GoldHMO

Blue Cross® Local HMO Gold Saver

Blue Care Network of Michigan

Starting at

$582

/month before subsidy

Key facts

Blue Cross® Local HMO Gold Saver is a 2027 Gold HMO health insurance plan from Blue Care Network of Michigan, sold on the ACA Marketplace in Michigan under plan ID 98185MI0180043. The monthly premium starts at $582 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,100 ($2,200 for a family), and the individual out-of-pocket maximum is $9,900 ($19,800 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
98185MI0180043
Plan year
2027
State
Michigan
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,100

Family: $2,200

Out-of-Pocket Max

$9,900

Family: $19,800

Coinsurance

30%

You pay after deductible

Network Type

HMO

MIN007

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$50.00
Specialist Visit$75.00
Urgent Care$75.00
Emergency Room$350.00 Copay after deductible

Prescription Drugs

Generic DrugsNo Charge
Brand Name Drugs$100.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$4,760

your estimated cost

Deductible
$1,100
Copays
$500
Coinsurance
$3,100

Managing type 2 diabetes

A year of routine care

$1,420

your estimated cost

Deductible
$800
Copays
$600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,000

your estimated cost

Deductible
$1,100
Copays
$600
Coinsurance
$300
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Official Plan Documents
Published by Blue Care Network of Michigan. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,407/month

Annual Premium

$6,984

OOP Maximum

$9,900

💡 What this means:

With a $1,100 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $9,900 total. Then insurance covers everything else for the year.

More plans from Blue Care Network of Michigan in Michigan

View all Marketplace plans in Michigan

Frequently asked questions about Blue Cross® Local HMO Gold Saver

How much does Blue Cross® Local HMO Gold Saver cost per month?

Blue Cross® Local HMO Gold Saver from Blue Care Network of Michigan starts at $582 per month before any subsidy in Michigan. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Blue Cross® Local HMO Gold Saver?

The individual medical deductible is $1,100, and the family deductible is $2,200. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Blue Cross® Local HMO Gold Saver?

The most you would pay in a year for covered in-network care is $9,900 for an individual and $19,800 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Cross® Local HMO Gold Saver HSA-eligible?

No. Blue Cross® Local HMO Gold Saver is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Blue Cross® Local HMO Gold Saver use?

Blue Cross® Local HMO Gold Saver is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.