Insurance Participation

Insurance Participation

Insurance

Health Insurance Participation

Health Insurance Particpation

Sindecuse Health Center participates with the following insurance companies:

  • Aetna & Aetna PPO (excludes HMO)

  • Aetna Student Health

  • ASR/Physicians Care Network—effective 8/1/11
    excludes Lakeland HealthCare

  • Blue Care Network (Sports Medicine Physicians ONLY)
  • Blue Cross/Blue Shield (traditional and PPO)

    including the following plans:
    Blue Basic
    Blue Choice(POS)—(Sports Medicine Physicians ONLY)
    Blue Cross Anthem
    Blue Cross Empire
    Blue Plus
    Blue Preferred
    Blue Preferred Plus
    Blue Value Plan
    Federal Blue Cross
    Flexible Blue PPO
    Young Adult Blue
    Any Blue Cross PPO plan

  • Care Choices HMO (excludes Preferred Choices)
  • Cofinity—formerly PPOM
  • HAP

    preventive visits not covered at Sindecuse
    excludes CIGNA HAP Preferred

  • Medicaid (excludes HMO except as noted above)
  • Medicare (including Medicare Advantage)
  • Meridian Health Plan of Michigan Medicaid HMO
  • MESSA (traditional and HMO)
  • includes MESSA Choice II

  • Plan First!
  • Birth Control Services only

  • Priority Health (excludes Priority Medicaid and Priority Medicare)
  • including the following plans:
    PPO
    HMO
    POS

  • Tricare (excludes HMO)
  • United Behavioral Health—effective 01/18/10
  • United Healthcare

effective 01/01/10
excludes mental health services

Sindecuse's WMU Sports Medicine Clinic also participates with the above insurances.
The Sindecuse Pharmacy participates with many major pharmacy card programs beyond those listed above.

For information regarding submitting claims to these and other plans go to our Filing Insurance page.

Important Notice: If you are a legal permanent resident of the United States under the age of 21 years and cannot afford health insurance, you may meet eligibility requirements for Medicaid. You may obtain an application from the State of Michigan website and click on the Health & Services tab at michigan.gov. When you do meet State of MI eligibility requirements and are asked to choose a Medicaid HMO Plan, Sindecuse Health Center accepts the Health Plan of Michigan. This plan may be used in most counties in the lower peninsula of MI. You may learn more about the Health Plan of Michigan at hpmich.com/corporatehome.shtml. Sindecuse Health Center also accepts “straight” Medicaid.

Other Michigan Medicaid HMO plans may not authorize your treatment at Sindecuse Health Center. You may change your current Medicaid HMO to the Health Plan of Michigan by calling Michigan Enrolls at 1-888-367-6557.

If you are a legal alien studying at WMU, Michigan Medicaid is no longer an option for health insurance for yourselves and your dependents. In previous years, Michigan granted Medicaid to international students and their dependents in error. The state has corrected their error and is no longer providing this coverage for legal aliens and their dependents. Your dependents must be insured through your health insurance plan. Children born in the United States are no longer eligible for the Michigan MI Child Medicaid program if their parents plan to bring them back to their home country. These policies are available on the State of Michigan website at michigan.gov.

 

Sindecuse Health Center
Western Michigan University
Kalamazoo MI 49008-5445 USA
(269) 387-3287 | (269) 387-3204 Fax
health@sindecuse.com