Priority Made Simple HMO plans
The new Priority Made Simple plan addresses confusion about insurance and price transparency through a copay-only design with a $0 deductible. This plan includes no out-of-pocket payments for PCP, virtual or mental health visits. It provides both affordability and transparency.
Smart idea:
For employers, Priority Made Simple is a smart choice if you’re looking for a plan that lets you and your employees avoid cost uncertainty.
Copayments for all in-network medical services – including inpatient care and durable medical equipment and prosthetics and orthotics
$0-dollar member cost for:
- Primary care
- Outpatient mental health and substance use
- Allergy testing and treatment
- Diabetic supplies purchased through a participating DME provide
- $0 virtual care and telehealth services
Cash rewards – Our Cost Estimator tool lets members shop for high-quality care at lower-cost facilities. Best of all, when members receive care at a fair-price facility, we’ll send them a Visa® reward card
Hearing exams and discounts on high-quality hearing aids – Offered by our partner, TruHearing
Optional dental coverage – Two Delta Dental PPO/Premier plans to choose from, both include annual exams and cleanings. Learn more
No referral needed – Our plans don't require a referral to see a specialist
Plan notes
We want you to know exactly what you're looking at, so here are explanations of the notes used in the plan pricing information.
- (E) "Embedded" means the plan contains an individual limit (stop) within the family total. The embedded stop occurs when an individual's deductible or out-of-pocket limit has been satisfied, but the family deductible or out of pocket limit hasn't.
- (A) "Aggregate" means the total deductible or out-of-pocket limit does not contain an individual limit. An individual is covered when the family deductible or out-of-pocket limit has been met.
- Deductibles and out-of-pocket limits are listed as individual/family amounts.
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Priority Made Simple (Plus)
Deductible: $0/$0 E
Coinsurance: None
Out-of-pocket-limit: $5000/$10000 E
Primary/specialist/urgent care: $0/$100/$100 -
Priority Made Simple
Deductible: $0/$0 E
Coinsurance: None
Out-of-pocket-limit: $8150/$16300 E
Primary/specialist/urgent care: $0/$100/$100
Want more info?
Ready for a quote?
- Contact Small Business Sales at 800.471.2504, option 4
- Contact an independent licensed Priority Health agent
- Send us your contact information, and we'll have an expert get back to you