News & Media
DIFS Seeks Public Comment on Michigan Essential Health Benefits Benchmark Plan
"We welcome public input and encourage anyone with comments to submit them," Director Ann Flood said.
The state must select one benchmark plan from the following:
- One of the three largest small group plans in the state by enrollment;
- One of the three largest state employee health plans by enrollment;
- One of the three largest federal employee health plan options by enrollment; or
- The largest HMO plan offered in the state’s commercial market by enrollment.
Essential health benefits must include items and services within the following 10 categories:
- Ambulatory patient services;
- Emergency services;
- Hospitalization;
- Maternity and newborn care;
- Mental health and substance use disorder services, including behavioral health treatment;
- Prescription drugs;
- Rehabilitative and habilitative services and devices;
- Laboratory services;
- Preventive and wellness services and chronic disease management; and
- Pediatric services, including oral and vision care.
Additional information and a comparison of the essential health benefits benchmark plans being considered for 2017 are available online.
Public comments will be accepted through June 5, 2015 and should be sent electronically to DIFS-EHBcomments@michigan.gov.