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Plan B is for individuals whose incomes are 150% or less of poverty and who are not eligible for any government-sponsored healthcare program.

 

Eligibility Requirements:

  • Age 19-64 (children and seniors who are non U.S. citizens may qualify)*
  • Meet the income guidelines (see below)
  • Kent County resident
  • Do not have any health insurance or any other health benefits (with the exception of Medicaid Spend Down)
  • Not eligible for Medicaid, Medicare, MIChild or Healthy Kids
  • Non U.S. citizens ARE ELIGIBLE if they meet the above requirements

* Child dependants are not eligible; however, children of U.S. citizens or permanent residents may be eligible for other State of Michigan or Federal programs.  For more information on MIChild, click here.

Income Guidelines

NOTE: These amounts refer to gross income (income before deductions)

  • Household of 1 = $15,600 per year (or less)
  • Household of 2 = $21,000 per year (or less)
  • Household of 3 = $26,400 per year (or less)
  • Household of 4 = $31,800 per year (or less)
  • Household of 5 = $37,200 per year (or less)
  • Add $5,400 for each additional family member

Covered Services and Copays

  • There is no fee for enrollment and membership. There is a small co-pay for some services.
  • If you are a member of this program and have questions about your coverage, please call our toll-free Member Services number at 1 (866) 291-8691. 
  • If you are a provider and have questions, please call our toll-free Provider Services number at 1 (866) 715-3702.
  • Covered services and required copayments are as follows:

Coverage

Copay

Doctor Visits

$5

Specialist Services

$5

Outpatient Lab Tests

$0

Outpatient X-rays

$5

Physical Therapy

(limit 6 visits)

$0

Prescription Medications

$5 Generic/$10 Brand

Walk-In/Urgent Care

$5

  • To view the list of covered medications, click here.
  • Services NOT COVERED by Plan B include inpatient hospitalization, outpatient hospital care, visits to an emergency room, mental health and substance abuse services, dialysis, medications not on the KHP list of covered medications, organ transplants, transfusions, chiropractic care, experimental treatment, speech or occupational therapy, hearing aids and related services, durable medical equipment, prosthetics and orthotics, weight loss programs, cosmetic surgery, home health services, services related to sex change, vision screening, eyeglasses, contact lenses, and dental care of any kind. Also not covered is any condition that can be paid for under another public or private health care program or insurance, medical services to prisoners, hospice care, any service not authorized by a KHP provider, travel shots, and sports physicals.

Enrollment

Plan B is currently not accepting new applications.  Please contact your doctor's office or clinic to discuss other possible options for payment assistance.  If you cannot afford your medications, please contact your provider or the Partnership for Prescription Assistance (1-888-477-2669).  If these options do not meet your needs, you may also call United Way at 2-1-1 or (616) 459-2255 for additional options. 

If you have any additional questions about this program, please contact Kristi at Kent Health Plan by calling (616) 726-8204 ext. 1, or emailing her at kristighering@kenthealthplan.org.


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