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
804805806807
811812815817
819820825826
828829830833
838840841843
845846851852
853855859865
868875877878
879881883886
887890893898
902906910911
912913917923
924926927928
932936939940
941944955956
957958959960
963964965966
967968975977
978983984985
988989991993
1001100210031007
1010101210161022
1023102410251026
1028102910301031
1032103310341035
1037103910411042
1044104510471054
1055105810601064
1066107110721074
1078108010811083
1085108610871090
1093109410951097
1098110411051106
1108110911101114
1116111711181119
1120112111231124
1126112811291130
1131113211341135
1136113711381139
1142114311441145
1146114811531157
1158115911601161
1162116411651166
1167116911701171
1172117311741177
1178117911801181
1182118311851186
1187118811891190
1191119211941196
1198119912001202
1204120512071208
1218122812291230
1232123512361237
1238124012441245
1248125012511252
1254125512561257
1259126212671268
1269127012711272
1273127412781279
1282128312841285
1286128712881289
1290129112921293
1295129712981299
1300130113051308
1309131213131314
1315131613201321
1323132513261338
1341134413461348
1353135413551356
1357136113621363
1364136413651365
1366136713681373
1374137413751376
1376137713781379
1380138113821383
1385138613871388
1389139013911392
1393139413951396
1397139813991400
1401140214031406
1407140814091410
1411141214131414
1415141614171418
1419142014211422
1423142414251426
1427142814291430
1431143214331434
1435143614371438
1439144014421443
1444144514461447
1448144914501451
1452145314541455
1456145714581459
1460146214631464
1465146614671468
1469147014711472
1473147414751476
1477147814791480
1481148214831484
1485148614871488
1489149014911492
1493149414951496
1497149814991500
1501150215031504
1505150615071508
1509151015121513
1514151515161518
1519152015211522
1523152415251526
1527152815291530
1531153215331534
1535153615371538
1539154015411542
1543154415451546
1547154815491550
1551155215531555
1556155715601561
1562156315641566
1567156815691570
1571157215731574
1575157615771578
1579158015811582
1583158415851586
1587158815891594
1595159615971598
1599160016011602
1603160416051606
1607160816091610
1611