Group Medicare plans

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

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

Compare the two coverage options available for group plans:
 

PriorityMedicare (HMOPOS) plans
	Basic	Enhanced Plan
Benefit levels Basic agreement, with:	$15 office visit copay for primary care physicians $25 office visit copay for specialists $40 urgent care copay 100% hospital coverage at HMO benefit level 70/30% hospital coverage at POS benefit level $0 medical deductible at HMO benefit level $500 deductible at POS benefit level $15/$50 prescription drug copay Mail order: 90-day supply at two times the Rx copay 80% prosthetic & orthotics coverage at HMO benefit level 80% durable medical equipment coverage at HMO benefit level $100 emergency room copay $100 ambulance copay Skilled nursing facility: $25 for each day 1-20 (100 days – renewable after 60 days) at HMO benefit level $3,400 out-of-pocket maximum at 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 $40 urgent care copay 100% hospital coverage at HMO benefit level 80/20% hospital coverage at POS benefit level $0 medical deductible at HMO benefit level $250 deductible at POS benefit level $10/$40 prescription drug copay Mail order: 90-day supply at two times the Rx copay 80% prosthetic & orthotics coverage at HMO benefit level 80% durable medical equipment coverage at HMO benefit level $100 emergency room copay $50 ambulance copay Skilled nursing facility (100 days – renewable after 60 days) at HMO benefit level $2,400 out-of-pocket maximum at POS benefit level $1,000,000 individual lifetime maximum at POS benefit level Unlimited individual lifetime benefit at HMO benefit level
Printable summary of benefits:	PriorityMedicare Basic Plan - Summary of benefits (463KB PDF) (for plans effective April 1, 2010 or later)	PriorityMedicare Enhanced Plan - Summary of benefits (470KB PDF) (for plans effective April 1, 2010 or later)

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


See the Priority Health Medicare website for more information about provider networks and approved drug lists.