MyPriority Premier Silver Off Marketplace
Bronson Healthcare Partners

Our MyPriority® Premier Silver plan offers you affordable access to a wide range of health care services, labs and routine care with a low copay before you meet your annual deductible. By opting for a higher deductible, you benefit from a lower monthly premium, making it a great choice for those who are generally healthy and budget-conscious.

With extra benefits and resources at a low or zero cost, you'll get a health plan that takes care of your physical, mental and emotional health.

What is an Off Marketplace plan? If you don't qualify for a federal subsidy–or would rather not use one–you can save money on your monthly premium by purchasing an Off Marketplace plan directly from Priority Health.

Helping you stay healthy and engaged is our priority.

  • Prescription coverage: Low copays on Tier 1 drugs, before deductible.
  • Virtual urgent care: Before your deductible is met, virtual urgent care visits are covered in full when scheduled through the Priority Health member app.
  • On-demand mental health support: Get access to a digital solution that helps with stress, anxiety, chronic pain and more. It can be self-directed or used with coaching support, available at no cost.
  • Chronic condition management: Before your deductible is met, certain services, supplies and prescriptions used to treat common long-term health conditions are covered with cost share or in full.
  • Diabetes management: Before your deductible is met, certain supplies, treatments, prescriptions and tests are covered with cost share or in full.
  • Global emergency assistance: If you become ill or injured while traveling more than 100 miles from home, our partner Assist America® will help you get care and arrange your safe travel home.
  • Care for your hearing: Get discounts for you and your extended family for hearing exams and hearing aids through TruHearing.®

Bronson Healthcare Partners

Offered to individuals who live in Kalamazoo and Van Buren counties and a portion of Calhoun County.*

In order for your health care costs to be covered, you must receive care from doctors and hospitals within the Bronson Healthcare Partners network or their affiliated facilities. If you receive care from an out-of-network provider, you will be responsible for paying the full cost. Emergency services are covered at the in-network level.

Hospital networks

  • Bronson Methodist Hospital
  • Bronson Battle Creek Hospital
  • Bronson Lakeview Hospital
  • Bronson South Haven Hospital

Physician networks (primary care and specialist)

  • Bronson Healthcare physicians
  • Bronson Hospital employed physicians
  • Physicians who denote Bronson Hospital (all campuses) as their primary affiliation

All in-network pharmacies

*ZIP codes in Calhoun County where the Bronson Healthcare Partners is offered: 49011, 49014, 49015, 49017, 49021, 49029, 49033, 49037, 49051, 49052, 49068, 49076, 49092, 49094

Network

Bronson Healthcare Partners

In order for your health care costs to be covered, you must receive care from doctors and hospitals within the Bronson Healthcare Partners network or their affiliated facilities. If you receive care from an out-of-network provider, you will be responsible for paying the full cost. Emergency services are covered at the in-network level.

Use our Find a Doctor online directory to see if your doctor is in the Bronson Healthcare Partners network.

Metal level

Silver

The metal level determines how you and your plan share the costs of care. Silver means your health plan pays 70% (on average) and you pay about 30%. Silver level plans offer a good balance of premium and out-of-pocket costs. 

Deductible

$5,500
Individual
$11,000
Family

The deductible is the amount you pay for covered health care services before Priority Health begins to pay.

Coinsurance

70%
Plan pays
30%
You pay

Coinsurance is the percentage of the cost of medical services you have to pay after you've met your deductible. Some services–like preventive care and chronic condition management–are accessible with low or no coinsurance before you meet your deductible.

Out-of-pocket limit

$9,400
Individual
$18,800
Family

This is the most you'll pay for covered health care expenses in one year. This amount includes deductibles, coinsurance and copayments for covered services.

Office visits

$30 copayment
Primary care
Before deductible
$65 copayment
Specialist
Before deductible
$30 copayment
Mental health
Before deductible

Initial mental health visit is covered in full, before deductible.

Tier 1a and Tier 1b drugs

$5 copayment
Tier 1a
Before deductible
$20 copayment
Tier 1b
Before deductible

Tier 1 includes low-cost generic drugs, proven to be as safe as brand-name drugs.

Urgent care and Retail health clinics

$75 copayment
Urgent care
Before deductible
$75 copayment
Retail health clinic
Before deductible

Emergency room

$250 copay + 30% coinsurance
Emergency room
After deductible

Emergency room copayment is waived if admitted.

Virtual urgent care

Covered in full
Virtual urgent care
Before deductible

See a provider through Virtual Urgent Care provided by Corewell Health. This care is accessed through your Priority Health member account and is best for treating minor illnesses and injuries like ear infections, fevers, coughs, minor burns or bites.

Preventive care

Covered in full
Before deductible

Preventive services help you avoid potential health problems or find them early when they are most treatable before you feel sick or have symptoms. See our Preventive Health Care Guidelines for a list of covered preventive services.

Maternity

Covered in full
Routine prenatal and postnatal care
Before deductible
Delivery and nursery care are covered with 30% coinsurance, after deductible.

Diagnostic tests, lab services, X-rays and radiology services

$10 copay
Diagnostic tests & lab services
Before deductible
30% coinsurance
X-rays & radiology services
After deductible

The features and benefits shown on this page are intended to give you an overview of what this plan covers. For more details, please refer to the Summary of Benefits and Coverage.