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Page numbers referenced within this brochure apply only to the printed brochure

Health Alliance Plan

www.hap.org/FEHB
Customer Service 800-556-9765

2024



IMPORTANT:
  • Rates
  • Changes for 2024
  • Summary of Benefits
A Health Maintenance Organization and a High and Standard Option Health Plan

This plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 7 for details. This plan is accredited. See page 13.

Serving: Michigan

Enrollment in this plan is limited. You must live or work in our geographic service area to enroll. See page 14 for requirements.

Enrollment codes for this Plan:

High Option
521 - Self Only
523 - Self Plus One
522 - Self and Family

Standard Option
GY4 - Self Only
GY6 - Self Plus One
GY5 - Self and Family



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