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Michigan travel nurses

Here's how travel nurses in Michigan are saving money on their health insurance this year

I can help you get a nationwide PPO in Michigan, and the Upper Peninsula marketplace has a PPO option too. If Marquette is your home base while you travel for work, here's how to figure out which one makes more sense for you.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. I'm a health insurance broker licensed in 36 states, and I work with travel nurses who want coverage that stays with them when their contracts change. We handle everything right over the phone.

Picture a nurse raised in the U.P. who still considers Marquette her home. She's got a little house by Presque Isle Park, returns for deer season and holidays, but works 13-week assignments across the country. Winter takes her to San Diego, spring to Charlotte, and summer to Seattle. Her agency insurance ends whenever each assignment finishes. That leaves her spending breaks back along Lake Superior without coverage unless she sets something up herself. When she enters her Marquette address on HealthCare.gov, though, she discovers an option many other Michigan travel nurses don't have: half the available plans are PPOs.

You can still get a nationwide PPO in Michigan

For 2026, Marquette County residents can choose among 16 individual medical plans offered by two insurers, including 8 PPOs. For someone age 40 without a subsidy, the lowest-priced silver PPO runs 19% above the lowest-priced silver HMO. Compared with most of Michigan, that price difference is relatively small.

I can also help you purchase a nationwide PPO privately in Michigan. The insurer uses a health questionnaire to determine pricing, and the network is designed to provide in-network access across the country. Both the marketplace PPO and private PPO can address your travel needs, but they do it differently. Your health and income help determine which makes more sense.

Your year, as the marketplace sees it

Your household's income across the entire coverage year determines the credit, with eligibility ending above four times the federal poverty level. For travel nurses, that income changes depending on how many assignments you accept, the length of your breaks, and any 1099 work you take. Start with signed and anticipated contracts, then update your estimate whenever another assignment becomes official.

Scenario 1 of 3

My agency coverage ends when the contract does

Once your employer-sponsored insurance ends, you have a 60-day window to enroll through the marketplace. COBRA lets you continue the agency's coverage, but choosing to cancel COBRA afterward, or allowing payments to stop, does not create another enrollment opportunity.

I get asked about short-term coverage quite often. Michigan limits coverage through the same short-term insurer to 185 days within any 365-day period, without renewal beyond that limit. That means short-term insurance cannot cover your entire year. Keeping a policy of your own removes the need to start over each time.

Scenario 2 of 3

My income qualifies for the credit

Marquette stands out here. Marketplace credits are available only through HealthCare.gov and are calculated using a benchmark silver plan, which means you pay the PPO's additional cost yourself. In Marquette, though, that difference is 19%. For someone working outside Michigan most of the year, the added coverage can be worthwhile. HMOs generally cover emergencies only when you're outside their network. PPOs can still contribute toward out-of-network visits, although your share of the bill is higher. If you qualify for the credit, the marketplace PPO may be a smart choice, and I'll tell you when I think it is.

Scenario 3 of 3

I'm healthy and over the credit range

If you're paying without a credit, it's worth comparing the marketplace PPO with a private PPO. Private insurers review your health before deciding whether to accept you, accept you while excluding one condition, or decline coverage. Nurses in good health often find premiums below the marketplace's full price. And with a nationwide network, a clinic near your temporary home in San Diego may count as in network. Benefits aren't identical, so I'll help you review the details.

Where the Michigan figures come from

  • Michigan residents shop for marketplace coverage on HealthCare.gov Source
  • Marquette County has 16 individual medical plans from 2 insurers for 2026: 8 HMOs and 8 PPOs Source
  • In Marquette County, the lowest-priced silver PPO costs 19% more than the lowest-priced silver HMO (age 40, before any subsidy) Source
  • HMOs generally cover care outside their network only in an emergency; PPOs cover out-of-network care at a higher cost to you Source
  • Michigan law limits short-term health plans to 185 days in any 365-day period with the same insurer, with no renewal beyond that Source
  • Losing job-based coverage opens a 60-day special enrollment period; voluntarily dropping COBRA or stopping payments does not Source
  • The premium tax credit generally covers households with income from 100% to 400% of the federal poverty level Source
  • The premium tax credit is based on the second-lowest-cost silver plan, so a pricier plan does not bring a bigger credit Source

Questions travel nurses ask me

Straight answers, no sales pitch.

Are there PPOs on the marketplace in Marquette, Michigan?

Yes. Of the 16 marketplace plans offered in the county, eight are PPOs. The lowest-priced silver PPO carries a premium 19% higher than the least expensive silver HMO.

How long can a short-term plan last in Michigan?

Under the same insurer, coverage is limited to 185 days during any 365-day period, and you cannot renew beyond that limit.

Will a Michigan HMO cover me on assignment in another state?

Usually, coverage applies only to emergencies because HMOs generally don't pay for other care outside their provider networks.

Can a travel nurse in Michigan get a nationwide PPO?

Yes. If you're a healthy nurse living anywhere in Michigan, I can help you purchase a private nationwide PPO.

Where's the next assignment?

Tell me which county you live in, your contract schedule for this year, and your next destination. I'll walk you through coverage for the time between assignments and help you find the plan that works best while you're traveling.

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