Welcome to Grand Valley Health Plan.

We at Grand Valley Health Plan (GVHP) believe it is important to share our beliefs about health care.

GVHP carries out its purpose through a philosophy or belief system that combines the values of cost, quality and service.

GVHP believes in having respectful relationships with our members, Practitioners and providers. We believe these relationships should be purposeful. They should be effective. They should result in quality health care and service.

GVHP believes in the value of keeping people healthy. We also believe in making them well. Prevention is the key. Programs and services that lower the risks of disease and illness are at the “heart” of what we do at GVHP.

GVHP believes in the value of quality. We do this by credentialing our health care professionals. Credentialing is a review process health care professionals undergo. We look at their “credentials.” This process is thorough and complete. We hold these professionals to high standards. We measure quality of care and customer satisfaction.

GVHP believes in quality-based health care. We believe in cost-effective health care. We do this by contracting with selected health care Practitioners and providers. Our contracts address quality and service as well as cost.

GVHP believes in keeping our members informed. We want you to have information about how our health plan works. We want you to know how our physicians and health care providers are paid. We want you know how resources are used and managed. This is called utilization management. Finally, we want you to know how these show and support quality of care.

GVHP believes that members have the right to voice complaints. You also have the right to appeal GVHP decisions. Finally, you have the right to expect timely service and responses.

This handbook was made to help you. Take time to review it. Make sure you understand your benefits. Especially before you need to use them. Keep this handbook. Keep your GVHP Provider Directory. Also, keep your GVHP MIChild Certificate of Coverage.

These documents include:

Take time to review and understand these documents. If you have questions or need another copy of this information, please contact Customer Service at 616-949-2410 or 800-335-1977.