2026 data Public-data reference. official source

Muskegon, Michigan Health Insurance

Open-data reference.

50 ACA plans from 5 issuers — Plan year 2026

Muskegon, Michigan offers 50 ACA marketplace plans from 5 issuers for plan year 2026. Bronze plans start at $379/mo and Silver plans start at $386/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$597
Avg Silver Premium/mo
$387
Benchmark Premium/mo
+40.2%
Year-over-Year Change
$5,757
Avg Deductible

What the Numbers Say About Muskegon

Muskegon, Michigan has 50 ACA marketplace plans offered by 5 issuers for plan year 2026. The average Silver-tier premium comes in at $597/mo for a 27-year-old non-tobacco user, with the lowest Silver at $386 and the highest at $859. Bronze plans start at $379/mo — useful for healthy enrollees who want catastrophic protection with the lowest monthly outlay.

The benchmark (second-lowest Silver) premium is $387/mo, the figure the IRS uses to calculate your Advance Premium Tax Credit. Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,757 and the average out-of-pocket maximum is $8,941 — numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Muskegon shifted by +40.2%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 5 issuers active in Muskegon, consumers have meaningful competition to pressure premiums lower. This page is informational only and is not insurance, medical, or tax advice — verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Bronze

3 plans
$434/mo avg
$379 — $512

Silver

19 plans
$597/mo avg
$386 — $859

Gold

13 plans
$635/mo avg
$398 — $998

Catastrophic plan available: avg $390/mo (2 plans) — only for individuals under 30 or with a hardship exemption.

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Muskegon is $387/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

50

Plan year

Issuers in market

5

Competitive market

Benchmark Silver

$387 /mo

Sets your subsidy ceiling

Avg deductible

$5,757

Across all metal tiers

Muskegon ACA plans by premium and deductible

Each marker is the Muskegon average for one metal tier (and the local Bronze low / Silver high extremes where data is available). The dashed line marks the federal out-of-pocket-maximum ceiling.

Source: CMS Marketplace PUF for Muskegon, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

No data to plot
Source: CMS Marketplace PUF for Muskegon, plan year 2026. Bronze = catastrophic-only zone (high deductible). Gold/Platinum = premium-heavy zone (low deductible).

Issuers in Muskegon

Issuer Plans Avg Premium (Age 27)
Blue Care Network of Michigan 15 $550/mo
Blue Cross Blue Shield of Michigan Mutual Insurance Company 9 $715/mo
Priority Health 9 $542/mo
Ambetter from Meridian 9 $533/mo
Oscar Insurance Company 8 $364/mo

All Plans in Muskegon

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Blue Cross® Select HMO Value
Blue Care Network of Michigan
Catastrophic HMO $355.43 $433.43 $10,600 $10,600
Blue Cross® Premier PPO Value
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Catastrophic PPO $423.67 $516.66 $10,600 $10,600
Blue Cross® Select HMO Bronze Secure
Blue Care Network of Michigan
Bronze HMO $379.45 $462.73 $10,600 $10,600
Blue Cross® Preferred HMO Bronze Secure
Blue Care Network of Michigan
Bronze HMO $411.19 $501.44 $10,600 $10,600
Blue Cross® Premier PPO Bronze Secure
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Bronze PPO $511.50 $623.75 $10,600 $10,600
Bronze Classic Standard
Oscar Insurance Company
Expanded Bronze EPO $292.25 $356.39 $7,500 $10,000
Bronze Classic 4700
Oscar Insurance Company
Expanded Bronze EPO $301.36 $367.50 $4,700 $9,100
Bronze Elite + PCP Saver Plus
Oscar Insurance Company
Expanded Bronze EPO $321.56 $392.13 $0 $10,150
MyPriority Value Bronze
Priority Health
Expanded Bronze HMO $401.26 $489.32 $9,500 $9,500
MyPriority Standard Bronze
Priority Health
Expanded Bronze HMO $403.07 $491.53 $7,500 $10,000
Blue Cross® Select HMO Bronze Extra
Blue Care Network of Michigan
Expanded Bronze HMO $429.70 $524.01 $7,500 $10,000
MyPriority Value Bronze HSA
Priority Health
Expanded Bronze HMO $436.86 $532.73 $7,500 $7,500
Blue Cross® Select HMO Bronze Saver HSA
Blue Care Network of Michigan
Expanded Bronze HMO $438.14 $534.29 $8,500 $8,500
MyPriority Standard Bronze - Travel
Priority Health
Expanded Bronze HMO $463.53 $565.26 $7,500 $10,000
Blue Cross® Preferred HMO Bronze Extra
Blue Care Network of Michigan
Expanded Bronze HMO $466.09 $568.38 $7,500 $10,000
Blue Cross® Preferred HMO Bronze Saver HSA
Blue Care Network of Michigan
Expanded Bronze HMO $474.84 $579.05 $8,500 $8,500
Blue Cross® Premier PPO Bronze Saver HSA
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze PPO $578.87 $705.92 $8,500 $8,500
Blue Cross® Premier PPO Bronze Extra
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Expanded Bronze PPO $585.85 $714.43 $7,500 $10,000
Silver Classic Standard
Oscar Insurance Company
Silver EPO $386.47 $471.29 $6,000 $8,900
Silver Simple PCP Saver
Oscar Insurance Company
Silver EPO $386.62 $471.47 $5,500 $9,800
Silver Classic
Oscar Insurance Company
Silver EPO $389.97 $475.55 $5,600 $8,400
Clear Silver
Ambetter from Meridian
Silver HMO $484.83 $591.23 $7,000 $7,000
Standard Silver
Ambetter from Meridian
Silver HMO $488.67 $595.92 $6,000 $8,900
Standard Silver + Vision + Adult Dental
Ambetter from Meridian
Silver HMO $506.65 $617.84 $6,000 $8,900
Blue Cross® Select HMO Silver Saver
Blue Care Network of Michigan
Silver HMO $552.37 $673.60 $5,800 $7,650
MyPriority Premier Silver
Priority Health
Silver HMO $560.27 $683.23 $5,500 $9,500
MyPriority Balanced Silver
Priority Health
Silver HMO $577.84 $704.65 $3,200 $9,000
Blue Cross® Preferred HMO Silver Saver
Blue Care Network of Michigan
Silver HMO $598.75 $730.16 $5,800 $7,650
MyPriority Standard Silver
Priority Health
Silver HMO $599.44 $730.99 $6,000 $8,900
Blue Cross® Select HMO Silver
Blue Care Network of Michigan
Silver HMO $618.66 $754.43 $4,500 $10,600
Blue Cross® Select HMO Silver Extra
Blue Care Network of Michigan
Silver HMO $653.16 $796.50 $6,000 $8,900
Blue Cross® Preferred HMO Silver
Blue Care Network of Michigan
Silver HMO $670.66 $817.84 $4,500 $10,600
Blue Cross® Preferred HMO Silver Extra
Blue Care Network of Michigan
Silver HMO $708.48 $863.97 $6,000 $8,900
MyPriority Standard Silver - Travel
Priority Health
Silver HMO $719.33 $877.19 $6,000 $8,900
Blue Cross® Premier PPO Silver Saver HSA
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver PPO $792.03 $965.85 $3,900 $7,700
Blue Cross® Premier PPO Silver
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver PPO $792.12 $965.96 $3,200 $10,100
Blue Cross® Premier PPO Silver Extra
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Silver PPO $859.49 $1,048.11 $6,000 $8,900
Gold Classic Standard
Oscar Insurance Company
Gold EPO $398.15 $485.54 $2,000 $8,200
Gold Elite Saver Plus
Oscar Insurance Company
Gold EPO $438.09 $534.23 $0 $8,600
Standard Gold
Ambetter from Meridian
Gold HMO $515.63 $628.79 $2,000 $8,200
Everyday Gold
Ambetter from Meridian
Gold HMO $523.66 $638.59 $800 $7,250
Standard Gold + Vision + Adult Dental
Ambetter from Meridian
Gold HMO $534.60 $651.92 $2,000 $8,200
Everyday Gold + Vision + Adult Dental
Ambetter from Meridian
Gold HMO $542.93 $662.08 $800 $7,250
Elite Gold
Ambetter from Meridian
Gold HMO $590.63 $720.26 $0 $6,500
Elite Gold + Vision + Adult Dental
Ambetter from Meridian
Gold HMO $612.36 $746.75 $0 $6,500
MyPriority Standard Gold
Priority Health
Gold HMO $714.99 $871.90 $2,000 $8,200
Blue Cross® Preferred HMO Gold
Blue Care Network of Michigan
Gold HMO $731.84 $892.45 $2,050 $8,800
Blue Cross® Preferred HMO Gold Extra
Blue Care Network of Michigan
Gold HMO $759.82 $926.58 $2,000 $8,200
Blue Cross® Premier PPO Gold
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Gold PPO $894.31 $1,090.58 $1,450 $9,000
Blue Cross® Premier PPO Gold Extra
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Gold PPO $997.70 $1,216.66 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $347/mo $267 $605 38 6
2023 $383/mo $284 $571 31 6
2024 $403/mo $307 $605 30 6
2025 $453/mo $339 $690 25 6
2026 $597/mo $386 $859 19 5

Health Insurance Guides

Related Health & Cost Data

Frequently Asked Questions

How many ACA plans are available in Muskegon, MI?

There are 50 ACA marketplace plans available in Muskegon from 5 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Muskegon?

The lowest-premium plan in Muskegon starts at $379/mo (Bronze tier, age 27). Silver plans start at $386/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Muskegon?

The benchmark (second-lowest Silver) premium in Muskegon is $387/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Muskegon?

Average premiums in Muskegon changed by +40.2% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Muskegon?

The average annual deductible across all plans in Muskegon is $5,757, and the average out-of-pocket maximum is $8,941. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Muskegon?

There are 5 insurance issuers offering ACA marketplace plans in Muskegon, including Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health, and others. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer: This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

All federal data sources used on this page

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

Verify with IRS →