UM Health Plan Coverage has ended

Coverage through UM Health Plan has ended. Please see below for additional information.

Plan Closure

Why is UM Health Plan closing?
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Like many health plans, UM Health Plan has experienced significant financial losses over the past few years. After a thorough business and financial assessment, UM Health has made the difficult decision to close UM Health Plan.

This announcement comes after a comprehensive evaluation of the plan’s financial sustainability, market trends, and the evolving needs of our members.

We recognize the importance of affordable and reliable health care, and this decision was not made lightly. Despite significant efforts to maintain the plan, the increasingly competitive health insurance landscape, and the Centers for Medicare & Medicaid Services (CMS) changes to Medicare Advantage plans have made it unsustainable to continue offering the high level of service our members deserve.

Plan Closure

Is UM Health Plan being acquired by another health plan or is it closing?
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UM Health Plan is closing. Member coverage has ended.

Plan Closure

Do deductibles transfer to new plans?
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Whether to accept deductible transfers from UM Health Plan is up to the new plan. If the new plan wishes to receive this information, they can request a report by sending an email to Customer.Service@UofMHealthPlan.org, within 30 days of the group’s or member’s termination with UM Health Plan.

Plan Closure

What is the timeframe for direct member reimbursement requests? Is it different for medical and pharmacy? How are the requests submitted and what is the mailing address?
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If you pay for health care services, it is best that requests for reimbursement be submitted within 90 days of the date of service. If UM Health Plan does not receive a claim within one year of the date of service, the health care services may not be covered. If your claim relates to an inpatient stay, the date of service is the date your inpatient stay ends.

If you are submitting a member reimbursement request for a pharmacy service after June 30, 2026, written notification of the claim must be given to the plan at the address below.

All medical reimbursements after Jan. 1, 2026, and pharmacy reimbursements after June 30, 2026, send to:

PO Box 30377
Lansing, MI  48909-7877

Plan Closure

How long will customer service be available?
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Medicare members: The Medicare customer service call center will be available through May 31, 2027.

Individual and group members: The UM Health Plan Customer Service call center will be available through Aug. 31, 2026.

Plan Closure

What’s happening at UM Health Plan?
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UM Health Plan is closing operations and terminated all health plan coverage.