Provider / Pharmacy Directory Information
INTRODUCTION
This directory provides a list of McLaren Medicare network providers.
Welcome to McLaren Medicare. McLaren Medicare has thousands of doctors and many leading hospitals ready to care for you. We combine the resources of independent physicians, multi-specialty groups, ambulatory care centers, ancillary providers, and hospitals to offer our members access to the highest quality health care providers you expect.
You will have to choose one of our network Providers listed in this directory to be your Primary Care Provider (PCP). Generally, you must get your health care services from your PCP.
PCPs are Family or General Practitioners, Geriatricians, or Internal Medicare physicians. You should receive all of your routine care from your PCP. Your PCP will also coordinate your specialty care, ancillary services, and inpatient services.
Please use this directory as a reference when you need to choose a provider for health care services. This directory lists whether the PCP is taking new patients, their office practice hours, and if the doctor speaks a language other than English. If you need help choosing a PCP, you can call Member Services at 833-358-2404 (TTY: 711). You can change your PCP at any time.
The network providers listed in this directory have agreed to provide you with your health care services. You may go to any network providers listed in this directory.
As a member of a McLaren Medicare plan, you must receive your care from in-network providers, except in emergency or urgent care situations or for out-of-area renal dialysis or other services the plan authorizes out-of-network. If you obtain routine care from out-of-network providers, neither Medicare nor McLaren Medicare will be responsible for the costs.
If you are enrolled in a plan with a Point of Service (POS) benefit. You can use your POS benefit to receive care from in-network or out-of-network providers, but you will pay more for these services if you use an out-of-network provider. Refer to your Evidence of Coverage to see if you have a POS benefit and what you will pay for out-of-network services.
In cases where out-of-network providers submit a bill directly to you, you should not pay the bill. Submit the bill to McLaren Medicare for processing and determination of your liability, if any. Please refer to your Evidence of Coverage for complete details.
You may get covered emergency or urgent care whenever you need it, anywhere in the United States or its territories. Some of our plans cover emergency and urgent care worldwide. See your Evidence of Coverage to find out if your plan covers emergency and urgent care services anywhere in the world.
What is the Service Area for McLaren Medicare?
The counties in our service area are listed below:
Alcona, Allegan, Alpena, Antrim, Arenac, Barry, Bay, Benzie, Berrien, Branch, Calhoun, Cass, Charlevoix, Cheboygan, Clare, Clinton, Crawford, Eaton, Emmet, Genesee, Gladwin, Grand Traverse, Gratiot, Hillsdale, Huron, Ingham, Ionia, Iosco, Isabella, Jackson, Kalamazoo, Kalkaska, Kent, Lake, Lapeer, Leelanau, Livingston, Macomb, Manistee, Mecosta, Midland, Missaukee, Montcalm, Montmorency, Newaygo, Oakland, Ogemaw, Osceola, Oscoda, Otsego, Ottawa, Presque Isle, Roscommon, Saginaw, St. Clair, St. Joseph, Sanilac, Shiawassee, Tuscola, Van Buren, Washtenaw, Wayne, and Wexford.
How do you find a McLaren Medicare provider in your area?
The providers listed in this directory are listed by provider type (PCP, specialists, hospital, etc.), alphabetically by county, specialty type and provider last name.
If you have questions about McLaren Medicare’s Provider/Pharmacy Directory, want to report a directory discrepancy or require assistance in selecting a PCP, please call Member Services at 833-358-2404, April 1 through September 30 Monday through Friday, 8 a.m. to 8 p.m., or October 1 through March 31 seven days a week (except Thanksgiving and Christmas days), 8 a.m. to 8 p.m. TTY users should call 711.
McLaren Medicare
2024 Pharmacy Directory
This Pharmacy Directory is updated monthly. For more recent information or other questions, please contact McLaren Medicare Member Services, at 833-358-2404 or, for TTY users, 711, April 1st through September 30th Monday through Friday, 8 a.m. to 8 p.m. or October 1st through March 31st seven days a week (except Thanksgiving and Christmas days), 8 a.m. to 8 p.m., or visit www.mclarenhealthplan.org/medicare.
Changes to our pharmacy network may occur during the benefit year. An updated Provider/Pharmacy Directory is located on our website at ww.mclarenhealthplan.org/medicare. You may also call Member Services at 833-358-2404 (TTY/TDD users should call 711) for updated information.
To request a hardcopy of McLaren Medicare’s provider directory, please call our Member Services Department at 833-358-2404, April 1st through September 30th Monday through Friday, 8 a.m. to 8 p.m., or October 1st through March 31st seven days a week (except Thanksgiving and Christmas days), 8 a.m. to 8 p.m. TTY users should call 711. McLaren Medicare will mail a hard copy of the provider directory to you within three (3) business days of your request. McLaren Medicare may ask whether your request for a hard copy is a one-time request or if you are requesting to receive the provider directory in hard copy permanently.
If you request it, your request for hard copies of the provider directory remains until you leave McLaren Medicare or request that hard copies be discontinued.
You can get this information for free in other formats, such as large print, braille, or audio. Call our toll-free number at 833-358-2404 (TTY: 711). Your request for the provider directory in an accessible format or language will be applied on a standing basis unless you request otherwise.