PriorityHSA: West MI Partners

Plan highlights

  • FREE banking partner - Our partner HealthEquity®, the leader in HSA banking, helps your employees set up and manage their HSA account. We're one of the few carriers in Michigan offering this service at no cost to employers or members.
  • No employer contributions required - Let your employees take advantage of the full tax benefits of HSA contribution.
  • Cash rewards - Our Cost Estimator lets you shop for high-quality care at lower-priced facilities. Best of all? When you receive care at a fair-price facility, we'll send you a Visa® reward card.
  • No referral needed - Our plans don't require a referral to see a specialist
  • Optional dental coverage - Two plans to choose from, both include annual exams and cleanings (learn more)

West MI Partners network

Our tiered network HMO plan is available to small employers within an 8.5-county* area and includes "tier 1" care providers who have privileges at Spectrum Health, Holland Hospital and Metro Health.

In a tiered network, members pay less out-of-pocket for care from hospitals and primary care providers that are high-quality and lower cost.

Emergency services outside of this plan's limited network are covered. Use our Find a Doctor online directory to find providers in the West MI Partners network.

Ideal solution if:

You're a price-sensitive employer with employees that are geographically located within The "tier 1" service area includes the northern half of Allegan*, Lake, Kent, Mason, Mecosta, Montcalm, Newaygo, Osceola and Ottawa counties.**

West Michigan Partners

*ZIP codes in Allegan where tiered network is offered: 49423, 49453, 49406, 49419, 49464, 49426,49315, 49323, 49328, 49335, 49316, 49333, 49348, 49408, 49311, 49314

Not included in tiered network: 49344, 49070, 49078, 49080, 49010, 49026, 49055, 49056, 49090, 49450, 49416. 

**The full-network PriorityExtras HMO product is only available where the tiered network PriorityExtras HMO product is not.

PriorityHSA HMO 2000 West MI Partners

  • Metal level

    Silver

  • Deductible

    Tier 1: $2,000 ind., $4,000 family
    Tier 2: $5,500 ind., $11,000 family

  • Coinsurance

    Tier 1: Employee pays 30%
    Tier 2: Employee pays 50%

  • Out-of-pocket limit

    Tier 1: $5,000 ind., $10,000 family
    Tier 2: $6,550 ind., $13,100 family

  • Rx copayments

    Generic: $20
    Preferred brand: $60
    Non-preferred brand: $80
    Preferred specialty: 20%
    Non-preferred specialty: 20%

  • Primary / specialist / urgent care

    Tier 1: 30% coinsurance
    Tier 2: 50% coinsurance

  • Emergency room

    Tier 1: 30% coinsurance
    All services covered at Tier 1 level

  • High-tech radiology

    Tier 1: 30% coinsurance
    Tier 2: 50% coinsurance