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State of Michigan

Comparison of Health Care Options

Skilled nursing care up to 120 days per confinement (730 days for UAW)

Covered 100% after deductible

Covered 100% up to 730 days

Hospice care

Covered 100% Limited to the lifetime dollar maximum that is adjusted annually by the State

Covered 100%

Home health care

Covered 100% after deductible, unlimited visits

Check with your HMO

Alternatives to Hospital Care

State Health Plan PPO

In-network

Out-of-network

HMO Benefits

HMO Benefits

Covered 100%

Check with your HMO

Surgical Services

State Health Plan PPO

In-network

Out-of-network

Covered 100% after deductible

Covered 90% after deductible

Surgery—includes related surgical services. 4

Voluntary sterilization

4

Inpatient hospital services are 100% covered after deductible under the Catastrophic Health Plan.

Human Organ Transplants

State Health Plan PPO

HMO Benefits

In-network

Out-of-network

Liver, heart, lung, pancreas, and other specified organ transplants

Covered 100% In designated facilities only. Up to $1 million lifetime maximum for each organ transplant

Covered 100% in designated facilities

5

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