Health Maintenance Organization, otherwise known as an HMO, is a plan that requires members to select a Personal Care Physician or PCP. The PCP is the member’s go-to doctor and first-line partner for better health who will coordinate all of their health care needs. If the need arises, specialty care is simple with our paperless referral system.
The HAP HMO service area includes the following nine counties: Genesee, Lapeer, Livingston, Macomb, Monroe, Oakland, St. Clair, Washtenaw and Wayne. In addition, members are covered for emergency and urgent care whenever they travel outside of our service area - worldwide.
The HAP HMO network is a subset of the statewide network and encompasses the nine-county service area. Each HAP PCP belongs to a network of doctors, medical centers and hospitals. When a member selects a PCP they are also selecting a network. Most times their PCP will refer their patient for specialty and hospital care within their network. However, most of our PCPs and specialists are part of a larger system where they can refer the member to any specialist or hospital within our service area for greater flexibility.
HAP’s Health Engagement program is a two-tier HMO plan design. Employer groups with 51 or more employees can choose a plan designed with incentives that encourage members to adopt a healthy lifestyle. Both programs measure key health factors that can be controlled through lifestyle choice and positively impact employee health and performance.
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Click the link below to see the HMO plan options available.
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