Priority - MyPriority Silver 3200

Michigan, 2018

  • Plan Type

    HMO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $3,200

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) $3,200
Deductible (Family) $6,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $45 Copay after deductible
Inpatient Facility $500 Copay per day after deductible + 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $150 Copay after deductible + 30% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 $500 Copay per day after deductible + 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility $1000 Copay after deductible + 30% Coinsurance after deductible
Outpatient Surgery $1000 Copay after deductible + 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $75 Copay after deductible
Non Preferred Brand Rx $100 Copay after deductible
Specialty Drugs 50% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,000
Deductible (Family) $6,000
Out of Pocket Maximum (Individual) $4,900
Out of Pocket Maximum (Family) $9,800

Doctor Visits

Primary Care Physician
Specialists $25 Copay after deductible
Emergency Room 30% Coinsurance after deductible
Inpatient Facility 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $40 Copay after deductible
Non Preferred Brand Rx $50 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,200
Deductible (Family) $2,400
Out of Pocket Maximum (Individual) $1,550
Out of Pocket Maximum (Family) $3,100

Doctor Visits

Primary Care Physician
Specialists $25 Copay after deductible
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $25 Copay after deductible
Non Preferred Brand Rx $50 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $500
Deductible (Family) $1,000
Out of Pocket Maximum (Individual) $675
Out of Pocket Maximum (Family) $1,350

Doctor Visits

Primary Care Physician
Specialists $10 Copay after deductible
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $15 Copay after deductible
Non Preferred Brand Rx $25 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Michigan

Plan MyPriority HSA Bronze 6650 - Bronson Healthcare Partners Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - St. John Providence Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority Gold 1100 Deductible $1,100 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Spectrum Health Partners Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority HSA Bronze 6650 - St. Joseph Mercy Health System Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - Beaumont Health Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - Spectrum Health Partners Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority Silver 3200 - St. John Providence Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Bronson Healthcare Partners Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Beaumont Health Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - St. Joseph Mercy Health System Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority HSA Bronze 6650 Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
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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) $3,200
Deductible (Family) $6,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $45 Copay after deductible
Inpatient Facility $500 Copay per day after deductible + 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $150 Copay after deductible + 30% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 $500 Copay per day after deductible + 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility $1000 Copay after deductible + 30% Coinsurance after deductible
Outpatient Surgery $1000 Copay after deductible + 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $75 Copay after deductible
Non Preferred Brand Rx $100 Copay after deductible
Specialty Drugs 50% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,000
Deductible (Family) $6,000
Out of Pocket Maximum (Individual) $4,900
Out of Pocket Maximum (Family) $9,800

Doctor Visits

Primary Care Physician
Specialists $25 Copay after deductible
Emergency Room 30% Coinsurance after deductible
Inpatient Facility 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $40 Copay after deductible
Non Preferred Brand Rx $50 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,200
Deductible (Family) $2,400
Out of Pocket Maximum (Individual) $1,550
Out of Pocket Maximum (Family) $3,100

Doctor Visits

Primary Care Physician
Specialists $25 Copay after deductible
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $25 Copay after deductible
Non Preferred Brand Rx $50 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $500
Deductible (Family) $1,000
Out of Pocket Maximum (Individual) $675
Out of Pocket Maximum (Family) $1,350

Doctor Visits

Primary Care Physician
Specialists $10 Copay after deductible
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $15 Copay after deductible
Non Preferred Brand Rx $25 Copay after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans in Michigan

Plan MyPriority HSA Bronze 6650 - Bronson Healthcare Partners Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - St. John Providence Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority Gold 1100 Deductible $1,100 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Spectrum Health Partners Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority HSA Bronze 6650 - St. Joseph Mercy Health System Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - Beaumont Health Network Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority HSA Bronze 6650 - Spectrum Health Partners Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan MyPriority Silver 3200 - St. John Providence Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Bronson Healthcare Partners Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - Beaumont Health Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority Silver 3200 - St. Joseph Mercy Health System Network Deductible $3,200 Coinsurance Not applicable Out of Pocket $7,350
Plan MyPriority HSA Bronze 6650 Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650