Michigan works with the federal exchange health insurance marketplace to oversee plan management. Open enrollment is usually only available from November 1 through December 15, but it has been extended to August 15. Note that premium subsidies increased due to the American Rescue Plan. Michigan residents can complete their enrollment through the healthcare.gov website.
Highlights and Updates
- Michigan uses the federally facilitated marketplace that utilizes certified partner websites for enrollment. For a list of certified enrollment partners, visit healthcare.gov/direct-enrollment.
- Open enrollment in Michigan is from November 1 – December 15, although extended to at least August 15 due to COVID-19 relief efforts.
- Michigan allows the purchase of short-term health insurance but limits the plans to no more than 185 days in any 365-day period.
- The average monthly benchmark premium cost in Michigan is $402.
- There are nine insurers offering coverage to Michigan residents through the federal exchange marketplace.
How to Buy Health Insurance in Michigan
Most Michigan residents carry insurance through their employer. If you do not receive health insurance benefits through your employer or from the federal government, you can access the certified partner enrollment sites via healthcare.gov, where Michigan oversees the plan management. Michigan has expanded Medicaid eligibility under the ACA.
Insurance is provided at four different tiers with varying costs and options. These tiers are referred to as Bronze, Silver, Gold, and Platinum. For some low-income residents, health insurance may be available through Medicaid. Michigan also offers catastrophic insurance plans through the federal health exchange.
How to Apply for Health Insurance in Michigan
Enrollment is simple and can be done through the federal marketplace, healthcare.gov. Enrollment was extended through August 15, 2021, due to the ongoing needs presented by the COVID-19 pandemic.
Health Insurance Carriers in Michigan
Michigan has nine health insurance carriers:
- Blue Care Network (Blue Cross HMO)
- Blue Cross Blue Shield of Michigan
- McLaren Health Plan
- Meridian (Ambetter as of 2021)
- Oscar Health
- Physicians Health Plan
- Priority Health
- Total Health Care USA
The cheapest health insurance companies in Michigan are the Blue Care Network and Ambetter.
How Has Obamacare Helped Michigan’s Uninsured?
Michigan expanded its Medicaid program in 2014. According to the U.S. Census, Michigan’s uninsured rate in 2013 was 11% and fell to 6.1% by 2015.
Michigan Health Insurance Costs Overview
Michigan offers four tiers of health insurance: Bronze, Silver, Gold, and Platinum.
How Much Does Health Insurance Cost in Michigan?
The average monthly health insurance premium in Michigan is $402 in 2021. This is a 4% decrease over the prior year’s average rate.
What Is the Cheapest Health Insurance Plan in Michigan?
The cheapest health insurance plan in Michigan is Blue Cross Select HMO Value. This catastrophic plan can be purchased for up to 185 days. The monthly cost is $200 with a deductible of $8,550. For non-catastrophic plans, the cheapest insurance plan is Ambetter Essential Care 1, Bronze tier. This policy costs $223 monthly and carries an $8,300 deductible.
Cheapest Michigan Health Insurance Coverage by Metal Tier
Sparrow PHP Platinum 500 is the most affordable Platinum plan. The premium is $546 per month. The deductible is $500, and the out-of-pocket maximum is $3,000.
Ambetter Base Gold is the most affordable Gold plan. The premium is $300 per month. The deductible is $3,500, and the out-of-pocket maximum is $6,000.
Ambetter Balanced Care 12 is the low-cost Silver plan, with a premium cost of $292 per month. The deductible is $3,858, and the out-of-pocket maximum is $6,500.
Ambetter Essential Care 1 is the most affordable Bronze plan, with monthly premiums of $223, an $8,300 deductible, and an $8,300 out-of-pocket maximum.
Michigan Health Insurance Costs by Occupation
What Is the Average Cost of Health Insurance for a Student in Michigan?
Most schools and universities in Michigan require their students to have valid health insurance. Many of these schools offer onsite clinics and health insurance plans through the school or university.
What Is the Average Cost of Health Insurance for the Self-Employed in Michigan?
Self-employed individuals can sign up for a health insurance coverage plan on the federal marketplace.
What Is the Average Cost of Health Insurance for Small Business Owners in Michigan?
Michigan small business owners can take advantage of the healthcare.gov SHOP website. The Small Business Health Options Program (SHOP) exchange allows small business owners with between 1 and 50 full-time employees to shop for health insurance for their employees. Monthly rates range from $269.70 and $377.53 for participants under the age of 40 but increase dramatically for participants over 50 to $527.59 per month.
Michigan Health Insurance Costs by Number of Participants
What Is the Average Cost of Health Insurance for Families in Michigan?
Health insurance rates can vary for families based on the number of children. Children under 15 are covered under a flat fee, while older children and spouse rates increase annually as the enrollee ages. The average cost for a family of four in Michigan is $1404.
What Is the Average Cost of Health Insurance for Individuals in Michigan?
The average cost of health insurance for individuals aged 40, is $402 per month.
What Is the Average Cost of Health Insurance for a Child in Michigan?
Michigan offers MIChild for uninsured children of Michigan working families. The services are provided for HMOs and Medicaid. Michigan offers medical assistance programs to cover children of all financial backgrounds.
Other Types of Michigan Health Insurance Coverage
Catastrophic Health Insurance in Michigan
Catastrophic insurance plans have low monthly premiums but carry high deductibles. They are an affordable option to protect yourself financially from unexpected serious injury or illness. These plans are generally only available to qualifying individuals under the age of 30. Michigan’s cheapest catastrophic plan is the Blue Cross Select HMO Value, which is $200 per month.
Short Term or Temporary Health Insurance in Michigan
Short-term health insurance is available for purchase in Michigan but only with regulations. Michigan limits the duration of a short-term health insurance plan to no more than 185 days, and it prohibits policy renewals. Michigan residents cannot have more than one short-term health insurance policy within any 365-day period.
Low-Income Health Insurance in Michigan
Low-income Michigan residents can apply for Medicaid.