Ranked 6 of 15 states · median $708/mo · CMS PY2026
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A 40-year-old dietitian in Michigan pays a median $708/month for a Silver plan before subsidies — 6th of 15 on cost. The cheapest plan in the state is $385 from Ambetter from Meridian in Genesee. On median Silver premium, Michigan ranks 6 of 15 for this occupation.
Patient-facing and on-your-feet work produces steady, predictable claims — routine visits, refills, physical therapy, the occasional urgent care. That profile is decided by copay design and by whether your providers are in network, not by the sticker premium, so carrier count sits alongside cost below.
Occupational context: Prolonged standing and sedentary counseling strain.
This is background for choosing a plan, not for pricing one. Since 2014 every Michigan exchange plan has been guaranteed issue and community rated: same age, same ZIP, same tobacco status means the same filed premium whether you are a dietitian or an accountant. Occupation changes the shopping criteria, nothing else.
Premium is set by rating area, so a dietitian in one Michigan county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Marquette | $769 | Blue Care Network of Michigan | $5,800 | 2 |
| Sanilac | $438 | Ambetter from Meridian | $7,000 | 5 |
| Roscommon | $445 | Ambetter from Meridian | $7,000 | 5 |
| Oceana | $471 | Oscar | $6,000 | 5 |
| Saint Joseph | $505 | Ambetter from Meridian | $7,000 | 5 |
| Leelanau | $546 | Blue Care Network of Michigan | $5,800 | 4 |
The spread across just these six is $331/month — $3,975 a year for the same metal tier. Statewide the range runs $385 to $1,048. Coverage by County publishes all 83 Michigan counties individually.
| Michigan — network and cost | 2026 |
|---|---|
| Median Silver premium @40 | $708 |
| Cheapest Silver @40 | $385 — Ambetter from Meridian (Genesee) |
| Most expensive Silver @40 | $1,048 |
| Carriers filing in the state | 7 — Ambetter from Meridian, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan, McLaren Health Plan Community |
| Plan types available | EPO, HMO, PPO |
| Counties with only one carrier | 0 of 83 |
Michigan has 7 carriers filing and 0 of 83 counties served by a single issuer. For a dietitian with an established provider relationship, that carrier count is the number that decides whether you keep your doctor.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 3,383 plan records across 83 Michigan counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: South Carolina ($636), Alabama ($680), Wisconsin ($687). More expensive: South Dakota ($725), Oklahoma ($731), Kansas ($765).
Side-by-side: Michigan vs Alabama · Michigan vs Wisconsin · Michigan vs South Dakota · Michigan vs Oklahoma
A caveat on the table above: rating is by residence, not by job site. A dietitian living in Michigan and working across a state line still buys Michigan plans. A genuine permanent move does trigger a special enrollment period, but the plan year restarts with a fresh deductible.
Self-employed Dietitians in Michigan typically deduct: Licensing, CE credits, practice-management software. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Michigan is $385 per month from Ambetter from Meridian, with a state median of $708. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Michigan uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
Yes. Plan types filed for 2026: EPO, HMO, PPO.
Michigan ranks 6 of 15 states covered here, at a median $708 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation sits above the cliff in 18 of the 21 states reported and below it in the other 3, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Dietitians and Nutritionists (SOC 29-1031) in Michigan. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed dietitian. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Michigan specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Dietitians in Michigan and a blog covering deductibles, subsidies and special enrollment.
The Michigan market currently runs to 7 carriers over 83 counties. Carriers re-file every year, and for Dietitians the question that actually decides your renewal is which of them are still there in November.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Michigan rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Michigan included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
All 83 counties in Michigan sell a PPO, which is unusual and useful. For a dietitian covering ground, it is the plan type that travels best.
Nothing about 2027 is urgent yet, which is exactly why it is worth ten minutes now. Come November you will be choosing between Michigan’s carriers under a deadline; today you can do it without one.
Give me a ZIP and I will tell you three things:
The sticker price is rarely what Dietitians in Michigan end up paying. Start with a ZIP and I will work out your actual number.