MyMichigan Unifies Insurance Contracts to Improve Patient Experience

Insurance participation is about to get a lot simpler across MyMichigan Health providers and locations, according to Paul Berg, M.D., M.H.A., senior vice president and chief medical officer, MyMichigan Health.

“At MyMichigan Health, we want you to have the same high-quality experience at all our locations,” Dr. Berg said. “This includes participation in your insurance. We are excited to announce that we are unifying our healthcare insurance contracts to bring our patients a more seamless experience.”

Dr. Berg explained that starting January 1, 2026, MyMichigan Health will no longer enroll in separate provider networks. Instead, all MyMichigan-owned facilities and employed providers will be participating in insurance plans through MyMichigan’s own Clinically Integrated Network (CIN), MyMichigan Collaborative Care Organization (MCCO.)

“We’ve been hard at work to secure new contracts with all major insurance plans in our service area,” said Dr. Berg. “Our goal is to secure these contracts by January 1, 2026, so that we can continue providing in-network care without disruption. Our ideal goal is that wherever you go at MyMichigan Health, your care will be in-network if we participate in your plan.”

MyMichigan confirms that they will be in-network with the following payers at all of its Medical Centers and provider offices for 2026, although they caution patients to visit www.mymichigan.org/insurance
before enrolling for 2026 insurance to confirm which specific payer plans will be in-network:

Commercial

• Aetna
• Blue Care Network
• Blue Cross Blue Shield
• Claritev (formerly Multiplan)
• Cofinity
• Health Alliance Plan (HAP)
• McLaren Health Plan
• Priority Health

Commercial Exchange (Marketplace)

• Blue Care Network
• Blue Cross Blue Shield
• HAP
• McLaren Health Plan
• Priority Health

Dual Eligible

• Molina Health Plan
• PACE (Central Michigan, Great Lakes, Northeast Michigan)

Medicaid

• Blue Cross Complete
• McLaren Health Plan
• Meridian Health Plan
• Molina Health Plan

Medicare

• Medicare Parts A, B, C, D
• Medigap Supplemental Insurance

Medicare Advantage

• Blue Cross Blue Shield of Michigan
• Blue Care Network
• HAP
• Priority Health

Military

• TriCare East Humana Military
• UnitedHealthcare
• Veterans Affairs

“We are still solidifying participation with several plans,” Dr. Berg said. “We encourage patients to verify in-network status before they enroll in 2026 insurance by visiting www.mymichigan.org/insurance for the latest information.”

Patients are encouraged to visit MyMichigan’s website at www.mymichigan.org/insurance before enrolling in 2026 insurance to confirm whether their specific plan is in-network. Those who have additional questions may contact MyMichigan’s Financial Counselors Monday through Friday, from 8 a.m. to 4:30 p.m. at (844) 832-1956 or email patient-financial-services@mymichigan.org

ADDITIONAL BACKGROUND INFORMATION

Why is this needed?

As new hospitals have joined MyMichigan Health over the years, they brought along existing insurance contracts that were not all the same. This was confusing for patients and providers and could result in out-of-network bills or potential disruptions in access to care.

“We have put a lot of research and thought into choosing a path forward that will address these concerns,” said Dr. Berg. “We’re confident that unifying our insurance contracts under our CIN, MCCO, will benefit patients, payors, employers, providers, MyMichigan Health, and our communities.”

What is a Clinically Integrated Network and how does it benefit patients?

A Clinically Integrated Network (CIN) is a team of health care experts working together to keep an entire population healthy. Evidence supports that CINs provide better access, outcomes, patient engagement and coordination of care than more traditional provider networks. They achieve these outcomes through several initiatives, including:

• measuring and transparently sharing safety and quality data to ensure they meet the highest standards and continuously improve
• including experts such as care managers, navigators, pharmacists, behavioral health therapists and community health workers on the care team, to address the patient’s physical, mental, emotional and financial health
• using Patient-Centered Medical Homes to improve communication and collaboration between primary care providers and specialists
• following evidence-based guidelines and making judicious use of tests and treatments that are both clinically proven and cost-effective
• offering preventive programs that help patients stay healthier, save time and money and avoid unnecessary trips to the emergency room or hospital