.

Choice of Doctors

You get a primary care provider (PCP) who is your main doctor. စူးကါ တၢ်ဃုကွၢ်ကသံၣ်သရၣ်ပီးလီ ဒ်သိးကထံၣ်သ့ၣ်ညါဘၣ်ဃး နကသံၣ်သရၣ်န့ၣ်အိၣ်ဝဲလၢပပှဲာ်ဘျးစဲအပူၤဧါန့ၣ်တက့ၢ်.

If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

န PCP န့ၣ် မ့ၢ်နကသံၣ်သရၣ်မိၢ်ပှၢ်လၢ -

• Preventive care.
• Treatment if you are sick or injured.

Referrals to specialists for certain conditions.

Customer Services

Understanding your health care options can be confusing. Now you have someone you can call. We can answer your questions simply and completely.

We help you find:

• Doctors.
• Pharmacies.
• Hospitals or other health facilities.
• Local resources.

We also have people who speak more than one language. Chances are, we have someone who speaks your language.

Diabetic Support

If you have diabetes you may need insulin, needles, wipes and glucose strips. We cover all that and more.

Our plan also steps up with services to help you manage your diabetes including:

• Coordinating doctor care.
• Dedicated team to help you understand your condition and manage it.

တၢ်အပီးအလီတဖၣ်ဒီးတၢ်ဆှၢဟ့ၣ်တဖၣ်

နဆူၣ်ချ့ဒီးတၢ်ဘံၣ်တၢ်ဘၢလၢဟံၣ်န့ၣ် အကါဒိၣ်လီၤ.

ပတၢ်တိာ်ကျဲၤန့ၣ် အုၣ်ကီၤဝဲ တၢ်ကူစါယါဘျါတၢ်ပီးတၢ်လီတဖၣ် လၢနကသံၣ်သရၣ်ဃ့ထီၣ်န့ၣ်လီၤ. This can include items like:

• Hospital beds.
• Oxygen tanks.
• Walkers or wheelchairs.

Healthy First Steps®

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $20 just for signing up. 

ပကမၤစၢၤနၤလၢ-

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• မၤဘၣ်ထွဲဒီး ပှၤတဝၢအတၢ်အိၣ်ယၢၤတဖၣ်ဒ်အမ့ၢ် ပိာ်မုၣ််, ဖိသၣ်အီနုၢ်် ဒီး ဖိသၣ် (WIC) အတၢ်တိစၢၤမၤစၢၤတဖၣ်တက့ၢ်ႉ

Hearing Services

Trouble hearing can affect your everyday life in many ways. Our plan includes services and support to determine whether a hearing problem exists.

ပအုၣ်ကီၤတၢ်လၢ -

• Exams, therapy and tests.
• Hearing aids and services.

တၢ်တီၣ်ထီၣ်တၢ်ဆါဟံၣ်

This plan pays for medical expenses related to a hospital stay.

ပတၢ်တိာ်ကျဲၤန့ၣ်အုၣ်ကီၤဝဲလၢ -

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

ဒီးဖဲနဟးထီၣ်လၢတၢ်ဆါဟံၣ်ဝံၤအလီၢ်ခံန့ၣ် နတမ့ၢ်ထဲတဂၤဘၣ်. We make sure you get follow-up care to continue healing.

Lab and X-rays

တၢ်သ့ၣ်ညါတၢ်လၢကမၣ် ဒီးတၢ်ဃုထံၣ်အီၤဆိဆိန့ၣ် ဒုးကဲထီၣ်တၢ်ဆီတလဲခဲလၢာ်သ့န့ၣ်လီၤ. ပတၢ်တိာ်ကျဲၤန့ၣ်အုၣ်ကီၤဝဲလၢ -

• တၢ်မၤကွၢ်ဒၢးတဖၣ် ဒီးတၢ်စဲးကွၢ်
• ယဲၤဖျါ, ကွၢ်နီၢ်ကစၢ်ခီဖျိလီယဲၤဘ့ၣ်ဂီၤဖျါဒီး စဲးဒုးဖျါက့ၢ်ဂီၤအဂုၤအဂၤဖၣ်လီၤႉ

We'll help get the information needed to improve your health or be your best.

ကျိာ်တၢ်မၤစၢၤ

We have people at our customer services center who speak more than one language. Chances are, we have someone who speaks your language.

ကသံၣ်ကသီတဖၣ်

Our plan includes prescription drugs and refills. Refer to the FAQ's for information on co-pay amounts.

We also cover many medically needed, over-the-counter medicines with a written order from your doctor. There is no copay for these medicines.

And we make getting your medicine easy. You can fill your prescriptions at:

• Network pharmacies.

နီၢ်သးဆူၣ်ချ့

Mental health is as important as physical health. That's why we cover both.

Required short-term care is covered. အဝဲန့ၣ်ပၣ်ဃုာ်ဒီး -

• Behavioral therapy.
• တၢ်ဟ့ၣ်ကသံၣ်ကသီတဖၣ်.

Nurse Visits

Sometimes you may need continued care after you leave the hospital or urgent care. If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

• Provide medical care for you.
• Answer your questions and concerns.

Prenatal Visits

If you become pregnant while you are a Healthy Michigan Plan member:

Your pregnancy is a journey you'll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

• Make sure you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

တၢ်ဒုၣ်မိာ်

You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.

တၢ်ဆဲးကသံၣ်ဒီးကသံၣ်ဒီသဒၢတဖၣ်

Routine shots help protect against illness. So, our plan covers:

• Recommended shots and vaccines.
• Influenza shots.

တၢ်ကူစါယါဘျါတၢ်တိစၢၤမၤစၢၤတဖၣ်

နီၢ်ခိ,တၢ်မၤဒီးတၢ်ကတိၤတၢ်ကူစါယါဘျါန့ၣ် မၤစၢၤနၤသ့ ဒ်သိးနကအိၣ်မုာ်ထီၣ်က့ၤလၢ တၢ်ဘၣ်ဒိဘၣ်ထံး မ့တမ့ၢ်တၢ်ဆါဆူၣ်နး, မ့တမ့ၢ် နတုၤဆူတၢ်လၢနဒိးန့ၢ်သ့န့ၣ်လီၤ.

Our plan provides:

• Occupational therapy.
• Physical therapy.
• Speech therapy.
• Language therapy.
• Habilitative therapy.

With a doctor's request your coverage includes short term physical, occupational, speech, language and/or other therapy visits each year.

တၢ်ဝံစိာ်တီဆှၢ

Our plan provides a ride for you to and from health care locations. That includes rides to:

• Doctor or therapy visits.
• Health departments.
• Vision clinics.

You can also be reimbursed for gas for driving to and from health care visits:

ModivCare Member Gas Reimbursement Instructions
ModivCare Mileage Reimbursement App
ModivCare Member Gas Reimbursement Form
ModivCare Standing Order Form

To learn more visit https://www.mymodivcare.com

Unlimited Primary Care Provider/PCP Visits

There may be times when your health requires repeated doctor visits. Our plan does not limit the number of times you can see your primary care provider. This way you get the care you need when you need it. And your doctor can see how your health is progressing.

တၢ်ကွၢ်ထွဲမဲာ်တၢ်ထံၣ်

Regular eye exams and glasses, if needed, can help you see more clearly. We also include:

• Prescription lenses.
• Designer-style frames.

Call Member Services at 1-800-903-5253 for vision services and providers.

ဆူၣ်ချ့တၢ်ကွၢ်ထွဲပှၤဆါတဖၣ်.

Well visits with your doctor can help keep you healthy. တၢ်ကွၢ်ထွဲပှၤဆါဒ်အံၤတဖၣ်န့ၣ် ဃုထံၣ်ဆူၣ်ချ့တၢ်ဂ့ၢ်ကီတဖၣ်ဆိဆိသ့ ဒီးကူစါယါဘျါအီၤသ့န့ၣ်လီၤ. တၢ်ဒီသဒၢတၢ်တိစၢၤမၤစၢၤတဖၣ်န့ၣ် ပၣ်ဃုာ်ဒီး -

• Checkups for adults.
• တၢ်ဆဲးကသံၣ်ဒီးတၢ်စဲးကွၢ်ဘၣ်ဆၢဘၣ်ကတီၢ်တဖၣ်
• Mammograms and Pap Smears.
• Colorectal Screenings.