Provider profile

Paul RaphaelianMD

Ophthalmology, Retina Specialist

NPI 1164450201
5957 Harvey St, 100, Norton Shores, MI 49444231-733-7832

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Medicare Advantage plans for Muskegon County, MI.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 68 Medicare Advantage plans we show for Muskegon County, MI in 2027

  • 45 list Paul
  • 23 not listed

Health Alliance Plan by Henry Ford Health

10 plans list Paul.

10plans
  • HAP Medicare Connect (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2354-015-000Medicare.gov
    $0a month
  • HAP Medicare Explore (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-011-000Medicare.gov
    $0a month
  • HAP Medicare MedicalAccess (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH2354-019-000Medicare.gov
    $0a month
  • HAP Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-016-000Medicare.gov
    $0a month

Priority Health Medicare

10 plans list Paul.

10plans
  • PriorityMedicare Edge (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH4875-020-001Medicare.gov
    $0a month
  • PriorityMedicare Key (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH2320-022-001Medicare.gov
    $0a month
  • PriorityMedicare Smart Savings (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH2320-032-002Medicare.gov
    $0a month
  • PriorityMedicare Thrive (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH4875-024-001Medicare.gov
    $0a month

Blue Cross Blue Shield of Michigan

7 plans list Paul.

7plans
  • Medicare Plus Blue Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-008-000Medicare.gov
    $0a month
  • Medicare Plus Blue Secure (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-009-000Medicare.gov
    $0a month
  • Medicare Plus Blue Essential (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-004-001Medicare.gov
    $41a month
  • Medicare Plus Blue + Meijer (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-007-001Medicare.gov
    $45a month

Aetna Medicare

5 plans list Paul.

5plans
  • Aetna Medicare Eagle (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 508 N Franklin St, Frankenmuth, MI, 48734

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-286-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 508 N Franklin St, Frankenmuth, MI, 48734

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-219-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 508 N Franklin St, Frankenmuth, MI, 48734

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-407-000Medicare.gov
    $0a month
  • Aetna Medicare Enhanced (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 508 N Franklin St, Frankenmuth, MI, 48734

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-194-000Medicare.gov
    $30a month

Wellcare

5 plans list Paul.

5plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-038-000Medicare.gov
    $0a month
  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-031-000Medicare.gov
    $0a month
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-026-000Medicare.gov
    $0a month
  • Wellcare Meridian Health Dual Access (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH5475-001-000Medicare.gov
    $0a month

Blue Care Network

4 plans list Paul.

4plans
  • BCN Advantage Elements (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4.5 starsH5883-017-000Medicare.gov
    $0a month
  • BCN Advantage Prime Value (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-014-001Medicare.gov
    $48a month
  • BCN Advantage Classic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-002-001Medicare.gov
    $107a month
  • BCN Advantage Prestige (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3555 W 13 Mile Rd, Ste LL-20, Royal Oak, MI, 48073

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-003-001Medicare.gov
    $194a month

Trinity Health Plan of Michigan

4 plans list Paul.

4plans
  • Trinity Health Plan of Michigan Cash Back (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Norton Shores, MI, 49444
    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-002-000Medicare.gov
    $0a month
  • Trinity Health Plan of Michigan Glory No RX (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Norton Shores, MI, 49444
    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage3 starsH9179-003-000Medicare.gov
    $0a month
  • Trinity Health Plan of Michigan No Premium (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Norton Shores, MI, 49444
    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-001-000Medicare.gov
    $0a month
  • Trinity Health Plan of Michigan Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5957 Harvey St, Norton Shores, MI, 49444
    • 5957 Harvey St, Ste 100, Norton Shores, MI, 49444
    • 1179 East Paris Ave SE, Ste 250, Grand Rapids, MI, 49546
    • 860 E Front St, Traverse City, MI, 49686

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9179-004-000Medicare.gov
    $69a month

Humana

Not listed on its 11 plans here. That isn't proof they're out of network.

Molina Healthcare of Michigan

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

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Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

5957 Harvey St, 100
Norton Shores, MI 49444

NPI Registry
NPI issued
2006
Registry record updated
Jan 26, 2022

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Paul Raphaelian?

In Muskegon County, MI, 45 Medicare Advantage plans for 2027 list Paul in provider data from Medicare.gov or the carrier, including HAP Medicare Connect (HMO), HAP Medicare Explore (PPO) and HAP Medicare MedicalAccess (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Paul Raphaelian take Health Alliance Plan by Henry Ford Health Medicare Advantage plans?

Medicare.gov provider data lists Paul on 10 Medicare Advantage plans for 2027 in Muskegon County, MI, including HAP Medicare Connect (HMO) and HAP Medicare Explore (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Health Alliance Plan by Henry Ford Health before you enroll.

Does Paul Raphaelian take Priority Health Medicare Medicare Advantage plans?

Medicare.gov provider data lists Paul on 10 Medicare Advantage plans for 2027 in Muskegon County, MI, including PriorityMedicare Edge (PPO) and PriorityMedicare Key (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Priority Health Medicare before you enroll.

Does Paul Raphaelian take Blue Cross Blue Shield of Michigan Medicare Advantage plans?

Medicare.gov provider data lists Paul on 7 Medicare Advantage plans for 2027 in Muskegon County, MI, including Medicare Plus Blue Giveback (PPO) and Medicare Plus Blue Secure (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Blue Cross Blue Shield of Michigan before you enroll.

Where does Paul Raphaelian practice?

5957 Harvey St, 100, Norton Shores, MI 49444.

How do I confirm Paul is in my plan's network?

Call the member services number on your plan card and give them the NPI 1164450201, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Paul Raphaelian on 23 plans from Humana, Molina Healthcare of Michigan and UnitedHealthcare in Muskegon County, MI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-01-26). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Paul Raphaelian or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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