Summary Of Benefits



The Summary of Benefits provides an outline of the plan’s premium, benefits, copayments, deductibles and coinsurance information. 


2016 Summary of Benefits


Meridian Advantage Plan of Michigan is a HMO SNP with a Medicare Contract and a Contract with the State Medicaid Program. Enrollment in Meridian Advantage Plan of Michigan depends on contract renewal.


This plan is available to anyone who has both Medicare and receives full Medicaid assistance from the State.


Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.


This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.


Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.


You must continue to pay your Medicare Part B premium.  Meridian Advantage Plan of Michigan

 members who are full-dual enrollees (enrolled with both Medicare and Medicaid) may have their Part B premiums paid for by a Medicare Savings Program offered through Medicaid.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.



For certain kinds of drugs, you can use the plan’s network mail-order services. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. Usually a mail-order pharmacy order will get to you in no more than 5 days. If you experience any problems receiving your mail order prescription, call Member Services at

(TTY users should call 711)



Medicare beneficiaries may also enroll in Meridian Advantage Plan of Michigan through the CMS Medicare Online Enrollment Center located at

Page Last Modified: 10/17/2016 4:01:43 PM