Priority - MyPriority HMO RxPlus Gold 800

Michigan, 2017

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $7,000

  • Deductible

    $800

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $800
Deductible (Family) $1,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,000
Out of Pocket Maximum (Family) $14,000

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient 20% Coinsurance after deductible
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $80 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Michigan

Plan MyPriority HMO HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority Holistic Bronze - Bronson Healthcare Partners Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority RxPlus - Spectrum Health Partners Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HMO RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority Holistic Silver - Bronson Healthcare Partners Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HSA - Spectrum Health Partners Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority Holistic Silver - Spectrum Health Partners Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority Holistic Bronze - Spectrum Health Partners Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority RxPlus - Bronson Healthcare Partners Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HMO HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Silver 1900 Deductible $1,900 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HSA - Bronson Healthcare Partners Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority POS Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Federal Standard Silver 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $800
Deductible (Family) $1,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,000
Out of Pocket Maximum (Family) $14,000

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient 20% Coinsurance after deductible
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $80 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Michigan

Plan MyPriority HMO HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority Holistic Bronze - Bronson Healthcare Partners Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority RxPlus - Spectrum Health Partners Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HMO RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority Holistic Silver - Bronson Healthcare Partners Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Bronze 6550 Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HSA - Spectrum Health Partners Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority Holistic Silver - Spectrum Health Partners Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority Holistic Bronze - Spectrum Health Partners Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Bronze 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority RxPlus - Bronson Healthcare Partners Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HMO HSA Silver 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,250
Plan MyPriority POS Bronze 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 1400 Deductible $1,400 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Silver 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO RxPlus Silver 1900 Deductible $1,900 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority HSA - Bronson Healthcare Partners Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan MyPriority HMO Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS Holistic Bronze 5550 Deductible $5,550 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority POS RxPlus Silver 1800 Deductible $1,800 Coinsurance Not applicable Out of Pocket $6,600
Plan MyPriority POS Holistic Silver 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan MyPriority HMO Federal Standard Silver 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150