When you have PriorityHSA
...your HMO works a little differently.
When you have
PriorityHMO
SM with
PriorityHSA
SM (Priority Health's health plan designed to work with a health savings account), the way the HMO plan works changes slightly from our basic HMO plan. The following table details these changes.
Benefit | Traditional HMO without HSA | PriorityHSA HMO PLAN |
|---|
Prescriptions |
- What you pay for prescriptions does not go toward your deductible or out-of-pocket maximum.
|
- The amount you pay for prescription drugs first goes toward satisfying your deductible.
- Once you meet your deductible, the amount you pay for prescription drugs goes toward your out-of-pocket maximum.
- Ordering through our mail service will not save you copays before you meet your deductible, because you are paying 100% of the cost of your prescriptions.
See our approved drug list. |
Preventive care |
- Your plan covers preventive care before you meet your deductible, but you pay copays or coinsurance.
|
- Preventive care services listed in our Preventive Health Care Guidelines are 100% covered.
See our Preventive Health Care Guidelines. |
Office visits |
- You pay copays for office visits after you meet your deductible.
|
- You pay coinsurance for office visits after you meet your deductible.
|
Maternity care |
- Routine prenatal care is covered, but you may have copays for certain office visits or tests.
|
- Prenatal and postnatal care are considered preventive care, and are 100% covered before you meet your deductible.
- Delivery services are not preventive care, so you pay 100% until you meet your deductible.
- If you've met your deductible, you pay coinsurance for the delivery.
|
Need more information?
If you have additional questions or need further information, visit our
PriorityHSA page or
contact Customer Service.
