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These services have a $3 copay: • Emergency Room Visit (only for non-emergencies) • Pharmacy Brand/Non-Preferred • Dental Visits • Hearing Aids (per aid)

These services have a $50 copay: • Inpatient Hospital Stay (except for emergent admissions)

Not all providers or health plans will require you to pay the copay amounts shown above. To find out more about how copays apply to you, visit HealthyMichiganPlan.org.

Healthy Behaviors Incentive Program: If you've been earning rewards for healthy behaviors, there will be some changes to the program. Your health plan will still offer rewards for healthy behaviors and will provide more information on new rewards soon. Tax Offset Discontinued: Unpaid amounts won't be taken out of your state tax refund or lottery winnings anymore. WHAT TO DO: If you have automatic payments set up through your bank or credit union, make sure to STOP them before the end of January 2024. If you do not have automatic payments set up, you don't need to do anything right now. QUESTIONS: If you have more questions or want to learn more, visit HealthyMichiganPlan.org. You can also call the Beneficiary Help Line at 1-800-642-3195 (TTY 1-866-501-5656), Monday through Friday from 8 a.m. to 7 p.m.

Thank you, Behavioral and Physical Health and Aging Services Administration Michigan Department of Health and Human Services