Michigan

Obamacare 2018 Rates

Michigan Obamacare 2018 Rates

 
Muskegon, MI

Obamacare 2018 Rates and Health Insurance Providers for Muskegon County,Muskegon,MI


The health insurance rates listed below are for calendar year 2018.

2018 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Muskegon County, Michigan.

Obamacare Providers, Plans and 2018 Rates for Muskegon County

Muskegon County is in “Rating Area 12” of Michigan.

Currently, there are 28 plans offered in Rating Area 12.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must either

  • contact a licensed health insurance agent (by contacting one of the advertisers you see on this website)
  • complete an application at HealthCare.gov, or
  • contact the provider directly.

The table below shows premiums for the following scenarios for:

  • Individual
  • Couple
  • Couple with 1 2 or 3 children
  • Individual with 1 2 or 3 children
  • A child alone

Each scenario is covered for age

  • Age 21, 30, 40, 50
  • Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

  • a summary of plan benefits and costs,
  • a plan brochure, and
  • a "Provider Directory" -- where you can find out which doctors and hospitals in the Muskegon, MI area accept this insurance coverage as within the plan's "network".

2018 Obamacare Rates Providers, Plans for Muskegon County

Meridian Health Plan of Michigan, Inc.

Local: 1-855-537-9746 | Toll Free: 1-855-537-9746

Bronze

Plan: (HMO) Meridian Healthy Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $196.04
$222.49
$250.52
$350.11
$532.02		 $392.08
$444.98
$501.04
$700.22
$1,064.04		 $542.04
$594.94
$651.00
$850.18		 $692.00
$744.90
$800.96
$1,000.14		 $841.96
$894.86
$950.92
$1,150.10		 $346.00
$372.45
$400.48
$500.07		 $495.96
$522.41
$550.44
$650.03		 $645.92
$672.37
$700.40
$799.99		 $149.96

Catastrophic

Plan: (HMO) Meridian Catastrophic

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $164.28
$186.44
$209.93
$293.38
$445.82		 $328.56
$372.88
$419.86
$586.76
$891.64		 $454.22
$498.54
$545.52
$712.42		 $579.88
$624.20
$671.18
$838.08		 $705.54
$749.86
$796.84
$963.74		 $289.94
$312.10
$335.59
$419.04		 $415.60
$437.76
$461.25
$544.70		 $541.26
$563.42
$586.91
$670.36		 $125.66

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Local: 1-888-288-2738 | Toll Free: 1-888-288-2738

TTY: 1-800-481-8704

Catastrophic

Plan: (PPO) Blue Cross® Premier PPO Value

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $258.23
$293.09
$330.02
$461.20
$700.84		 $516.46
$586.18
$660.04
$922.40
$1,401.68		 $714.01
$783.73
$857.59
$1,119.95		 $911.56
$981.28
$1,055.14
$1,317.50		 $1,109.11
$1,178.83
$1,252.69
$1,515.05		 $455.78
$490.64
$527.57
$658.75		 $653.33
$688.19
$725.12
$856.30		 $850.88
$885.74
$922.67
$1,053.85		 $197.55

Bronze

Plan: (PPO) Blue Cross® Premier PPO Bronze HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $335.23
$380.49
$428.42
$598.72
$909.81		 $670.46
$760.98
$856.84
$1,197.44
$1,819.62		 $926.91
$1,017.43
$1,113.29
$1,453.89		 $1,183.36
$1,273.88
$1,369.74
$1,710.34		 $1,439.81
$1,530.33
$1,626.19
$1,966.79		 $591.68
$636.94
$684.87
$855.17		 $848.13
$893.39
$941.32
$1,111.62		 $1,104.58
$1,149.84
$1,197.77
$1,368.07		 $256.45

Silver

Plan: (PPO) Blue Cross® Premier PPO Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $483.35
$548.60
$617.72
$863.26
$1,311.81		 $966.70
$1,097.20
$1,235.44
$1,726.52
$2,623.62		 $1,336.46
$1,466.96
$1,605.20
$2,096.28		 $1,706.22
$1,836.72
$1,974.96
$2,466.04		 $2,075.98
$2,206.48
$2,344.72
$2,835.80		 $853.11
$918.36
$987.48
$1,233.02		 $1,222.87
$1,288.12
$1,357.24
$1,602.78		 $1,592.63
$1,657.88
$1,727.00
$1,972.54		 $369.76

Gold

Plan: (PPO) Blue Cross® Premier PPO Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $609.84
$692.17
$779.38
$1,089.17
$1,655.11		 $1,219.68
$1,384.34
$1,558.76
$2,178.34
$3,310.22		 $1,686.21
$1,850.87
$2,025.29
$2,644.87		 $2,152.74
$2,317.40
$2,491.82
$3,111.40		 $2,619.27
$2,783.93
$2,958.35
$3,577.93		 $1,076.37
$1,158.70
$1,245.91
$1,555.70		 $1,542.90
$1,625.23
$1,712.44
$2,022.23		 $2,009.43
$2,091.76
$2,178.97
$2,488.76		 $466.53

Bronze

Plan: (PPO) Blue Cross® Premier PPO Bronze Saver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $318.53
$361.53
$407.08
$568.89
$864.49		 $637.06
$723.06
$814.16
$1,137.78
$1,728.98		 $880.74
$966.74
$1,057.84
$1,381.46		 $1,124.42
$1,210.42
$1,301.52
$1,625.14		 $1,368.10
$1,454.10
$1,545.20
$1,868.82		 $562.21
$605.21
$650.76
$812.57		 $805.89
$848.89
$894.44
$1,056.25		 $1,049.57
$1,092.57
$1,138.12
$1,299.93		 $243.68

Silver

Plan: (PPO) Blue Cross® Premier PPO Silver Saver HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $3,100 : Family: $6,200
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $451.54
$512.50
$577.07
$806.45
$1,225.48		 $903.08
$1,025.00
$1,154.14
$1,612.90
$2,450.96		 $1,248.51
$1,370.43
$1,499.57
$1,958.33		 $1,593.94
$1,715.86
$1,845.00
$2,303.76		 $1,939.37
$2,061.29
$2,190.43
$2,649.19		 $796.97
$857.93
$922.50
$1,151.88		 $1,142.40
$1,203.36
$1,267.93
$1,497.31		 $1,487.83
$1,548.79
$1,613.36
$1,842.74		 $345.43

Expanded Bronze

Plan: (PPO) Blue Cross® Premier PPO Bronze Extra

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $348.05
$395.04
$444.81
$621.62
$944.61		 $696.10
$790.08
$889.62
$1,243.24
$1,889.22		 $962.36
$1,056.34
$1,155.88
$1,509.50		 $1,228.62
$1,322.60
$1,422.14
$1,775.76		 $1,494.88
$1,588.86
$1,688.40
$2,042.02		 $614.31
$661.30
$711.07
$887.88		 $880.57
$927.56
$977.33
$1,154.14		 $1,146.83
$1,193.82
$1,243.59
$1,420.40		 $266.26

Silver

Plan: (PPO) Blue Cross® Premier PPO Silver Extra

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Cross Blue Shield of Michigan Mutual Insurance Company)
Customer Service Phone: 1-888-288-2738

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $512.20
$581.35
$654.59
$914.79
$1,390.11		 $1,024.40
$1,162.70
$1,309.18
$1,829.58
$2,780.22		 $1,416.23
$1,554.53
$1,701.01
$2,221.41		 $1,808.06
$1,946.36
$2,092.84
$2,613.24		 $2,199.89
$2,338.19
$2,484.67
$3,005.07		 $904.03
$973.18
$1,046.42
$1,306.62		 $1,295.86
$1,365.01
$1,438.25
$1,698.45		 $1,687.69
$1,756.84
$1,830.08
$2,090.28		 $391.83

Priority Health

Local: 1-855-682-5217 | Toll Free: 1-855-682-5217

TTY: 1-888-551-6761

Bronze

Plan: (HMO) MyPriority HSA Bronze 6650

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Priority Health)
Customer Service Phone: 1-855-682-5217

Deductible: Individual: $6,650 : Family: $13,100
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Bronze 21
30
40
50
60		 $240.97
$273.50
$307.96
$430.37
$653.99		 $481.94
$547.00
$615.92
$860.74
$1,307.98		 $666.28
$731.34
$800.26
$1,045.08		 $850.62
$915.68
$984.60
$1,229.42		 $1,034.96
$1,100.02
$1,168.94
$1,413.76		 $425.31
$457.84
$492.30
$614.71		 $609.65
$642.18
$676.64
$799.05		 $793.99
$826.52
$860.98
$983.39		 $184.34

Gold

Plan: (HMO) MyPriority Gold 1100

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Priority Health)
Customer Service Phone: 1-855-682-5217

Deductible: Individual: $1,100 : Family: $2,200
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $439.31
$498.62
$561.44
$784.61
$1,192.29		 $878.62
$997.24
$1,122.88
$1,569.22
$2,384.58		 $1,214.69
$1,333.31
$1,458.95
$1,905.29		 $1,550.76
$1,669.38
$1,795.02
$2,241.36		 $1,886.83
$2,005.45
$2,131.09
$2,577.43		 $775.38
$834.69
$897.51
$1,120.68		 $1,111.45
$1,170.76
$1,233.58
$1,456.75		 $1,447.52
$1,506.83
$1,569.65
$1,792.82		 $336.07

Silver

Plan: (HMO) MyPriority Silver 3200

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Priority Health)
Customer Service Phone: 1-855-682-5217

Deductible: Individual: $3,200 : Family: $6,400
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $375.08
$425.72
$479.35
$669.89
$1,017.97		 $750.16
$851.44
$958.70
$1,339.78
$2,035.94		 $1,037.10
$1,138.38
$1,245.64
$1,626.72		 $1,324.04
$1,425.32
$1,532.58
$1,913.66		 $1,610.98
$1,712.26
$1,819.52
$2,200.60		 $662.02
$712.66
$766.29
$956.83		 $948.96
$999.60
$1,053.23
$1,243.77		 $1,235.90
$1,286.54
$1,340.17
$1,530.71		 $286.94
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Meridian Health Plan of Michigan, Inc.

Local: 1-855-537-9746 | Toll Free: 1-855-537-9746

Silver

Plan: (HMO) Meridian Healthy Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $6,000 : Family: $12,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $301.69
$342.41
$385.55
$538.80
$818.76		 $603.38
$684.82
$771.10
$1,077.60
$1,637.52		 $834.17
$915.61
$1,001.89
$1,308.39		 $1,064.96
$1,146.40
$1,232.68
$1,539.18		 $1,295.75
$1,377.19
$1,463.47
$1,769.97		 $532.48
$573.20
$616.34
$769.59		 $763.27
$803.99
$847.13
$1,000.38		 $994.06
$1,034.78
$1,077.92
$1,231.17		 $230.79

Gold

Plan: (HMO) Meridian Healthy Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $2,200 : Family: $4,400
Out of Pocket Maximum per year: Individual: $4,450 : Family: $8,900

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $288.47
$327.41
$368.66
$515.19
$782.89		 $576.94
$654.82
$737.32
$1,030.38
$1,565.78		 $797.61
$875.49
$957.99
$1,251.05		 $1,018.28
$1,096.16
$1,178.66
$1,471.72		 $1,238.95
$1,316.83
$1,399.33
$1,692.39		 $509.14
$548.08
$589.33
$735.86		 $729.81
$768.75
$810.00
$956.53		 $950.48
$989.42
$1,030.67
$1,177.20		 $220.67

Silver

Plan: (HMO) Meridian Smart Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $0 : Family: $0
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $382.63
$434.28
$488.99
$683.36
$1,038.44		 $765.26
$868.56
$977.98
$1,366.72
$2,076.88		 $1,057.97
$1,161.27
$1,270.69
$1,659.43		 $1,350.68
$1,453.98
$1,563.40
$1,952.14		 $1,643.39
$1,746.69
$1,856.11
$2,244.85		 $675.34
$726.99
$781.70
$976.07		 $968.05
$1,019.70
$1,074.41
$1,268.78		 $1,260.76
$1,312.41
$1,367.12
$1,561.49		 $292.71

Silver

Plan: (HMO) Meridian HSA Savings Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Meridian Health Plan of Michigan, Inc.)
Customer Service Phone: 1-855-537-9746

Deductible: Individual: $4,000 : Family: $8,000
Out of Pocket Maximum per year: Individual: $5,300 : Family: $10,600

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $344.08
$390.52
$439.72
$614.51
$933.80		 $688.16
$781.04
$879.44
$1,229.02
$1,867.60		 $951.37
$1,044.25
$1,142.65
$1,492.23		 $1,214.58
$1,307.46
$1,405.86
$1,755.44		 $1,477.79
$1,570.67
$1,669.07
$2,018.65		 $607.29
$653.73
$702.93
$877.72		 $870.50
$916.94
$966.14
$1,140.93		 $1,133.71
$1,180.15
$1,229.35
$1,404.14		 $263.21

Blue Care Network of Michigan

Local: 1-800-662-6667 | Toll Free: 1-800-662-6667

TTY: 1-800-257-9980

Silver

Plan: (HMO) Blue Cross® Preferred HMO Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $369.43
$419.30
$472.13
$659.80
$1,002.63		 $738.86
$838.60
$944.26
$1,319.60
$2,005.26		 $1,021.47
$1,121.21
$1,226.87
$1,602.21		 $1,304.08
$1,403.82
$1,509.48
$1,884.82		 $1,586.69
$1,686.43
$1,792.09
$2,167.43		 $652.04
$701.91
$754.74
$942.41		 $934.65
$984.52
$1,037.35
$1,225.02		 $1,217.26
$1,267.13
$1,319.96
$1,507.63		 $282.61

Gold

Plan: (HMO) Blue Cross® Preferred HMO Gold

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $500 : Family: $1,000
Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Gold 21
30
40
50
60		 $434.13
$492.74
$554.82
$775.36
$1,178.23		 $868.26
$985.48
$1,109.64
$1,550.72
$2,356.46		 $1,200.37
$1,317.59
$1,441.75
$1,882.83		 $1,532.48
$1,649.70
$1,773.86
$2,214.94		 $1,864.59
$1,981.81
$2,105.97
$2,547.05		 $766.24
$824.85
$886.93
$1,107.47		 $1,098.35
$1,156.96
$1,219.04
$1,439.58		 $1,430.46
$1,489.07
$1,551.15
$1,771.69		 $332.11

Silver

Plan: (HMO) Blue Cross® Preferred HMO Silver Saver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $3,250 : Family: $6,500
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $355.25
$403.21
$454.01
$634.48
$964.15		 $710.50
$806.42
$908.02
$1,268.96
$1,928.30		 $982.27
$1,078.19
$1,179.79
$1,540.73		 $1,254.04
$1,349.96
$1,451.56
$1,812.50		 $1,525.81
$1,621.73
$1,723.33
$2,084.27		 $627.02
$674.98
$725.78
$906.25		 $898.79
$946.75
$997.55
$1,178.02		 $1,170.56
$1,218.52
$1,269.32
$1,449.79		 $271.77

Silver

Plan: (HMO) Blue Cross® Select HMO Silver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $2,000 : Family: $4,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $343.46
$389.83
$438.94
$613.42
$932.15		 $686.92
$779.66
$877.88
$1,226.84
$1,864.30		 $949.67
$1,042.41
$1,140.63
$1,489.59		 $1,212.42
$1,305.16
$1,403.38
$1,752.34		 $1,475.17
$1,567.91
$1,666.13
$2,015.09		 $606.21
$652.58
$701.69
$876.17		 $868.96
$915.33
$964.44
$1,138.92		 $1,131.71
$1,178.08
$1,227.19
$1,401.67		 $262.75

Silver

Plan: (HMO) Blue Cross® Select HMO Silver Saver

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $3,250 : Family: $6,500
Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $328.36
$372.69
$419.64
$586.45
$891.17		 $656.72
$745.38
$839.28
$1,172.90
$1,782.34		 $907.92
$996.58
$1,090.48
$1,424.10		 $1,159.12
$1,247.78
$1,341.68
$1,675.30		 $1,410.32
$1,498.98
$1,592.88
$1,926.50		 $579.56
$623.89
$670.84
$837.65		 $830.76
$875.09
$922.04
$1,088.85		 $1,081.96
$1,126.29
$1,173.24
$1,340.05		 $251.20

Catastrophic

Plan: (HMO) Blue Cross® Select HMO Value

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Catastrophic 21
30
40
50
60		 $193.72
$219.87
$247.57
$345.98
$525.76		 $387.44
$439.74
$495.14
$691.96
$1,051.52		 $535.64
$587.94
$643.34
$840.16		 $683.84
$736.14
$791.54
$988.36		 $832.04
$884.34
$939.74
$1,136.56		 $341.92
$368.07
$395.77
$494.18		 $490.12
$516.27
$543.97
$642.38		 $638.32
$664.47
$692.17
$790.58		 $148.20

Expanded Bronze

Plan: (HMO) Blue Cross® Preferred HMO Bronze Saver HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $256.06
$290.63
$327.24
$457.32
$694.95		 $512.12
$581.26
$654.48
$914.64
$1,389.90		 $708.01
$777.15
$850.37
$1,110.53		 $903.90
$973.04
$1,046.26
$1,306.42		 $1,099.79
$1,168.93
$1,242.15
$1,502.31		 $451.95
$486.52
$523.13
$653.21		 $647.84
$682.41
$719.02
$849.10		 $843.73
$878.30
$914.91
$1,044.99		 $195.89

Expanded Bronze

Plan: (HMO) Blue Cross® Select HMO Bronze

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $7,350 : Family: $14,700
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $245.87
$279.06
$314.22
$439.12
$667.29		 $491.74
$558.12
$628.44
$878.24
$1,334.58		 $679.83
$746.21
$816.53
$1,066.33		 $867.92
$934.30
$1,004.62
$1,254.42		 $1,056.01
$1,122.39
$1,192.71
$1,442.51		 $433.96
$467.15
$502.31
$627.21		 $622.05
$655.24
$690.40
$815.30		 $810.14
$843.33
$878.49
$1,003.39		 $188.09

Expanded Bronze

Plan: (HMO) Blue Cross® Select HMO Bronze Saver HSA

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $6,650 : Family: $13,300
Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Expanded Bronze 21
30
40
50
60		 $231.23
$262.45
$295.51
$412.98
$627.56		 $462.46
$524.90
$591.02
$825.96
$1,255.12		 $639.35
$701.79
$767.91
$1,002.85		 $816.24
$878.68
$944.80
$1,179.74		 $993.13
$1,055.57
$1,121.69
$1,356.63		 $408.12
$439.34
$472.40
$589.87		 $585.01
$616.23
$649.29
$766.76		 $761.90
$793.12
$826.18
$943.65		 $176.89

Silver

Plan: (HMO) Blue Cross® Preferred HMO Silver Extra

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $387.91
$440.28
$495.75
$692.81
$1,052.79		 $775.82
$880.56
$991.50
$1,385.62
$2,105.58		 $1,072.57
$1,177.31
$1,288.25
$1,682.37		 $1,369.32
$1,474.06
$1,585.00
$1,979.12		 $1,666.07
$1,770.81
$1,881.75
$2,275.87		 $684.66
$737.03
$792.50
$989.56		 $981.41
$1,033.78
$1,089.25
$1,286.31		 $1,278.16
$1,330.53
$1,386.00
$1,583.06		 $296.75

Silver

Plan: (HMO) Blue Cross® Select HMO Silver Extra

Summary of Benefits and Coverage - Plan Brochure
Provider Directory for This Plan: (Blue Care Network of Michigan)
Customer Service Phone: 1-800-662-6667

Deductible: Individual: $3,500 : Family: $7,000
Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700

Monthly Premiums:
Metal level Age Individual
 Couple
Couple
w 1 Kid
 Couple
w 2 Kids
 Couple
w3+Kids
 Single
w 1 Kid
 Single
w 2 Kids
 Single
w3+Kids
 Child
0-14
Silver 21
30
40
50
60		 $358.55
$406.95
$458.23
$640.37
$973.10		 $717.10
$813.90
$916.46
$1,280.74
$1,946.20		 $991.39
$1,088.19
$1,190.75
$1,555.03		 $1,265.68
$1,362.48
$1,465.04
$1,829.32		 $1,539.97
$1,636.77
$1,739.33
$2,103.61		 $632.84
$681.24
$732.52
$914.66		 $907.13
$955.53
$1,006.81
$1,188.95		 $1,181.42
$1,229.82
$1,281.10
$1,463.24		 $274.29

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Muskegon County here.

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