GoldHMO

Blue Cross® Select HMO Gold Plus

Blue Care Network of Michigan

Starting at

$656

/month before subsidy

Key facts

Blue Cross® Select HMO Gold Plus is a 2027 Gold HMO health insurance plan from Blue Care Network of Michigan, sold on the ACA Marketplace in Michigan under plan ID 98185MI0440026. The monthly premium starts at $656 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $8,200 ($16,400 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.

Plan ID
98185MI0440026
Plan year
2027
State
Michigan
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$8,200

Family: $16,400

Coinsurance

25%

You pay after deductible

Network Type

HMO

MIN006

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

Medical Services

Primary Care Visit$30.00
Specialist Visit$75.00
Urgent Care$50.00
Emergency Room$500.00

Prescription Drugs

Generic DrugsNo Charge
Brand Name Drugs$200.00
Specialty Drugs50.00%
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

$3,560

your estimated cost

Deductible
$0
Copays
$700
Coinsurance
$2,800

Managing type 2 diabetes

A year of routine care

$720

your estimated cost

Deductible
$0
Copays
$500
Coinsurance
$200

A simple fracture

ER visit + follow-up

$1,400

your estimated cost

Deductible
$0
Copays
$900
Coinsurance
$500
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.
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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

$1,339/month

Annual Premium

$7,872

OOP Maximum

$8,200

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,200 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® Select HMO Gold Plus

How much does Blue Cross® Select HMO Gold Plus cost per month?

Blue Cross® Select HMO Gold Plus from Blue Care Network of Michigan starts at $656 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® Select HMO Gold Plus?

The individual medical deductible is $0. 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® Select HMO Gold Plus?

The most you would pay in a year for covered in-network care is $8,200 for an individual and $16,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Blue Cross® Select HMO Gold Plus HSA-eligible?

No. Blue Cross® Select HMO Gold Plus 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® Select HMO Gold Plus use?

Blue Cross® Select HMO Gold Plus 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.