Visit the Member Packet Portal to view, print, or order the following:

• your Certificate of Coverage
  
  
• your PHPMM Member Handbook
  
  
• our Privacy Statement
  

*Please note: The Member Packet Portal is not available to all groups. If your health benefit plan is self-funded, please contact your employer for member materials.

Visit the PHPMM On-Line Service Center where you can...

• Change or Select a PCP
  
  
• Change Address or Phone Number Information
  
  
• Order an ID Card, Provider Directory, Prescription Drug List
  
  
• Request that one of our Customer Service Representatives call you
  
  
• Update Other Insurance Information
  
  
• Update Dependent Student Information

Access to Care When You Need it.
Physicians Health Plan of Mid-Michigan understands that receiving care when and where you need it is a vital concern for our members.  That’s why PHPMM has developed the following access standards for participating physicians and practitioners:

• Doctors must be available through regularly scheduled or on-call coverage seven days a week, 24 hours a day.
  
• Patients with emergency needs are to be seen immediately or referred to the emergency department if appropriate.
  
• Initial appointments are available within eight weeks.
  
• Routine non-symptomatic appointments are available within four weeks.
  
• Appointments for urgent needs are available within 24 hours.
  
• Non-urgent, symptomatic appointments are available within five days.
  
• Waiting room times shall not routinely exceed more than 30 minutes from the time of the appointment until the doctor or practitioner sees the patient.

PHPMM also has the following standards for behavioral health visits:

• Doctors must be available through regularly scheduled or on-call coverage seven days a week, 24 hours a day.
  
• Patients with emergency needs are seen immediately or referred to the emergency department if appropriate.
  
• Routine, non-symptomatic appointments are available within 10 days.
  
• Appointments for non life-threatening emergent problems are available within six hours.
  
• Follow-up appointments after discharge
  from the hospital for mental illness should be available within seven days of discharge.
  
• Waiting room times shall not routinely exceed more than 30 minutes from the time of the appointment until the doctor or practitioner sees the patient.

PHPMM has partnered with United Behavioral Health (UBH) to serve our member' s Mental Health and Substance Abuse needs. If you need information or help, you may call UBH at 800.608.2667. 

Visit liveandworkwell.com now!

liveandworkwell.com is an interactive Web site that gives you resources and tools to help you enhance your work, health and life.  Log on and:

• Check your Behavioral Health Care Benefit information.
• Request services online.
• Search for providers and other local resources
• Look up health facts and read articles on work/life issues.
• Use a host of financial calculators and other planning tools.
• Join interactive chats and message boards on a variety of health and wellness topics.
• Participate in customized self-improvement programs.

Contact our Call Center

• By Phone
• By Mail and/or Secure E-mail
• In Person
• In another language

 Our Customer Service Values and Standards

 

If you have PHPMM through Medicaid, you have PHPMM FamilyCare.  Click here to find out more.

 

• Submitting a Claim
• Accessing Mental Health Services
• Adding / Changing Dependents
• Change My Information
• Check the Status of a Claim
• Selecting / Changing a PCP
• Finding Out if a Provider or Physician is in PHPMM's Network
• More FAQ

 

• Member Rights and Responsibilities
• Right to Appeal Health Plan Decisions
• Right to Complain About Quality of Service or Care
• Privacy of Your Protected Health Information
• Advance Directive Information

If you are a member of PHPMM, three times per year you should get a magazine called "Member News Update." The magazine includes helpful information on health topics, season specific health information, benefit highlights and much more. Click the links below to view recent editions of this publication.

• Volume 10 #1 (2009)
• Volume 9 (2008)
• Volume 9 #1 (2008)
• Volume 8 #3 (2007)
• Volume 8 #2 (2007)
• Volume 8 #1 (2007)
• Volume 7 #3 (2007)
• Volume 7 #2 (2006)
• Volume 7 #1 (2006)
• Volume 6 #3 (2005)
• Volume 6 #2 (2005)
• Volume 6 #1 (2005)

• Prescription Drug List
• Medco Online Pharmacy
• Mail Order Prescriptions
• Pharmacy Benefits
• Frequently Asked Pharmacy Questions

PHPMM members are eligible for special programs that may assist them in health care services.

For more information about these programs, click here.