Schedule of Benefits

Schedule of Benefits and Summary of Benefits & Coverage

To access your complete Schedule of Benefits and Summary of Benefits and Coverage please click on your benefit package code (with its coinciding benefit package name) in the table below or use the search tool on this page. If you are not sure of your benefit package code, contact MCTWF’s Member Services Call Center at (313) 964-2400 or toll-free at (800) 572-7687.

To access the Summary of Benefits and Coverage Uniform Glossary, click here.

112113131725
726727733734
735736737738
738739740741
742746747749
752757758759
760764768771
772777779780
781784785786
787794795796
797804805806
807811812815
817819820825
826828829830
833838840841
843845846851
852853855859
865868875877
878879881883
886887890893
898902906910
911912913917
923924926927
928932936939
940941944955
956957958959
960963964965
966967968975
977978983984
985988989991
993100110021003
1007101010121016
1022102310241025
1026102810291030
1031103210331034
1035103710391041
1042104410451047
1054105510581060
1064106610711072
1074107810801081
1083108510861087
1090109310941095
1097109811041105
1106110811091110
1114111611171118
1119112011211123
1124112611281129
1130113111321134
1135113611371138
1139114211431144
1145114611481153
1157115811591160
1161116211641165
1166116711691170
1171117211731174
1177117811791180
1181118211831185
1186118711881189
1190119111921194
1196119811991200
1202120412051207
1208121812281229
1230123212351236
1237123812401244
1245124812501251
1252125412551256
1257125912621267
1268126912701271
1272127312741278
1279128212831284
1285128612871288
1289129012911292
1293129512971298
1299130013011305
1308130913121313
1314131513161320
1321132313251326
1338134113441346
1348135313541355
1356135713611362
1363136413641365
1365136613671368
1373137413741375
1376137613771378
1379138013811382
1383138513861387
1388138913901391
1392139313941395
1396139713981399
1400140114021403
1406140714081409
1410141114121413
1414141514161417
1418141914201421
1422142314241425
1426142714281429
1430143114321433
1434143514361437
1438143914401442
1443144414451446
1447144814491450
1451145214531454
1455145614571458
1459146014621463
1464146514661467
1468146914701471
1472147314741475
1476147714781479
1480148114821483
1484148514861487
1488148914901491
1492149314941495
1496149714981499
1500150115021503
1504150515061507
1508150915101512
1513151415151516
1518151915201521
1522152315241525
1526152715281529
1530153115321533
1534153515361537
1538153915401541
1542154315441545
1546154715481549
1550155115521553
1555155615571560
1561156215631564
1566156715681569
1570157115721573
1574157515761577
1578157915801581
1582158315841585
1586158715881589
1594159515961597
1598159916001601
1602160316041605
1606160716081609
1610161116121613
1614161516161617
1618161916201621
162216231624