We are privately owned and not affiliated or endorsed by any government agency.

Take the Benefits Quiz

Michigan Medicaid

The Michigan Medicaid Health Care Program is intended to provide medical and health-related assistance to low-income individuals and families.

The Michigan Medicaid Health Care Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance.

Program Name Michigan Medicaid
Expanded Medicaid Yes
Website michigan.gov
Phone 800-803-7174
Apply Online https://newmibridges.michigan.gov/
Appeal a Denial Medicaid Fair Hearings
Find a Local Office County Directory

Eligibility Requirements

To be eligible for Michigan Medicaid, you must be a resident of the state of Michigan, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 17 years of age or younger
  • Have a disability or a family member in your household with a disability

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Ambulance Medicine prescribed by a doctor
Chiropractic Mental health services
Dental Non-emergency medical transportation
Doctor visits Nursing home care
Emergency services Personal care services
Family planning Physical and occupational therapy
Hearing and speech services Podiatry (foot care)
Home health care Pregnancy care
Hospice care Private duty nursing
Immunizations (shots) Substance use treatment services
Inpatient and outpatient hospital care Surgery
Lab Vision
Medical supplies X-ray

Copayments

The copayment requirements apply to most Michigan Medicaid Fee-for-Service (FFS) beneficiaries age 21 and older. Exceptions to some copayment requirements may apply.

Physician Office Visit $2
Outpatient Hospital Visit $2
Emergency Room Visit for Non-Emergency $3
Inpatient Hospital Stay $50
Pharmacy $1 preferred drug
$3 non-preferred drug
Chiropractic Visit $1
Dental Visit $3
Hearing Aid $3 per aid
Podiatric Visit $2
Vision Visit $2
Urgent Care Center Visit $2

Services excluded from the copayment requirement are:

  • Pregnancy-related services
  • Family planning-related services
  • Some preventive care services
  • Some mental health specialty services
  • Services provided by a Federally Qualified Health Center or Rural Health Clinic

There are no copayment requirements for the Maternity Outpatient Medical Services (MOMS), MIChild, and Children’s Special Health Care Services (CSHCS) programs.

Benefits.com Advisors

With expertise spanning local, state, and federal benefit programs, our team is dedicated to guiding individuals towards the perfect program tailored to their unique circumstances.

Rise to the top with Peak Benefits!

Join our Peak Benefits Newsletter for the latest news, resources, and offers on all things government benefits.

Related Articles

x