Out-of-network usage

Using out-of-network health care providers

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

• You pay 100% of the cost of Medicare-covered plan medical services received outside our network until you have paid a $500 deductible. Note: If you receive emergency or urgent care, post-stabilization care or dialysis outside our network, these services will be considered in-network.
  
• Depending on the plan you're enrolled in after you meet the $500 deductible you'll pay 20% or 30% coinsurance for covered medical services received from out-of-network health care providers. This means you pay 20% or 30% of the costs and your plan pays 70% or 80% of the cost.
• To find out what you'd pay for prescriptions from out-of-network providers, refer to the details of each of our PriorityMedicare plans. Start at Compare Plans. (For our prescription drug-only coverage plan, go to PriorityMedicare Rx.)
  

Learn the advantages of using in-network providers!




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