QHP Index

Blue Cross® Premier PPO Silver Extra

Silver · PPO · Blue Cross Blue Shield of Michigan Mutual Insurance Company · Michigan

At age 40 it costs between $744.10 and $1,048.11 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.

What this Silver plan costs if your income qualifies

Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.

If your income isDeductibleMost you could pay in a yearPrimary careGeneric drugs
Above 250%, or not applied for$6,000$8,900$40$20
up to 150% of the federal poverty level$0$2,200No ChargeNo Charge
150% to 200%$700$3,300$20$10
200% to 250%$3,000$7,400$40$20

CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.

What CMS publishes about it

Plan ID15560MI1130001
InsurerBlue Cross Blue Shield of Michigan Mutual Insurance Company
Metal levelSilver
Plan typePPO
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$6,000
Deductible (family)$12,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,900
Family maximum$17,800
Primary care visit$40
Specialist visit$80
Emergency room40% Coinsurance after deductible
Inpatient stay40% Coinsurance after deductible
Generic drugs$20
Preferred brand drugs$40
Specialty drugs$350 Copay after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-288-2738 · TTY 1-800-481-8704

Where it is sold, and what it costs there

83 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Saint Clair County $582.24$660.84 $744.10$1,039.88 $1,580.20
Genesee County $597.65$678.33 $763.80$1,067.40 $1,622.02
Lapeer County $597.65$678.33 $763.80$1,067.40 $1,622.02
Shiawassee County $597.65$678.33 $763.80$1,067.40 $1,622.02
Arenac County $601.54$682.75 $768.77$1,074.35 $1,632.58
Bay County $601.54$682.75 $768.77$1,074.35 $1,632.58
Gratiot County $601.54$682.75 $768.77$1,074.35 $1,632.58
Saginaw County $601.54$682.75 $768.77$1,074.35 $1,632.58
Antrim County $626$710.51 $800.03$1,118.04 $1,698.96
Benzie County $626$710.51 $800.03$1,118.04 $1,698.96
Charlevoix County $626$710.51 $800.03$1,118.04 $1,698.96
Emmet County $626$710.51 $800.03$1,118.04 $1,698.96
Grand Traverse County $626$710.51 $800.03$1,118.04 $1,698.96
Kalkaska County $626$710.51 $800.03$1,118.04 $1,698.96
Leelanau County $626$710.51 $800.03$1,118.04 $1,698.96
Manistee County $626$710.51 $800.03$1,118.04 $1,698.96
Missaukee County $626$710.51 $800.03$1,118.04 $1,698.96
Wexford County $626$710.51 $800.03$1,118.04 $1,698.96
Clare County $628.54$713.39 $803.27$1,122.57 $1,705.86
Gladwin County $628.54$713.39 $803.27$1,122.57 $1,705.86
Isabella County $628.54$713.39 $803.27$1,122.57 $1,705.86
Midland County $628.54$713.39 $803.27$1,122.57 $1,705.86
Macomb County $649.45$737.13 $830$1,159.92 $1,762.61
Oakland County $649.45$737.13 $830$1,159.92 $1,762.61
Monroe County $649.52$737.21 $830.09$1,160.04 $1,762.80
Wayne County $649.52$737.21 $830.09$1,160.04 $1,762.80
Clinton County $659.44$748.46 $842.76$1,177.76 $1,789.72
Eaton County $659.44$748.46 $842.76$1,177.76 $1,789.72
Hillsdale County $659.44$748.46 $842.76$1,177.76 $1,789.72
Ingham County $659.44$748.46 $842.76$1,177.76 $1,789.72
Jackson County $659.44$748.46 $842.76$1,177.76 $1,789.72
Alcona County $662.18$751.57 $846.27$1,182.65 $1,797.16
Alpena County $662.18$751.57 $846.27$1,182.65 $1,797.16
Cheboygan County $662.18$751.57 $846.27$1,182.65 $1,797.16
Chippewa County $662.18$751.57 $846.27$1,182.65 $1,797.16
Crawford County $662.18$751.57 $846.27$1,182.65 $1,797.16
Iosco County $662.18$751.57 $846.27$1,182.65 $1,797.16
Mackinac County $662.18$751.57 $846.27$1,182.65 $1,797.16
Montmorency County $662.18$751.57 $846.27$1,182.65 $1,797.16
Ogemaw County $662.18$751.57 $846.27$1,182.65 $1,797.16
Oscoda County $662.18$751.57 $846.27$1,182.65 $1,797.16
Otsego County $662.18$751.57 $846.27$1,182.65 $1,797.16
Presque Isle County $662.18$751.57 $846.27$1,182.65 $1,797.16
Roscommon County $662.18$751.57 $846.27$1,182.65 $1,797.16
Branch County $668.88$759.18 $854.83$1,194.62 $1,815.34
Calhoun County $668.88$759.18 $854.83$1,194.62 $1,815.34
Kalamazoo County $668.88$759.18 $854.83$1,194.62 $1,815.34
Huron County $671.83$762.53 $858.60$1,199.89 $1,823.35
Sanilac County $671.83$762.53 $858.60$1,199.89 $1,823.35
Tuscola County $671.83$762.53 $858.60$1,199.89 $1,823.35
Lenawee County $696.69$790.74 $890.37$1,244.29 $1,890.82
Livingston County $696.69$790.74 $890.37$1,244.29 $1,890.82
Washtenaw County $696.69$790.74 $890.37$1,244.29 $1,890.82
Berrien County $719.21$816.30 $919.15$1,284.51 $1,951.94
Cass County $719.21$816.30 $919.15$1,284.51 $1,951.94
Saint Joseph County $719.21$816.30 $919.15$1,284.51 $1,951.94
Van Buren County $719.21$816.30 $919.15$1,284.51 $1,951.94
Allegan County $727.11$825.27 $929.25$1,298.62 $1,973.38
Barry County $727.11$825.27 $929.25$1,298.62 $1,973.38
Alger County $776.37$881.18 $992.20$1,386.60 $2,107.07
Baraga County $776.37$881.18 $992.20$1,386.60 $2,107.07
Delta County $776.37$881.18 $992.20$1,386.60 $2,107.07
Dickinson County $776.37$881.18 $992.20$1,386.60 $2,107.07
Gogebic County $776.37$881.18 $992.20$1,386.60 $2,107.07
Houghton County $776.37$881.18 $992.20$1,386.60 $2,107.07
Iron County $776.37$881.18 $992.20$1,386.60 $2,107.07
Keweenaw County $776.37$881.18 $992.20$1,386.60 $2,107.07
Luce County $776.37$881.18 $992.20$1,386.60 $2,107.07
Marquette County $776.37$881.18 $992.20$1,386.60 $2,107.07
Menominee County $776.37$881.18 $992.20$1,386.60 $2,107.07
Ontonagon County $776.37$881.18 $992.20$1,386.60 $2,107.07
Schoolcraft County $776.37$881.18 $992.20$1,386.60 $2,107.07
Ionia County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Kent County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Lake County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Mason County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Mecosta County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Montcalm County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Muskegon County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Newaygo County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Oceana County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Osceola County $820.12$930.84 $1,048.11$1,464.73 $2,225.81
Ottawa County $820.12$930.84 $1,048.11$1,464.73 $2,225.81

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.