Blue Cross® Premier PPO Gold Extra
Gold · PPO · Blue Cross Blue Shield of Michigan Mutual Insurance Company · Michigan
At age 40 it costs between $863.76 and $1,216.66 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 15560MI1130002 |
|---|---|
| Insurer | Blue Cross Blue Shield of Michigan Mutual Insurance Company |
| Metal level | Gold |
| Plan type | PPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-888-288-2738 · 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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Saint Clair County | $675.87 | $767.11 | $863.76 | $1,207.10 | $1,834.31 |
| Genesee County | $693.76 | $787.42 | $886.63 | $1,239.06 | $1,882.86 |
| Lapeer County | $693.76 | $787.42 | $886.63 | $1,239.06 | $1,882.86 |
| Shiawassee County | $693.76 | $787.42 | $886.63 | $1,239.06 | $1,882.86 |
| Arenac County | $698.27 | $792.54 | $892.39 | $1,247.11 | $1,895.10 |
| Bay County | $698.27 | $792.54 | $892.39 | $1,247.11 | $1,895.10 |
| Gratiot County | $698.27 | $792.54 | $892.39 | $1,247.11 | $1,895.10 |
| Saginaw County | $698.27 | $792.54 | $892.39 | $1,247.11 | $1,895.10 |
| Antrim County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Benzie County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Charlevoix County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Emmet County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Grand Traverse County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Kalkaska County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Leelanau County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Manistee County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Missaukee County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Wexford County | $726.66 | $824.76 | $928.67 | $1,297.81 | $1,972.16 |
| Clare County | $729.61 | $828.11 | $932.44 | $1,303.08 | $1,980.16 |
| Gladwin County | $729.61 | $828.11 | $932.44 | $1,303.08 | $1,980.16 |
| Isabella County | $729.61 | $828.11 | $932.44 | $1,303.08 | $1,980.16 |
| Midland County | $729.61 | $828.11 | $932.44 | $1,303.08 | $1,980.16 |
| Macomb County | $753.88 | $855.65 | $963.46 | $1,346.43 | $2,046.03 |
| Oakland County | $753.88 | $855.65 | $963.46 | $1,346.43 | $2,046.03 |
| Monroe County | $753.96 | $855.74 | $963.56 | $1,346.57 | $2,046.25 |
| Wayne County | $753.96 | $855.74 | $963.56 | $1,346.57 | $2,046.25 |
| Clinton County | $765.47 | $868.81 | $978.27 | $1,367.13 | $2,077.49 |
| Eaton County | $765.47 | $868.81 | $978.27 | $1,367.13 | $2,077.49 |
| Hillsdale County | $765.47 | $868.81 | $978.27 | $1,367.13 | $2,077.49 |
| Ingham County | $765.47 | $868.81 | $978.27 | $1,367.13 | $2,077.49 |
| Jackson County | $765.47 | $868.81 | $978.27 | $1,367.13 | $2,077.49 |
| Alcona County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Alpena County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Cheboygan County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Chippewa County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Crawford County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Iosco County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Mackinac County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Montmorency County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Ogemaw County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Oscoda County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Otsego County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Presque Isle County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Roscommon County | $768.66 | $872.43 | $982.35 | $1,372.83 | $2,086.14 |
| Branch County | $776.44 | $881.26 | $992.29 | $1,386.72 | $2,107.26 |
| Calhoun County | $776.44 | $881.26 | $992.29 | $1,386.72 | $2,107.26 |
| Kalamazoo County | $776.44 | $881.26 | $992.29 | $1,386.72 | $2,107.26 |
| Huron County | $779.86 | $885.14 | $996.66 | $1,392.83 | $2,116.54 |
| Sanilac County | $779.86 | $885.14 | $996.66 | $1,392.83 | $2,116.54 |
| Tuscola County | $779.86 | $885.14 | $996.66 | $1,392.83 | $2,116.54 |
| Lenawee County | $808.72 | $917.90 | $1,033.54 | $1,444.37 | $2,194.87 |
| Livingston County | $808.72 | $917.90 | $1,033.54 | $1,444.37 | $2,194.87 |
| Washtenaw County | $808.72 | $917.90 | $1,033.54 | $1,444.37 | $2,194.87 |
| Berrien County | $834.86 | $947.57 | $1,066.95 | $1,491.06 | $2,265.81 |
| Cass County | $834.86 | $947.57 | $1,066.95 | $1,491.06 | $2,265.81 |
| Saint Joseph County | $834.86 | $947.57 | $1,066.95 | $1,491.06 | $2,265.81 |
| Van Buren County | $834.86 | $947.57 | $1,066.95 | $1,491.06 | $2,265.81 |
| Allegan County | $844.03 | $957.97 | $1,078.67 | $1,507.44 | $2,290.70 |
| Barry County | $844.03 | $957.97 | $1,078.67 | $1,507.44 | $2,290.70 |
| Alger County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Baraga County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Delta County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Dickinson County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Gogebic County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Houghton County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Iron County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Keweenaw County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Luce County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Marquette County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Menominee County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Ontonagon County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Schoolcraft County | $901.21 | $1,022.87 | $1,151.75 | $1,609.56 | $2,445.88 |
| Ionia County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Kent County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Lake County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Mason County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Mecosta County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Montcalm County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Muskegon County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Newaygo County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Oceana County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Osceola County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
| Ottawa County | $952 | $1,080.52 | $1,216.66 | $1,700.27 | $2,583.73 |
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.