BNM

Blue Care Network of Michigan — High Option

FEHB Not offered after 2026|Bluecare Network of Michigan|Traditional|HMO
Also listed as: Bluecare Network of MI

Premium

biweekly · employee pays
Self Only 2026
$249.57biweekly · employee pays
vs 2025+$29.76 +13.5%
Lowest$71.83 (2016)
Highest$249.57 (2026)
Since 2013+225.0%
Self Plus One 2026
$609.80biweekly · employee pays
vs 2025+$68.64 +12.7%
Lowest$195.03 (2016)
Highest$609.80 (2026)
Since 2016+212.7%
Self & Family 2026
$623.35biweekly · employee pays
vs 2025+$73.93 +13.5%
Lowest$208.02 (2016)
Highest$623.35 (2026)
Since 2013+187.2%

Premium history

Share
Period
Rate type

Year by year

follows the chart's share, period and rate-type selection
YearSelf OnlyΔSelf Plus OneΔSelf & FamilyΔListed as

Changelog

  • 2012
    Tracked since 2012
    Earliest plan year in the data set.
  • 2016
    Self Plus One enrollment added
    OPM introduced the Self Plus One enrollment type government-wide in 2016.
  • 2018
    Largest decrease: -8.7%
    Self Only employee share went from $86.63 to $79.05.
  • 2019
    Largest increase: +37.8%
    Self Only employee share went from $79.05 to $108.92.
  • 2020
    Renamed
    “Bluecare Network of MI” → “Blue Care Network of Michigan”
  • 2027
    No longer offered
    Not present in OPM rate tables for 2027.

Full rate schedule

Plan year

In-network

2026 plan benefits file
Self OnlySelf Plus OneSelf & Family
Medical account contributionNot applicableNot applicableNot applicable
Annual out-of-pocket maximum$6,350$12,700$12,700
  • Type of accountNot Applicable
  • Deductible waiver (with Medicare Part A as Primary)Not applicable
  • Deductible waiver (with Medicare Part B as Primary)Not applicable
  • Deductible waiver (with Medicare Parts A and B as Primary)Not applicable
  • Out-of-pocket maximum (with Medicare Parts A and B as Primary)$6,350
  • Primary care physician office visit (with Medicare Part B as Primary)$25
  • Specialty office physician visit (with Medicare Part B as Primary)$50 Copayment
  • Inpatient Hospital Services (with Medicare Part A as Primary)$100 Copayment
  • Outpatient hospital services (with Medicare Part A as Primary)$200 Copayment
  • Outpatient physician services (with Medicare Part B as Primary)$25 Copayment
  • Part B Premium Reimbursement (with Medicare as Primary)Not applicable
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver (with Medicare Advantage Part C as Primary)Not applicable
  • Out-of-Pocket Maximum (with Medicare Advantage Part C as Primary)Not applicable
  • Primary Care Physician Office Visit (with Medicare Advantage Part C as Primary)Not applicable
  • Specialty Physician Office Visit (with Medicare Advantage Part C as Primary)Not applicable
  • Inpatient Hospital Services (with Medicare Advantage Part C as Primary)Not applicable
  • Outpatient Hospital Facility Services (with Medicare Advantage Part C as Primary)Not applicable
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
  • Part B Premium Reimbursement (with Medicare Advantage Part C as Primary)Not applicable
  • Medicare Part D EGWP Prescription Drug Deductible WaiverNot applicable
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket MaximumNot applicable
  • Medicare Part D EGWP Tier 0Not applicable
  • Medicare Part D EGWP Tier 1Not applicable
  • Medicare Part D EGWP Tier 2Not applicable
  • Medicare Part D EGWP Tier 3Not applicable
  • Medicare Part D EGWP Tier 4Not applicable
  • Medicare Part D EGWP Tier 5Not applicable
  • Medicare Part D EGWP Tier 6Not applicable
  • Preventive CareMember Pays Nothing
  • Primary Care Office Visit$25 Copayment
  • Specialist Office Visit$50 Copayment
  • Emergency Care$100 Copayment
  • Urgent Care$50 Copayment
  • Doctor Costs for Inpatient SurgeryMember Pays Nothing
  • Hospital Inpatient Cost Per Admission$100 Copayment
  • Hospital Room CostsMember Pays Nothing
  • Other Inpatient Hospital CostsMember Pays Nothing
  • Doctor Costs for Outpatient Surgery$200 Copayment
  • Other Outpatient Surgery Costs$200 Copayment
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)Member Pays Nothing
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)$100 Copayment
  • Enhanced Lab NetworkNot applicable
  • Annual Out-of-Pocket Maximum for Prescriptions$6,350
  • Tier 0Not applicable
  • Tier 1$10 Copayment
  • Tier 2$30 Copayment
  • Tier 3$60 Copayment
  • Tier 420% Coinsurance
  • Tier 520% Coinsurance
  • Tier 6Not applicable
  • Mail Service Pharmacy Benefit (Prescription Drugs)Yes
  • Mail Order Pharmacy Restriction (Prescription Drugs)Yes
  • Specialty Pharmacy Restriction (Prescription Drugs)Yes
  • Applied Behavioral Analysis (ABA)$25 Copayment
  • Chiropractic$50 Copayment
  • Occupational Therapy$50 Copayment
  • Physical Therapy$50 Copayment
  • Speech Therapy$50 Copayment
  • Professional Services (Mental Health and Substance Use Disorder)$25 Copayment
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)$100 Copayment
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)$25 Copayment
  • Diagnosis and Treatment (Infertility Services)50% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)50% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)50% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)50% Coinsurance
  • Surgical Procedures$200 Copayment
  • Reconstructive Surgery$200 Copayment
  • Hearing Services$25 Copayment
  • Hearing Aids (external)Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays Nothing
  • Hospice CareMember Pays Nothing
  • Home Health Services (Skilled Nursing Care)$50 Copayment
  • Durable Medical Equipment50% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays Nothing
  • Diabetes EducationMember Pays Nothing
  • Nutritional CounselingMember Pays Nothing
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsCovered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
  • EyeglassesCovered
  • Contact LensesCovered
  • AcupunctureMember Pays All Charges
  • Chronic Disease Management: Heart DiseaseCovered
  • Chronic Disease Management: ObesityCovered
  • Chronic Disease Management: HypertensionCovered
  • Chronic Disease Management: AsthmaCovered

Out-of-network

2026 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductibleNot applicableNot applicableNot applicable
Medical account contributionNot applicableNot applicableNot applicable
Net deductibleNot applicableNot applicableNot applicable
Annual out-of-pocket maximumNot applicableNot applicableNot applicable
  • Type of accountNot Applicable
  • Deductible waiver (with Medicare Part A as Primary)Not applicable
  • Deductible waiver (with Medicare Part B as Primary)Not applicable
  • Deductible waiver (with Medicare Parts A and B as Primary)Not applicable
  • Out-of-pocket maximum (with Medicare Parts A and B as Primary)Not applicable
  • Primary care physician office visit (with Medicare Part B as Primary)Member Pays All Charges
  • Specialty office physician visit (with Medicare Part B as Primary)Member Pays All Charges
  • Inpatient Hospital Services (with Medicare Part A as Primary)Member Pays All Charges
  • Outpatient hospital services (with Medicare Part A as Primary)Member Pays All Charges
  • Outpatient physician services (with Medicare Part B as Primary)Member Pays All Charges
  • Part B Premium Reimbursement (with Medicare as Primary)Not applicable
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver (with Medicare Advantage Part C as Primary)Not applicable
  • Out-of-Pocket Maximum (with Medicare Advantage Part C as Primary)Not applicable
  • Primary Care Physician Office Visit (with Medicare Advantage Part C as Primary)Not applicable
  • Specialty Physician Office Visit (with Medicare Advantage Part C as Primary)Not applicable
  • Inpatient Hospital Services (with Medicare Advantage Part C as Primary)Not applicable
  • Outpatient Hospital Facility Services (with Medicare Advantage Part C as Primary)Not applicable
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Not applicable
  • Part B Premium Reimbursement (with Medicare Advantage Part C as Primary)Not applicable
  • Medicare Part D EGWP Prescription Drug Deductible WaiverNot applicable
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket MaximumNot applicable
  • Medicare Part D EGWP Tier 0Not applicable
  • Medicare Part D EGWP Tier 1Not applicable
  • Medicare Part D EGWP Tier 2Not applicable
  • Medicare Part D EGWP Tier 3Not applicable
  • Medicare Part D EGWP Tier 4Not applicable
  • Medicare Part D EGWP Tier 5Not applicable
  • Medicare Part D EGWP Tier 6Not applicable
  • Preventive CareMember Pays All Charges
  • Primary Care Office VisitMember Pays All Charges
  • Specialist Office VisitMember Pays All Charges
  • Emergency CareMember Pays All Charges
  • Urgent CareMember Pays All Charges
  • Doctor Costs for Inpatient SurgeryMember Pays All Charges
  • Hospital Inpatient Cost Per AdmissionMember Pays All Charges
  • Hospital Room CostsMember Pays All Charges
  • Other Inpatient Hospital CostsMember Pays All Charges
  • Doctor Costs for Outpatient SurgeryMember Pays All Charges
  • Other Outpatient Surgery CostsMember Pays All Charges
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)Member Pays All Charges
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)Member Pays All Charges
  • Enhanced Lab NetworkMember Pays All Charges
  • Annual Out-of-Pocket Maximum for PrescriptionsNot applicable
  • Tier 0Not applicable
  • Tier 1Member Pays All Charges
  • Tier 2Member Pays All Charges
  • Tier 3Member Pays All Charges
  • Tier 4Member Pays All Charges
  • Tier 5Member Pays All Charges
  • Tier 6Not applicable
  • Mail Service Pharmacy Benefit (Prescription Drugs)Not applicable
  • Mail Order Pharmacy Restriction (Prescription Drugs)Not applicable
  • Specialty Pharmacy Restriction (Prescription Drugs)Not applicable
  • Applied Behavioral Analysis (ABA)Member Pays All Charges
  • ChiropracticMember Pays All Charges
  • Occupational TherapyMember Pays All Charges
  • Physical TherapyMember Pays All Charges
  • Speech TherapyMember Pays All Charges
  • Professional Services (Mental Health and Substance Use Disorder)Member Pays All Charges
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
  • Diagnosis and Treatment (Infertility Services)Member Pays All Charges
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)Member Pays All Charges
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)Member Pays All Charges
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
  • Surgical ProceduresMember Pays All Charges
  • Reconstructive SurgeryMember Pays All Charges
  • Hearing ServicesMember Pays All Charges
  • Hearing Aids (external)Not Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays All Charges
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays All Charges
  • Hospice CareMember Pays All Charges
  • Home Health Services (Skilled Nursing Care)Member Pays All Charges
  • Durable Medical EquipmentMember Pays All Charges
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays All Charges
  • Diabetes EducationMember Pays All Charges
  • Nutritional CounselingMember Pays All Charges
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsNot Covered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentNot Covered
  • EyeglassesNot Covered
  • Contact LensesNot Covered
  • AcupunctureMember Pays All Charges
  • Chronic Disease Management: Heart DiseaseNot Covered
  • Chronic Disease Management: ObesityNot Covered
  • Chronic Disease Management: HypertensionNot Covered
  • Chronic Disease Management: AsthmaNot Covered

States

1
Michigan

Counties covered

StateArea
MichiganLenawee, Livingston, Macomb, Monroe, Oakland, Saint Clair, Washtenaw, Wayne

Service area over time

YearStates / areas listed
2026Michigan
2025Michigan
2024Michigan
2023Michigan
2022Michigan
2021Michigan
2020Michigan
2019Michigan
2018Michigan
2017Michigan
2016Michigan
2015Michigan
2014Michigan
2013Michigan