MyPriority HMO Holistic Bronze 5200

MyPriority® Holistic is the ONLY health insurance plan in Michigan offering you benefits that complement traditional care. You get immediate access to alternative therapies like medically necessary massage and acupuncture. As well as extra incentives to support a healthy lifestyle, like cash rewards for being active.

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More about MyPriority HMO Holistic Bronze 5200

Network

HMO

With an HMO, you choose a primary doctor that coordinates your care. You need to see an in-network doctor unless it's an emergency or you get prior approval. Use our Find a Doctor online directory to see if your doctor is in-network.

Metal level

Bronze

The metal level determines how you and your plan share the costs of care. Bronze means your plan pays 60% on average and you pay about 40%.

Deductible

$5,200
Individual
$10,400
Family

This is the amount you pay for in-network covered health care services before Priority Health begins to pay.

Coinsurance

50%
Plan pays
50%
You pay

This is the amount you pay in-network, after deductible. Preventive health services are covered at 100%.

Out-of-pocket limit

$6,850
Individual
$13,700
Family

This is the most you pay during a policy period (usually a year) before Priority Health begins to pay 100% of the allowed amount. This includes your copayments, deductibles and coinsurance payments. This limit does not include your monthly premium.

Office visits - primary doctor

Free
First 2 visits
$30 copayment
After deductible


Office visits - specialist

$50 copayment
After deductible

Deductibles and copayments apply.

Office visits - urgent care

$75
After deductible

Deductibles and copayments apply.

Free preventive care

$0 copayment

Routine care helps keep you and your family healthy. That's why we cover preventive care like well-child visits, flu shots and annual exams at no cost. See our Preventive Health Care Guidelines for a list of covered preventive services.

Emergency services

$250 copayment
After deductible, waived if admitted

Retail health clinic care

$75 copayment
After deductible

Diagnostic tests, X-rays, lab services and radiology services

50% coinsurance
After deductible

Virtual visits

Free

Get 24/7 access to a doctor via the phone or web. Must use a Priority Health hosted provider.

Generic drugs

$5 or $25 copayment
Before deductible