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. 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.

112113725726
727733734735
736737738738
739740741742
746747749752
757758759760
764768771772
779780781784
785786787794
795796797804
805807811812
815817819820
825826828829
830833838840
841843845846
851852853855
859865868875
877878879881
883886887890
893898902910
911912913917
923924926927
928932936939
940941944955
956957958959
960963964965
966967968977
978983984985
988989991993
1001100210031007
1010101210161022
1023102410251026
1028102910301031
1032103310341035
1037103910411042
1044104510471054
1055105810601064
1066107110721074
1078108010811083
1085108610871090
1093109410951097
1098110411051106
1108110911101114
1116111711181119
1120112111231124
1126112811291130
1131113211341135
1136113911421143
1144114511461148
1153115711581159
1160116111621164
1165116611671169
1170117111721173
1174117711781179
1180118111821183
1185118611871188
1189119011911192
1194119611981199
1200120212041205
1207120812181229
1230123212351236
1237123812401244
1245124812501251
1252125412551256
1257125912621267
1268126912701271
1272127312741278
1279128212831284
1285128612871288
1289129012911292
1293129512971298
1299130013011305
1308130913121313
1314131513161320
1323132513261338
1341134413461347
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