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
924926927928
932936939940
941944955956
957958959960
963964965966
967968977978
983984985988
9899919931001
1002100310071010
1012101610221023
1024102510261028
1029103010311032
1033103410351037
1039104110421044
1045104710541055
1058106010641066
1071107210741078
1080108110831085
1086108710901093
1094109510971098
1104110511061108
1109111011141116
1117111811191120
1121112311241126
1128112911301131
1132113411351136
1139114211431144
1146114811531157
1158115911601161
1162116411651166
1167116911701171
1172117311741177
1178117911801181
1182118311851186
1187118811891190
1191119211941196
1198119912001202
1204120512071208
1218122912301232
1235123612371238
1240124412451248
1250125112521254
1255125612571259
1262126712681269
1270127112721273
1274127812791282
1283128412851286
1287128812891290
1291129212931295
1297129812991300
1301130513081309
1312131313141315
1316132013231325
1326133813411344
1346134713481353
1354135513561357
1361136213631364
1364136513651366
1367136813731374
1374137513761376
1377137813791380
1381138213831385
1386138713881389
1390139113921393
1394139513961397
1398139914001401
1402140314061407
1408140914101411
1412141314141415
1416141714181419
1420142114221423
1424142514261427
1428142914301431
1432143314341435
1436143714381439
1440144214431444
1445144614471448
1449145014511452
1453145414551456
1457145814591460
1462146314641465
1466146714681469
1470147114721473
1474147514761477
1478147914801481