Starting on Jan. 1, 2015, University of Michigan Health System (UMHS), now called Michigan Medicine will become the preferred recognized provider of advanced quaternary care not provided by Trinity Health facilities such as burn care, transplants and many pediatric specialties.

The agreement complements the services both organizations offer without duplicating best-in-class services that already exist. There is nothing you need to do to sign up for UMHS services as they will be automatically covered at a Tier 1 level for all plans starting Jan. 1, 2015.

This agreement also gives U-M faculty, staff and retirees more choices for care. For the past few years, those enrolled in U-M Premier Care, the university's largest employee health plan, have been able to select many Saint Joseph Mercy Health System (SJMHS) and IHA primary care physicians during their annual health plan enrollment. U-M plans to add even more providers and facilities statewide as part of their U-M Premier Care health plan. Employees and retirees enrolled in U-M Premier Care could access providers at SJMHS, IHA and Trinity Health facilities at Premier Care’s highest benefit level.

The following services at the University of Michigan Health System are covered as a Tier 1 / domestic provider for Trinity Health Michigan benefits enrollees:

Pediatric Specialty Clinic referrals listed below.

Unique UM Programs/Services listed below.

Hospital-to-UM Hospital Inpatient Transfers

ER-to-UM ER transfers

Please note: Not all claims will automatically adjudicate at the Tier 1 level. Please watch your Explanation of Benefits (EOBs) closely and reach out to BCBSM for any questions regarding your claims. Some services may require reprocessing.

Pediatric Clinics

General
  • Behavioral Medicine Clinic
  • Teenage and Young Adult Health Clinic
  • Pediatric Psychology Clinic
  • Pediatric Cardiology Clinic
  • Pediatric Endocrinology Clinic
  • Pediatric Gastroenterology Clinic
  • Pediatric Genetics Clinic
  • Pediatric Infectious Disease Clinic
  • Pediatric Neonatal/Perinatal Medicine Clinic
  • Pediatric Nephrology Clinic
  • Pediatric Neurology Clinic
  • Pediatric Neurology Sleep Disorders Clinic
  • Pediatric Epilepsy Clinic
  • Pulmonary Clinic Pediatric
  • Pulmonary Function Lab Pediatric
  • Pediatric Rheumatology Clinic
/ Otolaryngology
  • Pediatric Otolaryngology Clinic

Dermatology
  • Pediatric Dermatology Clinic

Ophthalmology
  • Pediatric Ophthalmology and Strabismus Clinic

Surgery
  • Pediatric Surgery Clinic
  • Pediatric Comprehensive Weight Management Clinic
  • Pediatric Colorectal Surgery Clinic
  • Pediatric Surgery Clinic
  • Pediatric Vascular Anomalies Clinic
  • Pediatric Plastic Surgery Clinic

Orthopaedic Surgery
  • Pediatric Orthopaedic Surgery Clinic
/ Urology
  • Pediatric Urology Clinic

Physical Med and Rehab
  • Multidisciplinary Pediatric Neuromuscular Disorders Clinic
  • Pediatric Occupational Therapy
  • Pediatric Physical Medicine and Rehabilitation Clinic
  • Pediatric Physical Therapy
  • Pediatric Concussion Clinic
/ Psychiatry
  • Pediatric Psychiatry Services

Cancer Center
  • Hematology/Oncology Clinic Pediatric

Neurosurgery
  • Pediatric Neurosurgery Clinic

PROGRAMS/SERVICES UNIQUE TO UMHS
(Currently not provided at CHE Trinity Health Michigan facilities)

OVERALL

  • Solid-organ transplants
  • Bone marrow transplants
  • Pediatric subspecialty medical/surgical/psychiatric services
  • Survival Flight
  • ECMO for adult, pediatric and neonatal patients
  • Clinical Trials that are not offered at Trinity Health Michigan facilities

CANCER

  • MIBG treatment

HEART/CARDIOVASCULAR/CARDIAC SURGERY

  • Pediatric ventricular assist devices and heart transplantation
  • Surgery for pediatric renovascular hypertension
  • Neurodevelopmental follow-up program for congenital heart patients
  • Adult congenital heart procedures
  • Pulmonary hypertension (advanced and experimental therapies)
  • Circulatory support with new mechanical devices and ECMO
  • Total artificial hearts for adults and children
  • Percutaneous repair of prosthetic mitral leaks
  • Genetic cardiovascular diagnoses
  • Complex VT ablation
  • Carotid stenting with flow reversal
  • Pulmonary thromboendartretomy

NEUROSCIENCES

  • Surgical treatment for intractable epilepsy
  • Deep brain stimulation for Parkinson’s disease
  • Care of complex multiple sclerosis

OBSTETRICS AND GYNECOLOGY

  • Fetal Therapy
  • CVS
  • Patients needing fetal echo due to other risk factors
  • Radiofrequency ablation
  • Management of transgender care
  • Michigan Bowel Control Program
  • Healthy Healing after Delivery Program
  • Vulvar Diseases Program (including complex surgical management of vulvar diseases)
  • Medical and Surgical Management of Chronic Pelvic Pain Complex patients to UM
  • Integrated/Multidisciplinary Management of Interstitial Cystitis

OTOLARYNGOLOGY

  • Cranial base surgery
  • Facial nerve reanimation/rehabilitation programs
  • Acoustic neuroma
  • Cochlear implants

PEDIATRICS

  • Pediatric Genetics, Metabolism and Genomic Medicine Program for children with congenital anomalies, autism, developmental delay and genetic syndromes
  • MMGL genetic test services, including chromosomal microarray, Fragile X DNA testing, genetic sequencing tests, methylation PCR, familial mutation testing, BRCA1/BRCA2 sequencing and deletion/duplication testing
  • Neonatal Therapeutic Hypothermia
  • Neonatal Peritoneal Dialysis
  • Infant/Pediatric Home Ventilation Program
  • Cardiovascular Genetics Services
  • Fetal Alcohol Syndrome diagnostic services
  • Fragile X Clinical services and diagnostic testing
  • Disorders of Sexual Development program Cancer genetics
  • Biochemical genetics care services for inborn errors of metabolism and newborn screen disorders
  • Comprehensive Pediatric and Adult Cystic Fibrosis Center
  • Multidisciplinary Clinic for Osteogenesis Imperfecta
  • Multidisciplinary Clinic for Pediatric Endocrine Surgical Disorders
  • Multidisciplinary Clinic for Prader-Willi Syndrome
  • Multidisciplinary Pediatric Sleep Disorder Program
  • Multidisciplinary Aerodigestive Program (cilary disease)
  • Multidisciplinary Eosinophilic Esophagitis Program
  • Therapeutic joint injections for children with arthritis
  • Interdisciplinary Rheumatology-Nephrology Clinic to treat systemic inflammation such as lupus
  • Interdisciplinary Immunohematology Clinic for patients with immunodeficiency disorders

PHYSICAL MEDICINE AND REHABILITATION

  • Pediatric ventilator-dependency services
  • Pediatric brachial plexus injury care
  • Selective dorsal rhizotomy for cerebral palsy
  • Adults with Cerebral Palsy Clinic
  • Post-Polio clinic

PSYCHIATRY

  • Psychiatry Neuromodulation Program- including rTMS
  • PsychOncology Clinic
  • Psychiatry Infant/Early Childhood clinic
  • Geropsychiatry Clinic

RADIOLOGY

  • Neurointerventional radiology for intracranial aneurysms malformations and tumors

OTHER AREAS

  • Dermatology Day Treatment Center for psoriasis and other inflammatory skin conditions
  • PCDx test
  • Level One trauma center and burn center
  • Level One pediatric trauma center and burn center
  • Primary ciliary dyskinesia
  • Aerodigestive clinic
  • Bronchopulmonary dysplasia
  • Treatment and prevention of neurological sports injuries
  • Critical care membrane-based pheresis for sepsis with multisystem organ failure
  • Disorders of sexual development
  • Congenital adrenal hyperplasia
  • Airway reconstruction
  • Integrative Family Medicine Program
  • Japanese Family Health Program
  • Deaf Health Program (physicians and staff who communicate via sign language)