Compare plans

Of all the options available, a Medicare Advantage plan with prescription drug coverage makes the most sense for most people.

• You get Medicare Parts A, B, C and D in one convenient plan.
• You can put your government-issued Medicare card away and use your PriorityMedicare card for everything from doctor visits to prescriptions drugs.
• With a Medicare Advantage plan, you don't need Medigap coverage.
  

• Use the chart below to compare the three Medicare Advantage plans available from Priority Health.
• Availability and premiums vary by county. View plans and premiums in your area.

Benefits	PriorityMedicare Value	PriorityMedicare	PriorityMedicare Plus
Deductibles	In-network: $0 medical $50 pharmacy Out-of-network: $500 medical $50 pharmacy	In-network: None Out-of-network: $500 medical	In-network: None Out-of-network: $500 medical
Doctor visit	In-network $15 copay for primary care physician $40 copay for network specialist Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $10 copay for primary care physician $25 copay for network specialist Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $10 copay for primary care physician $25 copay for network specialist Out-of-network: 20% of the total cost (after paying the annual deductible)
Hospitalization	In-network $550 copay for each Medicare-covered hospital stay (no limit on # of days) Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $50 copay per day for days 1-5 $0 copay per day, days 6+ Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $50 copay per day for days 1-5 $0 copay per day, days 6+ Out-of-network: 20% of the total cost (after paying the annual deductible)
Skilled nursing facility care	In-network $0 copay per day, days 1-8 $100 copay per day, days 9-100 Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $25 copay per day, days 1-20 $0 copay per day, days 21-100 Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $25 copay per day, days 1-20 $0 copay per day, days 21-100 Out-of-network: 20% of the total cost (after paying the annual deductible)
Home health care	In-network $0 copay Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $0 copay Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $0 copay Out-of-network: 20% of the total cost (after paying the annual deductible)
Physicals	In-network $15 copay Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $10 copay Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $10 copay Out-of-network: 20% of the total cost (after paying the annual deductible)
Routine screenings (Mammograms, colorectal exams, etc.)	In-network $0 copay Out-of-network: 30% of the total cost (after paying the annual deductible)	In-network $0 copay Out-of-network: 20% of the total cost (after paying the annual deductible)	In-network $0 copay Out-of-network: 20% of the total cost (after paying the annual deductible)
Urgent & emergency care (worldwide)	$50 copay for Medicare-covered emergency room visits $40 copay for Medicare-covered urgent care visit (see your plan's Summary of Benefits for details) For other non-contracted services, out-of-pocket costs vary by plan (see your plan's Summary of Benefits for details.)	$50 copay for Medicare-covered emergency room visits $25 copay for Medicare-covered urgent care visit (see your plan's Summary of Benefits for details) For other non-contracted services, out-of-pocket costs vary by plan (see your plan's Summary of Benefits for details.)	$50 copay for Medicare-covered emergency room visits $25 copay for Medicare-covered urgent care visit (see your plan's Summary of Benefits for details) For other non-contracted services, out-of-pocket costs vary by plan (see your plan's Summary of Benefits for details.)
Cost per prescription1 Between $0 - $2,510 in total drug costs2	$50 deductible Generics on formulary5: $10 copay for 31-day supply Preferred brand-name on formulary5: $35 copay for 31-day supply Non-preferred brand: $60 copay for 31-day supply	$0 deductible Generics on formulary5: $10 copay for 31-day supply Preferred brand-name on formulary5: $35 copay for 31-day supply Non-preferred brand: $60 copay for 31-day supply	$0 deductible Generics on formulary5: $10 copay for 31-day supply Preferred brand-name on formulary5: $35 copay for 31-day supply Non-preferred brand: $60 copay for 31-day supply
Cost per prescription1 Between $2,510 in total drug costs2 and $4,050 in out-of-pocket drug costs3 (the "donut hole")	100% of discounted cost4	100% of discounted cost4	Selected generics on formulary5 at retail pharmacy: $10 copay for 31-day supply Selected generics on formulary5 at long-term care pharmacy: $10 copay for 31-day supply Selected generics on formulary5 by mail order: $20 for 3-month supply Brand-name drugs: 100% of discounted cost4
Cost per prescription1 after you reach $4,050 in out-of-pocket costs3	$2.25 copay for generics and a few brand-names $5.60 copay for most brand-names OR 5% of discounted cost4 (whichever is greater)	$2.25 copay for generics and a few brand-names $5.60 copay for most brand-names OR 5% of discounted cost4 (whichever is greater)	2.25 copay for generics and a few brand names $5.60 copay for most brand-names OR 5% of discounted cost4 (whichever is greater)

¹ Medicare insurance benefits may vary when provided through an employer.
²Total prescription costs include the copays you pay AND the costs the plan pays in 2008.
³ Your out-of-pocket costs include what you pay for prescription drugs (copays and/or the percentage of the cost you pay) in 2008.
⁴ Priority Health's discount averages 16% on most brand-name drugs, 58% or more on generics.
⁵ Applies only to prescription drugs on the Priority Health approved drug list (formulary). Note: You may pay more than the copay if you get your drugs at an out-of-network pharmacy.

Know what you want?

• For prescription drug coverage only, check out PriorityMedicare Rx^SM.
• Get the most out of whichever plan you choose. Learn the advantages of using in-network providers.
• Use out-of-network providers if you like. Learn what it might cost.