Contact Us | info@micareplan.fm

What are the Different Plan Options?

MiCare has four (4) Options to choose from to suit the varying needs of our members. These are:

1. BASIC HEALTH PLAN (BA)- This Plan allows members to access medical services from local affiliated healthcare providers. Basic Plan members may access services from off-island healthcare facilities if they are recommended by the medical referral committee from State Hospitals and approved by MiCare Administrator.

2. SUPPLEMENTAL RESIDENT PLAN (SR)- This Plan allows members to access medical services from local and off-island approved healthcare providers. Individual member in SR Plan are also eligible for Basic Plan Benefits. Members who have SR Plan are allowed to access off-island providers in Hawaii, Guam and Philippines without recommendation from State Referral Hospital. The member has to pay $100 annual deductible and 10% co-payment of eligible medical costs.

3. SUPPLEMENTAL NON-RESIDENT PLAN (SNR)- This Plan is offered only to members residing off-island whether they are full time student or permanent full time employee of the FSM National or State Government. SNR members are allowed to access approved and non-approved off-island healthcare facilities and pay $5.00 deductible per visit and 10% co-payment. The Plan will pay 90% after deductible of all eligible medical charges.

4. NON-REFERRAL OPTION (NR)- This Plan allows members to access medical services from local affiliated healthcare providers but not an off-island referral.