Frequently Asked Questions
HealthChoice Small Business Program
HealthChoice is an affordable health coverage option for small business owners to offer employees quality care and benefits.
It helps businesses provide competitive benefits that can improve job satisfaction and reduce employee turnover.
No. There are no deductibles and no co-insurance—just low co-payments for certain medical services.
HealthChoice costs $270 per employee per month.
Yes. The monthly cost can be split between the employer and employee.
HealthChoice works like a traditional HMO plan, providing coverage through a network of physicians and hospitals.
A Primary Care Physician (PCP) is the doctor you choose from the HealthChoice network who coordinates your care.
Yes. Your PCP acts as a gatekeeper for your health care needs and should be your first stop for most care.
If you need a specialist, your PCP will refer you to an in-network specialist. The referral goes to SGRX, which reviews the request and authorizes it if it’s medically necessary.
SGRX is HealthChoice’s partner that manages medical services and reviews specialist referrals for authorization.
Complete the business application
Sign the required documents/forms
Provide wage and payroll documents
Submit the first payment
Employees must:
- Complete the subscriber application
- Provide a copy of their picture ID
- Provide Pay stubs
To enroll a spouse or dependent, you’ll need:
- Complete the subscriber application
- Provide Marriage certificate (for spouse), and/or Birth certificate (for dependent)
Yes. You can enroll online or in person with the help of an agent.
Yes, but timing matters.
A new employee must enroll within 90 days of hire.
An existing employee can enroll within 60 days of a qualifying event.
Examples include:
- Marriage
- Birth
- Loss of previous health coverage
Open enrollment occurs every October for a January start.
A spouse or dependents can be added within 60 days of a qualifying event, or during the open enrollment period.
Yes. Removal is easy, but it must be requested in writing.
Send a written request by mail, or email healthchoice@waynecountymi.gov.
Call SGRX at 855-499-3232.
Call HealthChoice at 800-935-5669.
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