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
968977978983
984985988989
99199310011002
1003100710101012
1016102210231024
1025102610281029
1030103110321033
1034103510371039
1041104210441045
1047105410551058
1060106410661071
1072107410781080
1081108310851086
1087109010931094
1095109710981104
1105110611081109
1110111411161117
1118111911201121
1123112411261128
1129113011311132
1134113511361137
1138113911421143
1144114511461148
1153115711581159
1160116111621164
1165116611671169
1170117111721173
1174117711781179
1180118111821183
1185118611871188
1189119011911192
1194119611981199
1200120212041205
1207120812181228
1229123012321235
1236123712381240
1244124512481250
1251125212541255
1256125712591262
1267126812691270
1271127212731274
1278127912821283
1284128512861287
1288128912901291
1292129312951297
1298129913001301
1305130813091312
1313131413151316
1320132113231325
1326133813411344
1346134813531354
1355135613571361
1362136313641364
1365136513661367
1368137313741374
1375137613761377
1378137913801381
1382138313851386
1387138813891390
1391139213931394
1395139613971398
1399140014011402
1403140614071408
1409141014111412
1413141414151416
1417141814191420
1421142214231424
1425142614271428
1429143014311432
1433143414351436
1437143814391440
1442144314441445
1446144714481449
1450145114521453
1454145514561457
1458145914601462
1463146414651466
1467146814691470
1471147214731474
1475147614771478
1479148014811482
1483148414851486
1487148814891490
1491149214931494
1495149614971498
1499150015011502
1503150415051506
1507150815091510
1512151315141515
1516151815191520
1521152215231524
1525152615271528
1529153015311532
1533153415351536
1537153815391540
1541154215431544
1545154615471548
1549155015511552
1553