MyPriority HMO HSA Silver 1500

Our MyPriority® HSA health plan is an affordable choice if you're generally healthy and savings-minded and want a plan that is paired with the advantages of a health savings account (HSA)*. Your HSA will help pay for medical expenses, is eligible for federal tax advantages and any unused money automatically rolls over from year to year. Keep in mind you pay 100% of the cost of your health care out of your pocket until you meet your deductible.

We provide a free banking partner, HealthEquity®, that seamlessly sets up and helps you manage your HSA banking account.

Highlights of what you get

  • FREE preventive care – Routine care like well-child visits, flu shots and annual exams at no cost.
  • Prescription drug coverage – After deductible is met
  • Global emergency assistance– If you become ill or injured while traveling more than 100 miles from home, our partner, Assist America, can help get you get care and even arrange your travel back home safely.
  • 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 coverageTwo plans to choose from, both include annual exams and cleanings

*Note: Individuals who receive a federal cost-sharing reduction (including zero cost sharing or limited cost sharing options) are not eligible to contribute to an HSA or claim tax savings because the plan's deductible is reduced below the federal minimum for HSA-qualified plans.

More about MyPriority HMO HSA Silver 1500

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

Silver

The metal level determines how you and your plan share the costs of care. Silver means your health plan pays 70% (on average) and you pay about 30%.

Deductible

$1,500
Individual
$3,000
Family

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

Coinsurance

70%
Plan pays
30%
You pay

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

Office visits

Deductible applies, then coinsurance
Primary doctor, specialist, urgent care

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
Waived if admitted
Coinsurance
After deductible is met

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

Deductible applies, then coinsurance

Virtual visits

Deductible applies, then coinsurance

Get 24/7 access to a doctor via the phone or web.

Generic drugs

$20 copayment
After deductible is met