Affordable Health Insurance in Michigan: Find the Right Plan

By: Paula D. Skidmore
Updated: November 9, 2022
affordable health insurance in michigan

For 2022, the market for individual health insurance in Michigan is strong. Individual Marketplace policies cover more than 267,000 locals. Michigan has one of the lowest monthly rates in the country. About 85 percent of registrants receive premium-lowering tax credits. Here is a comprehensive guide on purchasing affordable health insurance in Michigan.

Medicaid and Medicare are also available to residents at low or no cost. More Michigan residents, over 2 million, are covered by Medicare, whereas fewer than 1 million are eligible for Medicaid.

Health Insurance Open Enrollment

So, what is Open Enrollment?

Open enrollment is a period between 1 Nov to 15 Dec, during which you can change or review your existing health plans. For coverage to begin on January 1, 2023, consumers must select a plan at the latest by December 15, 2022.

During this year’s Open Enrollment period, residents of Michigan will have the opportunity to take advantage of tax credits that have been extended. In 2022, almost 85 percent of Michigan residents who signed up for health insurance received some subsidy, and many of them could acquire coverage for less than $10 monthly.

Anyone who has a life event, such as pregnancy, job loss, or divorce, that leaves them without health insurance in 2022 may be eligible for a Special Enrollment Period. In addition, residents of Michigan who meet the requirements for either Medicaid or MIChild can apply at any time.

Options available on the Michigan Health Insurance Market

Agents at NewHealthInsurance are accessible around the clock to assist you in finding the best insurance policy. Before you start shopping for health insurance on the Michigan exchange, consider the following:

  • Having a lower price tag doesn’t automatically indicate superior quality. Higher deductibles and copayments are typical of less expensive plans. If you become sick or hurt before your insurance kicks in, you can have to pay a hefty medical bill out of pocket.
  • However, not all plans will cover visits to the specialist you like. Check if your primary care physician accepts the insurance you want to purchase.
  • In some cases, dental coverage may be purchased independently. If the plan you’re considering doesn’t include dental coverage, you should look into getting one. NewHealthInsurance can also assist you here!

Accessing Affordable Health Insurance in Michigan

There are two types of health insurance plans that are available in Michigan, i.e., HMO and PPO. Care provider visits (PPO), your coverage tier, and the amount you paid in copays last year will help you evaluate which plan and coverage level will save you the most money this year. Then, you can determine whether or not more coverage will save you money. You could perhaps conclude that your current level of protection is adequate. You must also check out PPO and HMO reviews before applying. 

Once you have compiled your data, you may compare health insurance plans and premiums. If you fill out our form, we’ll contact an agent who can help you compare health insurance plans. You can purchase coverage or request more information about the plan you’re interested in.

Purchasing Health Insurance in Michigan for Individuals, Families, and Self-Employed Business Owners

Health insurance companies in Michigan provide a variety of private plans for individuals and families. Many business owners in this category operate independently and do not hire staff.

Off-exchange plan sales are another method used by companies. Coverage for hospitalization, prescription drugs, and pregnancy-related medical expenses are only some of the basic health benefits provided by these plans. Guaranteed acceptance and coverage for preexisting conditions are hallmarks of the Affordable Care Act’s (ACA) mandatory insurance policies.

Choose from silver, bronze, platinum, and gold plan tiers. Depending on your plan’s tier, 60% to 90% of your care is covered. One example is bronze coverage, which often costs the least but only pays 60% of medical costs. The most expensive plan, platinum, only pays for 10% of medical expenses.

Alternative to Michigan’s Catastrophic Health Insurance

Companies may also provide catastrophic medical coverage. Young adults under 30 are the target demographic for this plan because they tend to have fewer health problems. However, it is also available to seniors who demonstrate financial need.

Extremely expensive medical costs can be avoided with a catastrophic plan in the event of a critical illness or catastrophic disaster or catastrophic health insurance over 50 . Not advised for regular use. High deductibles are paired with affordable monthly premiums in these plans.

Top-Rated Health Insurance Companies in Michigan

The ten best health insurance companies in Michigan are offering plans on the marketplace in 2022. Bronze, enlarged bronze, silver, gold, and catastrophe plans are on the table. Various regions have varying availability, and not all firms provide all types of plans.

  • The U.S. Health and Life Insurance Company (new)
  • Blue Cross Blue Shield of Michigan
  • Physicians Health Plan
  • Meridian Health Plan of Michigan
  • Priority Health
  • Oscar Insurance Company
  • McLaren Health Plan Community
  • Blue Care Network of Michigan
  • Molina Healthcare of Michigan
  • United Healthcare Community Plan (new)

Guide to Michigan Health Insurance and Related Resources

There are primarily three categories of health insurance companies operating in the state of Michigan.

  • Coverage for medical expenses paid for by your company
  • Individual and family private health insurance in Michigan
  • Health care coverage subsidized by the government

As of the most recent census, only 6% of people in Michigan are uninsured. All residents of Michigan may afford medical treatment thanks to the state’s three health insurance categories and a wide variety of coverage options.

1. Health Insurance Provided by Employers in Michigan

About half of all workers and their families in Michigan are covered by employer-sponsored health insurance. This provides them with full health coverage. To name a few types of protection:

  • Prescribed medicines and drugs
  • Hospitalization
  • Maternity care, delivery, and childcare
  • Emergency service
  • Healthcare for children
  • Accidents and injuries
  • Mental health and therapies
  • Outpatient services and care
  • Treatments for substance abuse
  • Medical tests

2. Private Health Insurance Providers in Michigan

Those searching for health coverage for themselves or their families can choose from a wide variety of private health insurance plans in the Great Lakes State of Michigan. The best health insurance providers in Michigan offer comprehensive plans at reasonable prices. You can get these from the State market if you fill out an online form with your full name, street address, date of birth, family size, and annual income. Find Michigan health insurance plans tailored to your specific requirements with the help of these online resources.

However, remember that the application periods for most private health insurance companies begin in the fall. From November 1 through December 15, open enrollment applications will be accepted. This is to ensure that you and your loved ones are covered when the new year begins.

3. Michigan’s Government-Assisted Health Insurance

There are three forms of government-subsidized health insurance in Michigan for which you can apply. Affordable Care Act (ACA), or Obamacare, is the law of the land at the national level. Contrarily, the MI Bridges initiative, which includes Medicaid and the Healthy Michigan Plan, is expanding the ACA in Michigan.

The Healthy Michigan Plan is now available to just 879,446 people in Michigan. Applying for the Healthy Michigan Plan is straightforward through the MI Bridges government site. You can check the eligibility conditions before enrolling to ensure you and your family are eligible for government-subsidized health insurance.

Another option is to enroll in a state-run healthcare program like Medicaid or Medicare. About 22% of the state’s population is registered in Medicaid, and Medicare in Michigan covers nearly 16% of the senior population. You can apply for Medicare or Medicaid through their website and select a suitable plan. The MIChild is a specialized health insurance program designed specifically for kids. This program allows uninsured children from Michigan’s working-class households to get health insurance.

The majority of these health insurance plans will pay for the following foundational medical care services:

  • X-Rays
  • Routine visits to the physicians
  • Physical therapies
  • Primary care
  • Blood tests
  • Cancer treatments
  • Urgent care and emergency room admissions

Cheap health insurance in Michigan: By metal tier

We examined cheap health insurance in Michigan by metal level to compare policies across coverage levels.

While the premiums for health insurance plans with higher metal levels of coverage are often lower, the lower out-of-pocket payments that come with them are not free.

Health insurance premiums are calculated using many factors, including the individual’s age and the selected level of coverage. The accompanying illustration shows that a Silver policy costs 28% more for someone aged 40 than it does for someone aged 21 and 112% more for someone aged 60 than it does for someone aged 40.

It’s important to note that the insurers and health plans below might not be accessible in your county.

Tier Cheapest plan Monthly cost Deductible Maximum out-of-pocket
Catastrophic Blue Cross Select HMO Value $218 $8,700 $8,700
Bronze Ambetter Essential Care 1 $218 $8,600 $8,600
Bronze Expanded Ambetter Essential Care 2 HSA $237 $6,900 $6,900
Silver Ambetter Balanced Care 30 $289 $6,100 $6,100
Gold Ambetter Secure Care 20 $319 $750 $7,500
Platinum Sparrow PHP Platinum 500 Exclusive $533 $500 $3,000

Michigan Affordable Health insurance: Premium Increases

All health insurance firms must notify federal regulators of any changes to their health insurance deductibles, premiums, or out-of-pocket maximums. Because of this, your yearly health insurance premiums can go up a little bit.

In 2022, the average affordable health insurance cost in Michigan decreased by 2% for most plans, while the cost of catastrophic coverage climbed by only 4% from 2021 to 2022.

Tier 2020 2021 2022 Change (2022 vs. 2021)
Catastrophic $371 $283 $295 4%
Bronze $382 $327 $324 -1%
Bronze Expanded $426 $330 $315 -5%
Silver $497 $439 $410 -7%
Gold $655 $509 $500 -2%
Platinum $596 $607 $594 -2%

* The prices listed each month are based on a 40-year-old adult.

How to Save Money on Michigan Health Insurance

Wondering how to save money on health insurance?  A variety of factors affect the cost of your health plan premium in Michigan. The insurance provider will determine your monthly health insurance rate in Michigan based on the following mandated criteria:

  • Body Mass Index (BMI): Consider your body mass index (BMI). Insurance rates will increase for overweight and underweight individuals.
  • Tobacco use: Cigarette smokers pay more for insurance coverage.
  • Age: Premiums will be more expensive for the elderly and those in their later years.
  • Location: Insurance rates are greater for those who make their home in more risky communities.
  • Reduced cost-sharing: Your premium will be reduced if you are eligible for this reduction.
  • Applying alone or as a family: Costs associated with family plans are less than those of individual plans.
  • Conditions pre-existing: Those who already suffer from a medical ailment are charged more for coverage.
  • Gender: Health insurance premiums are more expensive for women than men because of gender.
  • Medical History and Insurance: Your premium will be reduced if you have good health insurance and a clean medical record.

Getting Short-Term Health Insurance in Michigan

A short-term health plan in the Great Lakes State may be the best option if you are unexpectedly left without health coverage.  It’s helpful to have a plan in place for times like:

  • You missed Obamacare’s annual enrollment period.
  • If you’re currently unemployed:
  • You have a new job lined up, but you can’t start until you receive your benefits.

Up to 185 days per year of short-term coverage are available. Such plans’ standard features include hospitalization, regular doctor’s appointments, and emergency room visits. However, they differ from ACA major medical coverage in important ways (ACA).

Pregnancy-related expenses, mental health treatment, and prescription drugs purchased at a pharmacy are typically not reimbursed. Additionally, preexisting conditions are often not covered by short-term insurance. A health issue can potentially cause you to be declined for coverage.

Bottom Line

Make sure you know any restrictions or exclusions in the policy before signing up. There is a wide selection of healthcare coverage options in Michigan. You should weigh your options and pick the one that works best for you.

Reach out today at NewHealthInsurance and get free health insurance quotes in Michigan.

 

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