HAP's sales and network coverage areas 

Care where you need it

With a long history and deep roots in Michigan, HAP has built provider networks that offer our members some of the best health care available across the state. We continue to build outstanding networks that include leading doctors and hospitals.

Worldwide emergency, urgent care and travel assistance

Outside our network and coverage areas, HAP members are covered worldwide for emergency and urgent care. HAP’s partnership with Assist America provides members with additional emergency travel assistance, including services for lost luggage, travel documents, hospitalization, emergency evacuation and more.

Learn more about the options available for your large business

Group health plans shouldn’t be one-size-fits-all. We’ll work with you to customize a plan that meets the needs of your employees and your business. Your options are limitless.

Our fully funded plans offer the coverage your employees need and the peace of mind that comes with fixed health care costs. It’s important to understand the difference between the types of plans and what benefits each offer.

  • HMO: Coordinated care through a primary care physician
  • EPO: Flexibility to seek services throughout Michigan
  • PPO: Flexibility to seek services throughout Michigan as well as national coverage

 

HMO

PPO

EPO

Members must choose a PCP

Yes

No

No

Referrals for specialists required

No*

No*

No*

Out-of-network coverage

No

Yes

No

Out-of-network emergency care

All HAP members have worldwide emergency and urgent care coverage as well as telehealth coverage

*Specialist's office may require a referral but HAP does not. 

Discover HAP’s newest innovative health plan!

HAP and Henry Ford Health have combined to deliver a plan with world-class healthcare and clinical excellence to provide your employees with cost-effective care. With Henry Ford Health Select, members have access to:

  • 13 acute care hospitals
  • 550+ medical centers
  • 9,400+ physicians and specialists

Learn more

A health savings account, or HSA, is a tax-exempt account used to pay for qualified medical expenses for the account holder and their dependents. A health reimbursement arrangement, or HRA, is an employer-funded account used to reimburse employees for out-of-pocket medical expenses. Use this chart to compare these options and choose what’s best for you and your employees.

 

HSA

HRA

Who can open an account?

Employee. But, they must be enrolled in a qualified, high-deductible health plan.

Employer

What’s covered?

Qualified medical expenses defined by the IRS

Defined by employer

 

Who owns the account?

Employee

Employer

Who contributes?

Employee, employer or any third party. For example, other family members and friends can contribute to the HSA.

Employer

Will the account follow the employee if they change employers?

Yes. It’s fully portable.

It can be portable, if the employer chooses.

Can you roll over unused balances?

Yes, they automatically roll over annually.

Defined by employer.

Are there tax advantages?

The following are tax-free:

  • Employer and employee contributions

  • Any interest earned or investments gained

  • Withdrawals used for qualified medical expenses

HRA dollars are funded by the employer and there are no tax advantages to the employee.

What’s the minimum deductible for 2026? *

$1,700 self-only

$3,400 family

No minimum deductible

What’s the out-of-pocket maximum for 2026? *

$8,500 self-only

$17,000 family

Not applicable

What’s the maximum contribution for 2026? *

$4,400 self-only

$8,750 family

Defined by employer

Can the account be used for retirement income?

Yes. After age 65, employees may withdraw funds for any reason, without penalty. If funds aren’t used for qualified medical expenses, withdrawals will be taxed as income.

No

*Limits are subject to change due to IRS rules.

All qualified medical expenses as defined in Section 213(d) of the Internal Revenue Code.

With our fully insured HMO plans, your business must be located within one of these Michigan counties below. In a Large Group HMO plan, your employees can seek in-network care in the Michigan counties below and in northwest Ohio*.

  • Alcona**
  • Allegan**
  • Alpena**
  • Antrim**
  • Arenac
  • Barry
  • Bay
  • Benzie**
  • Branch
  • Charlevoix
  • Cheboygan**
  • Clare
  • Clinton
  • Crawford
  • Eaton
  • Emmet**
  • Genesee
  • Gladwin
  • Grand Traverse**
  • Gratiot
  • Hillsdale
  • Huron
  • Ingham
  • Ionia
  • Iosco
  • Isabella
  • Jackson
  • Kalkaska
  • Kent
  • Lake
  • Lapeer
  • Leelanu**
  • Lenawee
  • Livingston
  • Macomb
  • Manistee
  • Mason
  • Mecosta
  • Midland
  • Missaukee
  • Monroe
  • Montcalm
  • Montmorency**
  • Muskegon
  • Newaygo
  • Oakland
  • Oceana
  • Ogemaw
     
  • Osceola
  • Oscoda**
  • Otsego
  • Ottawa
  • Presque Isle**
  • Roscommon
  • Saginaw
  • Sanilac
  • Shiawassee
  • St. Clair
  • Tuscola
  • Washtenaw
  • Wayne
  • Wexford

*Seven counties in northwest Ohio are also considered in-network in your HMO plan: Defiance, Fulton, Henry, Lucas, Ottawa, Williams and Wood.

**Pending DIFS approval.

With our fully insured PPO plans, your business must be located within one of the Michigan counties below. With a HAP Large Group PPO plan, your employees can seek care through our statewide PPO network throughout Michigan and northwest Ohio* or use the Aetna Signature AdministratorsⓇ Network when outside of that network.

  • Alcona
  • Allegan
  • Alpena
  • Antrim
  • Arenac
  • Barry
  • Bay
  • Benzie
  • Berrien
  • Branch
  • Calhoun
  • Cass
  • Charlevoix
  • Cheboygan
  • Clare
  • Clinton
  • Crawford
  • Eaton
  • Emmet
  • Genesee
  • Gladwin
  • Grand
  • Traverse
  • Gratiot
  • Hillsdale
  • Huron
  • Ingham
  • Ionia
  • Iosco
  • Isabella
  • Jackson
  • Kalamazoo
  • Kalkaska
  • Kent
  • Lake
  • Lapeer
  • Leelanau
  • Lenawee
  • Livingston
  • Macomb
  • Manistee
  • Mason
  • Mecosta
  • Midland
  • Missaukee
  • Monroe
  • Montcalm
  • Montmorency
  • Muskegon
  • Newaygo
  • Oakland
  • Oceana
  • Ogemaw
  • Osceola
  • Oscoda
  • Otsego
  • Ottawa
  • Presque Isle
  • Roscommon
  • Saginaw
  • Sanilac
  • Shiawassee
  • St. Clair
  • Tuscola
  • Van Buren
  • Washtenaw
  • Wayne
  • Wexford

*Seven counties in northwest Ohio: Defiance, Fulton, Henry, Lucas, Ottawa, Williams and Wood.

With our fully insured EPO plans, your business must be located within one of the Michigan counties below. With a HAP EPO Large Group plan, your employees can seek care in our statewide PPO network in Michigan and northwest Ohio*.

  • Alcona**
  • Allegan
  • Alpena
  • Antrim**
  • Arenac
  • Barry
  • Bay
  • Benzie**
  • Berrien**
  • Branch
  • Calhoun
  • Cass**
  • Charlevoix**
  • Cheboygan**
  • Clare
  • Clinton
  • Crawford
  • Eaton
  • Emmet**
  • Genesee
  • Gladwin
  • Grand Traverse**
  • Gratiot
  • Hillsdale
  • Huron
  • Ingham
  • Ionia
  • Iosco
  • Isabella
  • Jackson
  • Kalamazoo
  • Kalkaska
  • Kent
  • Lake**
  • Lapeer
  • Leelanau**
  • Lenawee
  • Livingston
  • Macomb
  • Manistee
  • Mason
  • Mecosta
  • Midland
  • Missaukee
  • Monroe
  • Montcalm
  • Montmorency**
  • Muskegon
  • Newaygo
  • Oakland
  • Oceana
  • Ogemaw
  • Osceola
  • Oscoda**
  • Otsego
  • Ottawa
  • Presque Isle**
  • Roscommon
  • Saginaw
  • Sanilac
  • Shiawassee
  • St. Clair
  • Tuscola
  • Van Buren**
  • Washtenaw
  • Wayne
  • Wexford**

*Seven counties in northwest Ohio: Defiance, Fulton, Henry, Lucas, Ottawa, Williams and Wood.

**Pending DIFS approval.

All HAP plans include an annual eye exam - at no additional cost -from a vast network of eye care professionals. Your vision just got better with EyeMed and expanded access to a nation-wide network of doctors for routine eye care needs. Simply visit hap.org/eyedoctor for routine visits. 
 
HAP members can access their vision benefit coverage information through the HAP Member portal. For a medical/surgical vision doctors, visit hap.org/find-a-doctor.

Vision Provider Locator

The health insurance alphabet

Health plan terms can be confusing, especially when they're acronyms. This short video explains the basics of an HMO, PPO, EPO, HSA and HRA. (Video, 3:28)

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Get custom pricing


If you want to learn more about custom health plans and pricing options, fill out this online form and we’ll contact you to get started. Or you can call a HAP account executive at (800) 427-7587 Monday through Friday from 9 a.m. to 4:30 p.m.