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.

112113725726
727733734735
736737738738
739740741742
746747749752
757758759760
764768771772
777779780781
784785786787
794795796797
804805807811
812815817819
820825826828
829830833838
840841843845
846851852853
855859865868
875877878879
881883886887
890893898902
906910911912
913917923924
926927928932
936939940941
944955956957
958959960963
964965966967
968975977978
983984985988
9899919931001
1002100310071010
1012101610221023
1024102510261028
1029103010311032
1033103410351037
1039104110421044
1045104710541055
1058106010641066
1071107210741078
1080108110831085
1086108710901093
1094109510971098
1104110511061108
1109111011141116
1117111811191120
1121112311241126
1128112911301131
1132113411351136
1137113811391142
1143114411451146
1148115311571158
1159116011611162
1164116511661167
1169117011711172
1173117411771178
1179118011811182
1183118511861187
1188118911901191
1192119411961198
1199120012021204
1205120712081218
1228122912301232
1235123612371238
1240124412451248
1250125112521254
1255125612571259
1262126712681269
1270127112721273
1274127812791282
1283128412851286
1287128812891290
1291129212931295
1297129812991300
1301130513081309
1312131313141315
1316132013211323
1325132613381341
1344134613481353
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
1482148314841485
1486148714881489
1490149114921493
1494149514961497
1498149915001501
1502150315041505
1506150715081509
1510151215131514
1515151615181519
1520152115221523
1524152515261527
1528152915301531
1532153315341535
1536153715381539
1540154115421543
1544154515461547
1548154915501551
1552155315551556
1557156015611562
1563156415661567
1568156915701571
1572157315741575
1576157715781579
1580158115821583
1584158515861587
15881589