Ranked 6 of 15 states · median $708/mo · CMS PY2026
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A 40-year-old plumber 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 highest out-of-pocket maximum, Michigan ranks 6 of 15 for this occupation.
Injury exposure means the number that matters is the out-of-pocket maximum, not the premium. A single ER visit and follow-up can hit that ceiling in one month, so these pages rank states by worst-case annual exposure rather than by monthly cost.
Occupational context: Confined-space entry; sewage and biohazard exposure; back strain.
Worth being clear about what this does and does not affect: a carrier in Michigan cannot ask what you do for a living, cannot charge a plumber more than a librarian of the same age in the same ZIP, and cannot exclude anything you were already treated for. Occupation only tells you which plan structure to shop for.
Premium is set by rating area, so a plumber 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 |
|---|---|---|---|---|
| Alpena | $645 | Blue Care Network of Michigan | $5,800 | 4 |
| Otsego | $645 | Blue Care Network of Michigan | $5,800 | 4 |
| Alger | $769 | Blue Care Network of Michigan | $5,800 | 2 |
| Keweenaw | $769 | Blue Care Network of Michigan | $5,800 | 2 |
| Lapeer | $385 | Ambetter from Meridian | $7,000 | 5 |
| Ogemaw | $445 | Ambetter from Meridian | $7,000 | 5 |
The spread across just these six is $384/month — $4,609 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 — worst-case exposure | 2026 |
|---|---|
| Lowest annual out-of-pocket maximum | $6,500 |
| Highest annual out-of-pocket maximum | $10,600 |
| Cheapest Gold plan @40 | $409 — Ambetter from Meridian |
| Gold deductible | $2,000 |
| Cheapest Silver @40 | $385 — Ambetter from Meridian |
| Cheapest Silver @50 | $538 |
For a plumber, the gap between $6,500 and $10,600 in annual out-of-pocket maximum is worth more than any premium difference on this page. One serious injury reaches that ceiling regardless of which plan you picked.
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
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a plumber who moved this year, that move is a qualifying life event and opens a special enrollment period.
Expense categories that typically apply to this trade: Tools, van, licensing, materials, liability insurance. Premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or your spouse — a question for your CPA, not your agent.
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 8 of the 21 states reported and below it in the other 13, so the answer changes with the state.
What this figure is. It is the median annual wage BLS reports for Plumbers, Pipefitters, and Steamfitters (SOC 47-2152) 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 plumber. 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 Plumbers 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 Plumbers the question that actually decides your renewal is which of them are still there in November.
Nobody can tell you your 2027 Michigan premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
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.
In your favour: PPOs are sold in all 83 Michigan counties. That is the type most likely to pay toward out-of-network care, and worth defending at renewal if your work as a plumber takes you around.
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:
Rates for Plumbers in Michigan are set by county, not by occupation. Start with your ZIP and I will show you the plans actually filed where you live.