Out-of-Network Health Care Providers

You may choose to see health care providers (doctors, hospitals, medical supply companies, pharmacies) outside the PriorityMedicare network, but your costs will be higher. Your costs may vary when your plan is provided through an employer.

• You will pay 100% of the cost of Medicare-covered plan services you receive out-of-network until you have paid $500 (this is called "meeting a deductible"). Note:emergencies, post-stabilization care, urgent care out of our area, and dialysis are always treated as in-network.
  
• After you meet the $500 deductible, you will pay 20% coinsurance (or more) for covered services you choose to receive from out-of-network health care providers. This means you will pay 20% of the cost and PriorityMedicare^SM or PriorityMedicarePlus^SM will pay 80% of the cost.