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ACCESS C3 HEALTH PLAN DETAILS​

Member Plan Options

Our two plan options, Standard and Enhanced, require members to complete health screenings, create health goals, and have a physical each year. The same essential health benefits are covered in both plans.

Option A: Enhanced Plan
With lower premiums and copays, this plan has an additional requirement: that members participate in our Continuous Health Improvement (CHI) program, which includes a health coach partnership and taking health education courses.

Option B: Standard Plan
This plan includes the same coverage as our Enhanced Plan, but with higher copays and premiums, and without the CHI Program requirement for members. 

Essential Benefits

  • Preventive & Wellness Services
  • Primary Care Visits
  • Specialty Office Visits
  • Outpatient & Inpatient Services
  • Emergency Services
  • Radiology Services: MRI, CT Scan, X-Ray
  • Laboratory Services
  • Prescription Drugs
  • Durable Medical Equipment
Benefits Summary [PDF]

C3 Stands for Choice, Challenge, and Change

Because our financing arrangement combines resources from community stakeholders with a vested interest in community health – including care providers, hospitals, and businesses – members only pay 30% of the premiums.

Eligibility
Member Requirements

Plan Features

for both Enhanced and Standard Plans

  • $0 Deductible; $0 copays for preventive services
  • $10 office copay, $300 max copay for hospitalization
  • Coordination with other community health resources
  • Access to health education, including chronic disease management
  • Annual limit on out-of-pocket costs
  • Coverage for out-of-network services and treatment
  • Lower premiums for members who participate in our Continuous Health Improvement (CHI) program

General Eligibility Guidelines

  • Individuals must live or work in the Greater Muskegon area.
  • Individuals must be uninsured and not eligible to receive coverage through any other source including Medicaid, Medicare, or employer-sponsored coverage through themselves, their spouse, or their parents, with the exception of coverage available through the health exchange.
  • Individuals must have a projected annual household income between 133% to 300% of the Federal Poverty Level.
  • Individuals must be US Citizens or have been a Lawful Permanent Resident for a minimum of 5 years immediately preceding application for the Access C3 Health Plan.
 
The best way to find out if you are eligible for our program is to contact us at (231) 728-5180. If you are not eligible, we will help connect you to other coverage options.

Do you own a small business in the Muskegon area?

Contact us to find out if you are eligible to offer our Access C3 Health Plan to your workers.

Learn more
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