Michigan Health Insurance Marketplace in 2023

Key Points:

• Over 300 thousand Michigan residents enrolled
• 10 insurance companies to choose from
• $0 deductible Silver plans available in 7 of the 83 MI counties. $2,000 is the lowest in 53 counties, $2,875 in 8. In the remaining 15 counties the lowest available deduction is $3,400.,

Changes in the cheapest Silver plans on the Michigan health insurance marketplace:

• Monthly premium has gone up across Michigan, by an average of 3.6%,
• Annual deductible amount has gone up by an average of $222,
• Maximum out-of-pocket amount has gone up on average by $980.72.

Note: All health insurance plans sold on the marketplace exchange are compliant with the Affordable Care Act.

Does Michigan Have a HealthCare Marketplace?

Yes, Michigan has a health marketplace. While it does not have a state-based health insurance marketplace, it uses the federally-run marketplace to conduct enrollment for private insurance coverage that complies with the Affordable Care Act (ACA) requirements.

How Many People Have Enrolled Through Michigan’ Health Insurance Marketplace in 2023

During the open enrollment period of 1 November, 2022 - 15 January, 2023 - 322,273 Michigan residents signed up for private individual and family health insurance coverage for 2023 through the federal marketplace.

Which Health Insurance Companies Offer Coverage on the Michigan Marketplace in 2023?

In 2023, ten insurers offer health insurance plans to the residents of Michigan through the health marketplace:

• Ambetter (Meridian)
• Ascension Personal Care (U.S. Health and Life Insurance Company)
• Blue Care Network
• Blue Cross Blue Shield of Michigan
• McLaren Health Plan
• Molina Health
• Oscar Health
• Physicians Health Plan (PHP)
• Priority Health (Total Health Care)
• UnitedHealthcare

Cheapest Silver Health Insurance Plans in Michigan in 2023

The cheapest silver plans on the Michigan health marketplace have changed. Eight of the ten insurers offer the lowest-priced solutions in the state:

• Ambetter from Meridian in 2023 offers the lowest-priced plan in 9 counties, compared with 26 in 2022.
• Blue Care Network and Blue Cross Blue Shield retained their position of the cheapest Silver plan provider in 15 counties.
• Molina Healthcare expanded their footprint into 9 new counties in 2023, offering the cheapest plans in 13 counties.
• Covenant (Physicians Health Plan) offers cheapest plans in 3 counties (Bay, Saginaw, and Tuscola).
• Sparrow (Physicians Health Plan) has expanded into 1 new county (Isabella) in 2023.
• Priority Health retained the 2022 market share, by offering lowest-priced silver plans in 33 of the counties.
• Ascension now offers the lowest-cost Silver plan in 4 counties.

Note: Comparison is made using the cheapest Silver plan for a 35-year old individual.

How Did Individual Health Insurance Premiums Change in Michigan in 2023

In 2023, the cost of the cheapest Silver plans in Michigan has increased by an average of $14.07 per month ($168.84 per year):

• The largest increase (13.25%) was seen across Ambetter (Meridian) plans - an average of $520.68 per year ($43.39 per month).
• Blue Care Network and BCBS have lowered the price of the cheapest plan, on average by 3.4% ($228.36 per year).
• Molina Healthcare saw the smallest average increase in price (2.56% or $98.88 per year).
• Sparrow has increased its prices by an average of 5.37% ($234.84 per year or $19.57 per month).
• Priority Health has increased its plans by an average of 6.76% ($285.96 per year or $23.837 per month).
• Covenant and Ascension are the new entrants to the cheapest-silver plan segment.

The largest price premium increases for silver health plans in Michigan were in the following counties: Ogemaw, Oscoda, and Roscommon - where the price shot up by almost 14% ($46 per month, or $552 per year).

2023 Subsidies for Health Insurance in Michigan

Michigan uses the federal health insurance exchange, where the state’s residents receive subsidies and tax credits based on their expected earnings during the year. If you earn between 100% and 400% of the Federal Poverty Level ($14,580 - $58,320 for an individual, or $30,000 - $120,000 for a family of 4), you can get discounts on the cost of health insurance.

Speak with a Michigan-licensed health insurance agent for more details.

How Did Individual Health Insurance Annual Deductible Change in Michigan for 2023

In 2023, the annual health insurance deductible for the cheapest Michigan plan increased across the state by an average of $222 (from $5,307 to $5,529).

The most significant decrease in the deductible ($2,100) occurred in 4 counties: Kalamazoo, Macomb, Oakland, and Genesee. The lowest deductible of the cheapest plan went down from $6,100 to $4,000.

The deductible also went down in 27 other countries, by anywhere from $300 to $1,200.

28 counties kept the deductible unchanged from 2022 - at $5,500.

24 counties raised the annual deductible of the cheapest plan, by anywhere from $300 to $4,500. The 2023 deductible in these counties is now between $5,500 and $5,800.

For those looking for the Michigan plans with the lowest possible annual deductible in 2023:

• 7 Michigan counties offer a $0 deductible plan through Ascension Personalized Care and Oscar Silver Elite plans.
• In the 76 counties that do not offer zero-deductible plans in 2023: The lowest deductible is $2,000, through McLaren Silver Exchange Rewards, available in 53 counties. Blue Cross Blue Shield of Michigan offers the lowest deductible of $2,875 in 8 counties and $3,400 in 15 counties.

How Did Health Insurance Maximum Out of Pocket (MOOP) Change in Michigan for 2023

The federally-set maximum out of pocket amount has increased from $8,700 (in 2022) to $9,100 in 2023. Even though MOOP has gone up in all Michigan counties, some MI health plans still offer lower options:

Comparing the lowest-priced SILVER plans across all Michigan counties, individual MOOP has gone up by an average of $981 (from $7,673 in 2022 to $8,654 in 2023).

• The lowest MOOP ($7,400) is offered in 9 counties, by Ambetter,
• Blue Care Network of Michigan offers the lowest MOOP of $8,000 in 15 counties,
• $8,900 MOOP is available in 26 counties, from Molina, Covenant PHP, Ascension, and Sparrow.
• The remaining 33 counties, where Priority Health offers the cheapest silver plan (Silver 5500) - the lowest possible MOOP is set at the maximum federal level of $9,100.

Health Insurance Outside of the Michigan Marketplace

Short term health insurance and other types of supplementary policies, other than Dental (which can be bundled with major health), cannot be purchased on the health care exchange in Michigan, because they typically do not meet the minimum requirements of the Affordable Care Act. To shop for short term health insurance or any other type of health insurance - speak with an insurance agent licensed in the state.