Michigan provides a number of health care coverage options for children, adults, and families who meet certain eligibility requirements. The goal of these programs is to ensure that essential health care services are available to Michigan residents who do not have the financial resources to purchase them. All programs, with the exception of Children’s Special Healthcare Services, have an income test. Several programs also consider assets when determining eligibility.
MIChild is a health care program for children who are under age 19 administered by the Michigan Department of Health and Human Services. It is for the low income uninsured children of Michigan’s working families. MIChild has a higher income limit than U-19 Medicaid. There is only an income test. There is a $10 per family monthly premium for MIChild. The $10 monthly premium is for all of the children in one family. The child must be enrolled in a MIChild health and dental plan in order to receive services. Beneficiaries receive a comprehensive package of health care benefits including vision, dental, and mental health services. For more information, visit the MIChild website.
Healthy Kids is a program that provides a wide range of health care coverage and support services for qualifying pregnant women, babies and children under age 19.
U-19 is a Medicaid health care program for low-income children under age 19. There is only an income test. There is no monthly premium for this Medicaid program. Most children who are eligible for U-19 Medicaid are enrolled in a Medicaid health plan. This program provides a comprehensive package of health care benefits including vision, dental, and mental health services.
Children’s Special Health Care Services (CSHCS)
Children’s Special Health Care Services is a program within the Michigan Department of Health and Human Services that provides certain approved medical service coverage to some children and adults with special health care needs. Children must have a qualifying medical condition and be under 21 years of age. Persons 21 and older with cystic fibrosis or certain blood coagulating disorders may also qualify for services.
Medicaid is available to eligible persons under age 21. There is an income test and an asset test for this program. If income is over the income limit, the person is assigned a deductible. Persons may incur medical expenses that equal or exceed the deductible and still qualify for this program. Beneficiaries receive a comprehensive package of health care benefits including vision, dental, and mental health services.
Medicaid for Pregnant Women
Medicaid is available to an eligible woman while she is pregnant, including the month her pregnancy ends and during the two calendar months following the month her pregnancy ends, regardless of the reason (for example: live birth, miscarriage). The comprehensive health care package of Medicaid benefits is available. There is an income limit for this program. If the income is over the income limit, the pregnant woman is assigned a deductible. Persons may incur medical expenses that equal or exceed the deductible and still qualify for this program.
Maternity Outpatient Medical Services (MOMS)
Maternity Outpatient Medical Services (MOMS) is a health coverage program administered by the Michigan Department of Health and Human Services. The MOMS program provides health coverage for pregnant or recently pregnant women who are eligible for Emergency Services Only (ESO) Medicaid. MOMS provides coverage for outpatient prenatal services and pregnancy-related postpartum services for two months after the pregnancy ends. Medicaid ESO covers labor and delivery services.
Healthy Michigan Plan
The Healthy Michigan Plan provides comprehensive health care coverage for a category of eligibility authorized under the Patient Protection and Affordable Care Act and Michigan Public Act 107 of 2013. The Healthy Michigan Plan provides health care coverage for individuals who are 19-64 years of age; have income at or below 133% of the federal poverty level under the Modified Adjusted Gross Income (MAGI) methodology; do not qualify for or are not enrolled in Medicare; do not qualify for or are not enrolled in other Medicaid programs; are not pregnant at the time of application; and are residents of the State of Michigan. All criteria for MAGI eligibility must be met to be eligible for the Healthy Michigan Plan.