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PHP | Physicians Health Plan Expands Network for Commercial and Medicare Products

Michigan Business Network
November 15, 2023 3:00 PM

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Lansing, Mich.— Physicians Health Plan (PHP) today announced two new agreements that expand its

PHP Medicare’s statewide network now includes MyMichigan Health hospitals in Alma, Alpena, Clare,
Gladwin, Midland, Sault Ste. Marie, and West Branch.

PHP launched PHP Medicare plans in 2019 in collaboration with Covenant HealthCare, Sparrow Health System, and University of Michigan Health to offer Medicare beneficiaries throughout Michigan access to quality, affordable healthcare. PHP Medicare plans are offered throughout 17 counties in Michigan: Bay, Calhoun, Clinton, Eaton, Gratiot, Huron, Ingham, Ionia, Jackson, Kalamazoo, Livingston, Montcalm, Sanilac, Saginaw, Shiawassee, Tuscola, and Washtenaw.

PHP Medicare plans have earned a 4.5 (out of 5) star rating from CMS for HMO-POS contract for three consecutive years. Every year, Medicare evaluates plans based on a 5-star rating system. The PHP Medicare Advantage PPO plan is too new to be measured.

Additionally, PHP’s commercial network now includes Trinity, in addition to Bronson, Corewell Health, Covenant HealthCare, McLaren, Memorial Healthcare, MyMichigan Health, Sparrow, University of Michigan Health, and many more.

PHP recently expanded its small group and individual service area to include Huron, Montcalm, and Sanilac.

Employers with 50 or fewer full-time equivalent employees who are located in Bay, Clinton, Eaton, Gratiot, Huron, Ingham, Ionia, Isabella, Livingston, Montcalm, Saginaw, Sanilac, Shiawassee, Tuscola, or Washtenaw county are eligible to enroll in in PHP HMO/Exclusive, POS, or PPO plans.

Individuals who live in Bay, Clinton, Eaton, Huron, Ingham, Ionia, Isabella, Livingston, Montcalm, Saginaw, Sanilac, Shiawassee, Tuscola, or Washtenaw county can enroll in PHP’s HMO Exclusive plan.

PHP is NCQA accredited for its commercial HMO and POS plans. The National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving healthcare quality. NCQA Accredits and Certifies a wide range of healthcare organizations and recognizes clinicians in key clinical areas.

About PHP:
At Physicians Health Plan, we exist to improve people’s lives by making healthcare more accessible for
the diverse communities we serve. Together with our extensive network of provider partners and
hospitals, we provide our members access to high-quality, affordable healthcare so they can live their
best lives. PHP is owned by two of Michigan’s top health systems, University of Michigan Health and
Covenant HealthCare, and offers healthcare plans to individuals, employers, and Medicare beneficiaries
throughout Michigan. 

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