17 hours ago McLaren CONNECT makes it easy for providers to verify member eligibility, view claims, payments, member information and more. Verify member eligibility. View member claims and print explanation of payments (EOPs) View and print member eligibility rosters. View and print member benefit information. View a member's demographic information. >> Go To The Portal
With McLaren CONNECT, you can access your McLaren Health Plan information in one convenient location from your laptop, tablet or mobile device. Need Convenient Care Now? See a board-certified provider, anytime, anywhere in the U.S. Convenient care at your neighborhood pharmacy.
McLaren Health Plan offers fully-insured plans for small and large group employers on the Health Maintenance Organization (HMO), Point-of-Service (POS) and High Deductible platforms. Small group plans can be purchased on the Health Insurance Marketplace or directly from McLaren Health Plan.
McLaren CONNECT makes it easy for providers to verify member eligibility, view claims, payments, member information and more. With McLaren CONNECT, employers can easily enroll new employees, view benefit information, invoices, eligibility rosters, and more.
Health Advantage’s EDI payer ID is 38338. Contracted providers are paid according to the McLaren Health Advantage fee schedule. For information about joining McLaren Health Advantage, please contact a Provider Services Representative at (888) 327‑0671.
Medicaid / MIChild. Medicaid is a jointly funded, Federal-State health insurance program for low-income and needy people. It covers children, the aged, blind and/or disabled and other people who are eligible to receive federally assisted income maintenance payments. Learn more about McLaren Medicaid / MIChild.
The Healthy Michigan Plan (sometimes referred to as “Medicaid Expansion”) provides health care benefits to qualified Michigan residents aged 19-64 at a low cost so more people can have health care coverage. Learn more about McLaren Health Plan Healthy Michigan Insurance.
A Medicare Supplement plan works with Original Medicare coverage, and depending on the plan, covers all or a part of your Medicare deductibles and coinsurances. A Supplement plan, also referred to as Medigap coverage, is health care coverage that is in addition to Original Medicare.
Fully-Insured Plans. Fully-insured health plans are the more traditional way to structure an employer-sponsored health plan. With a fully-insured health plan, the company pays a premium to the insurance carrier. The premium rates are fixed for a year, based on the number of employees enrolled in the plan each month.
With McLaren DirectCare with Roundstone from McLaren Health Plan, employers will band together with mid-market employers to collectively self-insure with the efficiency of a large organization. And through McLaren DirectCare, they will get the best possible prices from McLaren Health Care, featuring a fully integrated health network of 14 hospitals, ambulatory surgery centers, imaging centers and a 490-member employed primary and specialty care physician network, as well as access to more than 68,000 providers and 141 hospitals across the state. And, they have the possibility of receiving a distribution of savings at the end of the year.
McLaren HealthAdvantage is a wholly owned subsidiary of McLaren Health Plan, and is a Michigan third-party administrator (TPA) that ad ministers self-funded products to employer groups with 50 or more employees. Learn more about McLaren Health Advantage - Group Insurance.
Tax credit may be available to qualified individuals who purchase their plans on the Marketplace. McLaren Health Plan offers plans on the Marketplace. You also may purchase Individual plans directly from McLaren Health Plan. There are a number of plans to choose from, with a variety of premiums and benefit options.
A complete inpatient, outpatient surgery or emergency record of each patient's care, treatment and progress is kept in the Medical Records Department.
Please visit the appropriate subsidiary link to learn more about obtaining your medical records.
McLaren Health Care’s hospitals, ambulatory facilities, and home health care personnel are committed to providing exceptional, compassionate care even in the face of coronavirus.
Whether you’re driving, running or just sitting on the sofa, McLaren’s In Good Health Podcast provides valuable and timely healthcare information to help you lead a healthier life, brought to you by the health experts at McLaren. With new episodes each week, this is a habit worth forming.
Whether you need the specialized care of a hospital or just to tend to the coughs and sniffles that are slowing you down, McLaren locations across Michigan and Ohio are ready to help you get back to living.
McLaren offers a multitude of educational classes, support groups, screenings, seminars, and other special events to benefit you and your health.
At McLaren, we believe in empowering you to take charge of your health care. With convenient tools that allow you to visit a physician on your laptop or mobile device, access your personal medical information, check-in to an Emergency Room from the comfort of home, or find a doctor close to you, we are your partner for life.
The beginning of the year is always a good time to make sure you have your medical appointments scheduled, including cancer screenings. Early dete...
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An HRA is required for every McLaren Health Plan Healthy Michigan member. It is a tool to help you get healthy and stay healthy. Please call McLaren Health Plan at (888) 327-0671 to get your HRA started and sent to your PCP before your first appointment.
Your PCP will also ask you if you are ready to make any changes to improve your health. Your PCP will help you select a healthy behavior goal. As a Healthy Michigan Plan member, it is very important for you to select and achieve your healthy behavior goals.
To ensure payment for eligible services, member eligibility should be verified before rendering care. Members are requested to present their McLaren Health Advantage identification card at each visit.
For most of the services you provide your patients, your office must submit the claim within one (1) year of the Date of Service, including Coordination of Benefits claims.
McLaren Health Advantage accepts both paper and electronically billed claims. If billing paper claims, follow the CMS requirements for using the CMS 1500 form and mail to: