MyPriority Balanced Silver
Silver · HMO · Priority Health · Michigan
At age 40 it costs between $608.10 and $763.73 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 is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $3,200 | $9,000 | $30 | $5 |
| up to 150% of the federal poverty level | $450 | $1,000 | $5 | $5 |
| 150% to 200% | $1,200 | $2,400 | $10 | $5 |
| 200% to 250% | $3,000 | $7,000 | $30 | $5 |
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 ID | 29698MI0541220 |
|---|---|
| Insurer | Priority Health |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $3,200 |
| Deductible (family) | $6,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,000 |
| Family maximum | $18,000 |
| Primary care visit | $30 |
| Specialist visit | $70 |
| Emergency room | $250 Copay after deductible and 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $75 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| 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 | 1-855-682-5217 · TTY 1-888-551-6761 |
Where it is sold, and what it costs there
68 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 |
|---|---|---|---|---|---|
| Macomb County | $475.82 | $540.06 | $608.10 | $849.81 | $1,291.38 |
| Oakland County | $475.82 | $540.06 | $608.10 | $849.81 | $1,291.38 |
| Antrim County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Benzie County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Charlevoix County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Emmet County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Grand Traverse County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Kalkaska County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Leelanau County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Manistee County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Missaukee County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Wexford County | $495.10 | $561.94 | $632.74 | $884.25 | $1,343.70 |
| Genesee County | $499.40 | $566.82 | $638.23 | $891.93 | $1,355.37 |
| Lapeer County | $499.40 | $566.82 | $638.23 | $891.93 | $1,355.37 |
| Shiawassee County | $499.40 | $566.82 | $638.23 | $891.93 | $1,355.37 |
| Monroe County | $503.48 | $571.45 | $643.45 | $899.22 | $1,366.44 |
| Wayne County | $503.48 | $571.45 | $643.45 | $899.22 | $1,366.44 |
| Huron County | $518.56 | $588.57 | $662.72 | $926.15 | $1,407.37 |
| Sanilac County | $518.56 | $588.57 | $662.72 | $926.15 | $1,407.37 |
| Tuscola County | $518.56 | $588.57 | $662.72 | $926.15 | $1,407.37 |
| Saint Clair County | $522.54 | $593.08 | $667.81 | $933.26 | $1,418.17 |
| Arenac County | $525.81 | $596.79 | $671.99 | $939.10 | $1,427.05 |
| Bay County | $525.81 | $596.79 | $671.99 | $939.10 | $1,427.05 |
| Gratiot County | $525.81 | $596.79 | $671.99 | $939.10 | $1,427.05 |
| Saginaw County | $525.81 | $596.79 | $671.99 | $939.10 | $1,427.05 |
| Alcona County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Alpena County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Cheboygan County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Crawford County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Iosco County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Montmorency County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Ogemaw County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Oscoda County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Otsego County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Presque Isle County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Roscommon County | $529.57 | $601.06 | $676.79 | $945.81 | $1,437.25 |
| Allegan County | $549.49 | $623.67 | $702.25 | $981.39 | $1,491.32 |
| Barry County | $549.49 | $623.67 | $702.25 | $981.39 | $1,491.32 |
| Ionia County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Kent County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Lake County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Mason County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Mecosta County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Montcalm County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Muskegon County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Newaygo County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Oceana County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Osceola County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Ottawa County | $551.37 | $625.80 | $704.65 | $984.75 | $1,496.42 |
| Clare County | $569.73 | $646.64 | $728.11 | $1,017.54 | $1,546.25 |
| Gladwin County | $569.73 | $646.64 | $728.11 | $1,017.54 | $1,546.25 |
| Isabella County | $569.73 | $646.64 | $728.11 | $1,017.54 | $1,546.25 |
| Midland County | $569.73 | $646.64 | $728.11 | $1,017.54 | $1,546.25 |
| Clinton County | $574.99 | $652.61 | $734.84 | $1,026.93 | $1,560.52 |
| Eaton County | $574.99 | $652.61 | $734.84 | $1,026.93 | $1,560.52 |
| Hillsdale County | $574.99 | $652.61 | $734.84 | $1,026.93 | $1,560.52 |
| Ingham County | $574.99 | $652.61 | $734.84 | $1,026.93 | $1,560.52 |
| Jackson County | $574.99 | $652.61 | $734.84 | $1,026.93 | $1,560.52 |
| Lenawee County | $583.26 | $662 | $745.41 | $1,041.70 | $1,582.97 |
| Livingston County | $583.26 | $662 | $745.41 | $1,041.70 | $1,582.97 |
| Washtenaw County | $583.26 | $662 | $745.41 | $1,041.70 | $1,582.97 |
| Branch County | $591.80 | $671.69 | $756.32 | $1,056.95 | $1,606.15 |
| Calhoun County | $591.80 | $671.69 | $756.32 | $1,056.95 | $1,606.15 |
| Kalamazoo County | $591.80 | $671.69 | $756.32 | $1,056.95 | $1,606.15 |
| Berrien County | $597.60 | $678.28 | $763.73 | $1,067.31 | $1,621.89 |
| Cass County | $597.60 | $678.28 | $763.73 | $1,067.31 | $1,621.89 |
| Saint Joseph County | $597.60 | $678.28 | $763.73 | $1,067.31 | $1,621.89 |
| Van Buren County | $597.60 | $678.28 | $763.73 | $1,067.31 | $1,621.89 |
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.