Documents and Forms

2025 MyMichigan Health Summary Plan Description (SPD)

Summary plan document highlighting coverage and exclusions for members enrolled in the PPO or CDHP Plan

Prescription Mail Order Form

Order form for the Employee Pharmacy at MyMichigan Medical Center Midland

Summary Glossary of Terms

As required by the Affordable Care Act, this is an explanation of terms related to your health care plan

Prescription Formulary

Where to go for Medical Care?