Group Medicare plans

With a Priority Health group Medicare insurance plan, your retirees will get all of the advantages of our individual PriorityMedicare^SM plans:

• Excellent physician and pharmacy networks
• Stellar customer service
• Minimal paperwork
• Extensive online tools

Compare the two coverage options available for group plans:
 

PriorityMedicare group plans
	Standard Plan, Basic Benefits	Standard Plan, High Benefits
Benefit levels Basic agreement, with:	$15 office visit copay for primary care physicians $25 office visit copay for specialists $25 urgent care copay $0 medical deductible at HMO benefit level $500 deductible at POS benefit level $50 copay days 1-5 for hospitalization at HMO benefit level 70/30% hospital coverage at POS benefit level $15/$50 prescription drug copay Mail order: 90-day supply at two times the Rx copay 80% prosthetic & orthotics coverage 80% durable medical equipment coverage $100 emergency room copay $100 ambulance copay Skilled nursing facility: $25 for each day 1-20 (100 days – renewable after 60 days) Certain surgeries (includes bariatric 80/20% coinsurance) $3,350 out-of-pocket maximum for POS benefit level $1,000,000 individual lifetime maximum at POS benefit level Unlimited individual lifetime benefit at HMO benefit level	$10 office visit copay for primary care physicians $25 office visit copay for specialists $25 urgent care copay $0 medical deductible at HMO benefit level $250 deductible at POS benefit Level 100% hospital coverage at HMO benefit Level 80/20% hospital coverage at POS benefit Level $10/$40 prescription drug copay Mail order: 90-day supply at two times the Rx copay 80% prosthetic & orthotics coverage 80% durable medical equipment coverage $100 emergency room copay $50 ambulance copay Skilled nursing facility (100 days – renewable after 60 days) Certain surgeries (includes bariatric 80/20% coinsurance) $2,400 out-of-pocket maximum for POS benefit level $1,000,000 individual lifetime maximum for POS benefit level Unlimited individual lifetime benefit at HMO benefit level
Printable summary of benefits:	PriorityMedicare Standard Plan, Basic Benefits - Summary of benefits (95KB PDF)	PriorityMedicare Standard Plan, High Benefits - Summary of benefits (96KB PDF)

Contact the Medicare sales team or your independent agent to learn how to provide Medicare coverage to your retiree groups.


See our PriorityMedicare website for more information about provider networks and approved drug lists.