HAP Medicare Complete Assist (PPO D-SNP)

by Health Alliance Plan by Henry Ford Health

2026 Medicare-Medicaid Dual Eligible D-SNP plan available in Michigan

Plan ID H2322-020-0

Additional coverage:

RxHearingVisionDental

Medicare-Medicaid Dual Eligible D-SNP PPO 4.0 Overall

Monthly plan premium $9 / mo

Annual deductible $0 / yr

Max out-of-pocket · in-network $9,250 / yr

Drug deductible $615 / yr

4.0 Overall Government Star Rating 2026 · out of 5 stars

Ready to enroll online?

Find your plan and self-enroll online

Enroll online →

Support Our Senior 65+ Partner

Get Sign Up Help

Quote · Compare · Enroll

Speak with a licensed
insurance agent

(888) 763-2752

TTY 711

Medicare Advantage Plans Medicare Prescription Drug Plans Medicare Supplement Insurance Plans

Mon-Fri: 8am-9pm ET

Plan Overview

HAP Medicare Complete Assist (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Michigan and offered by the health insurance company Health Alliance Plan by Henry Ford Health. This plan's network type is PPO, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name HAP Medicare Complete Assist (PPO D-SNP)

Insurance Carrier Health Alliance Plan by Henry Ford Health

Plan Type Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)

Network Type PPO

Cost Summary

HAP Medicare Complete Assist (PPO D-SNP) has a monthly premium cost of $9 per month, with an annual deductible of $0 or $283 per year for some in-network and out-of-network services. and a maximum out-of-pocket cost sharing of $9,250. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $9 / mo

Health portion of premium $0

Drug portion of premium $9

Annual Deductible $0 or $283 per year for some in-network and out-of-network services. / yr

Max Out-of-Pocket · in-network $9,250 / yr

Primary doctor visit 20% coinsurance

Specialist visit 20% coinsurance

ER visit $115 copay

Ambulance 20% coinsurance

Additional Benefits and Coverage

HAP Medicare Complete Assist (PPO D-SNP) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. HAP Medicare Complete Assist (PPO D-SNP) includes coverage for hearing, vision, dental.

Part D Prescription Drug Coverage Yes

Dental Yes

Vision Yes

Hearing Yes

Nationwide Coverage No

Other benefits

Fitness benefit Limited coverage

Over-the-counter drug benefits Limited coverage

In-home support services Limited coverage

Home & bathroom safety devices Not covered

Meals for short duration Limited coverage

Annual physical exams Not covered

Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Specialist visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Tests, labs & imaging

Diagnostic tests & procedures In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Lab services In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diagnostic radiology services (like MRI) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient x-rays In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Emergency care $115 copay

Urgent care $40 copay

Hospital Services

Inpatient hospital coverage In-network:
  Tier 1
  $2185 per stay
Out-of-network:
  20% per stay

Outpatient hospital coverage In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Skilled nursing facility

Skilled nursing facility In-network:
  Tier 1
  $0 per day for days 1-20
  $217 per day for days 21-100
Out-of-network:
  $0 per day for days 1-20
  $217 per day for days 21-100

Preventive services

Preventive services In-network: $0 copay
Out-of-network: 20% coinsurance

Ambulance

Ground ambulance In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Physical therapy & speech & language therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient individual therapy with a psychiatrist In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient group therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient individual therapy visit In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diabetes supplies In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prescription drugs (Part D benefits)

Drug tier standard retail · 1-month supply Initial coverage Catastrophic

Generic Drugs 25% coinsurance 0% coinsurance

Brand Name Drugs 25% coinsurance 0% coinsurance

Part B drugs

Chemotherapy drugs In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Other Part B drugs In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, HAP Medicare Complete Assist (PPO D-SNP) earned an overall rating of 4.0 stars — better than Michigan's state average of 3.4 stars.

Rating category This plan State average

Overall star rating ★ 4.0 3.4

Health plan quality

Summary rating of health plan quality ★ 4.0 3.4

Staying healthy: screenings, tests & vaccines ★ 4.0 2.9

Managing chronic (long-term) conditions ★ 4.0 3.1

Member experience with health plan ★ 4.0 3.5

Member complaints & changes in performance ★ 4.0 3.6

Health plan customer service ★ 5.0 4.4

Drug plan quality

Summary rating of drug plan quality ★ 3.5 3.2

Drug plan customer service ★ 4.0 4.9

Member complaints & changes in performance ★ 4.0 3.4

Member experience with the drug plan ★ 3.0 3.5

Drug safety & accuracy of drug pricing ★ 4.0 3.1

Extra Benefits

Hearing

Hearing exam In-network: $0 copay
Out-of-network: $0 copay

Fitting/evaluation In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - prescription In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - over the counter Not covered

Preventive dental

Oral exam In-network: $0 copay
Out-of-network: $0 copay

Cleaning In-network: $0 copay
Out-of-network: $0 copay

Fluoride treatment In-network: $0 copay
Out-of-network: $0 copay

Dental x-rays In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services In-network: $0 copay
Out-of-network: $0 copay

Endodontics In-network: $0 copay
Out-of-network: $0 copay

Periodontics In-network: $0 copay
Out-of-network: $0 copay

Prosthodontics, removable Not covered

Prosthodontics, fixed In-network: $0 copay
Out-of-network: $0 copay

Maxillofacial prosthetics Not covered

Implant services Not covered

Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: $0 copay

Orthodontics Not covered

Adjunctive general services In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam In-network: $0 copay
Out-of-network: $0 copay

Contact lenses In-network: $0 copay
Out-of-network: $0 copay

Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass frames (only) In-network: $0 copay
Out-of-network: $0 copay

Eyeglass lenses (only) In-network: $0 copay
Out-of-network: $0 copay

Upgrades Not covered

Plan documents & tools

Plan details (carrier site)Provider directory Drug list (formulary)

When can I sign up for Medicare?

Enter your birthday month and year to see when you can enroll in each part of Medicare.

Best Michigan Medicare Advantage Health Insurance Companies for 2026

Health Plan Radar

In this article we rank Michigan Medicare Advantage plans based on our evaluation of government 5-star quality scores.

New Michigan Medicare Advantage Health Insurance Companies for 2026