We are offering financial support to our members and employers facing challenges during the COVID-19 pandemic in the form of premium credits and waiving cost share in these ways:

  • Medicare Advantage members will have no cost share for in-person and telehealth primary care visits May 1, 2020 through Dec. 31, 2020.
  • MyPriority Individual plan members will have a 15% premium credit for June and July 2020.
  • Small group employers (2-50 employees) will have a 15% premium credit issued in June and July 2020.
  • Large, fully funded employers will have the opportunity for premium credits in the fourth quarter, when the total amount of excess funds available can be determined.

Why distribute excess funds?

With many health procedures either being delayed or canceled due to COVID-19, and members accessing fewer health care services overall, our expected costs have been reduced. Our team is focused on people, not profits, so we will return any revenue above our low, ten percent administrative rate back to employers and members.

We do not pay dividends to shareholders, which allows us to spend more on member care. And, we operate with some of the lowest administrative rates in the country, spending 90 cents1 of every dollar on member care.

Many members are suffering and we’re working hard to offer them resources and support, while also constantly looking for ways to make their coverage more affordable.

What other types of support are available?

We don’t want cost to be the reason someone loses coverage or avoids seeking treatment, so we offer our members, employers and physician and provider partners support in the following ways:

  • Fully covering the cost of physician-ordered COVID-19 testing for all members
  • Waiving all copays, deductibles and coinsurance for the treatment of COVID-19 through June 30
  • Expanding $0 virtual care to most members for routine care through June 30
  • Expanding free home medication delivery for all members
  • Providing free access for all members to myStrength, an online mental wellness tool
  • Accelerating value-based payments and quality bonuses to offer physician and provider partners financial stability
  • Offering flexibility to employer groups on premium payments and eligibility criteria

1 According to Priority Health Medical Cost Ratio for most recent fiscal year ending June 30, 2019.

How does this work with my plan?