MyPriority HMO Bronze 6450

Our MyPriority® HMO health plans include free preventive care, while covering office visits before deductible among other benefits. It's a valuable option for those that don't anticipate needing major health care services and the reassurance of being covered for general care.

Highlights of what you get

  • $25 office visits - An unlimited amount of in-network visits to primary doctor for evaluation and management for a $25 copayment before deductible.
  • $75 urgent care visits - Unlimited in-network urgent care visits for $75 copayment before deductible.
  • Prescription drug coverage - $20 copayment for in-network generics after deductible is met.
  • Cash rewards - Our Cost Estimator lets you shop for high-quality care at lower-priced facilities. Best of all? When you shop and then 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 an in-network specialist
  • Optional dental coverage - Two plans to choose from, both include annual exams and cleanings

More about MyPriority HMO Bronze 6450

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

$6,450
Individual
$12,900
Family

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

Coinsurance

60%
Plan pays
40%
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

$25 copayment 

Specialist

Office visits only. Deductible does not apply.

Office visits - specialist

$50 copayment
Specialist

Office visits only. Deductible applies.

Office visits - urgent care

$75 copayment
Urgent care

Office visits only. Deductible does not 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
Waived if admitted
40% coinsurance
After deductible

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

40% coinsurance
After deductible

Virtual visits

$25 copayment
Before deductible

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

Generic drugs

$25 copayment
Preferred generics