Medicaid is a health care program that provides comprehensive health care services to low income adults and children. Services covered by Medicaid are offered through what is called fee-for-service or through Medicaid Health Plans:
- Fee-for-service is the term for Medicaid paid services that are not provided through a health plan. This means that Medicaid pays for the service. People under fee-for-service will use the mihealth card to receive services.
- Most people must join a health plan. The health plan pays for most of the services. For people that need to join a health plan, Michigan Enrolls will send a letter with more information. After enrollment with a health plan, both the mihealth card and the health plan card are needed to access services.
Costs
Enrollees do not have to pay the full cost of covered services; however, a small amount called a co-pay may be required. People age 21 and older may have a co-pay for the services listed in the co-pay chart.
Covered Services
Medicaid and MIChild cover medically necessary services such as:
- ambulance
- chiropractic
- dental
- doctor visits
- emergency services
- family planning
- hearing and speech services
- home health care
- hospice care
- inpatient and outpatient hospital care
- lab
- medical supplies
- medicine prescribed by a doctor
- mental health services
- non-emergency medical transportation
- nursing home care
- personal care services
- physical and occupational therapy
- podiatry (foot care)
- pregnancy care (prenatal, delivery, and post-partum)
- private duty nursing
- immunizations (shots)
- substance use disorder treatment services
- surgery
- vision
- x-ray
A yearly health exam is covered. Some of these services are limited and may not be covered for beneficiaries age 21 and older. Some of these services may require prior approval.