| Eligibility |
Individuals under 65 and families |
| Monthly rate |
Starting at $52.82 (Plan 5000) |
| Copayment: |
20% of the BCBSM-approved amount |
| Deductible: |
| Plan 1500: | $1,500 individual |
| | $3,000 family |
| Plan 2500: | $2,500 individual |
| | $5,000 family |
| Plan 5000: | $5,000 individual |
| | $10,000 family |
|
| Annual Out-of-Pocket Maximum: |
| Plan 1500: | $4,000 individual |
| | $8,000 family |
| Plan 2500: | $5,000 individual |
| | $10,000 family |
| Plan 5000: | $5,800 individual |
| | $11,600 family |
|
| Prescriptions: |
Yes |
| Dental: |
Optional - Flexible Blue Dental PlusSM |
| Network: |
PPO |