PriorityAssure HMO plans
PriorityAssure® provides affordable access to services ahead of deductible such as PCP and urgent care visits, $0 virtual care and $5 preferred generics. It also provides coverage for more serious heath events.
Smart idea:
If you want to cover employees when they need it most, PriorityAssure is a smart choice.
Plan highlights
- $0 virtual care and telehealth services – Covered in full before deductible
- Diabetic coverage – certain diabetic supplies purchased through a participating DME provider are covered at 100% before deductible and preferred insulins are covered at the Tier 1b prescription drug tier
- Chiropractic care – Covers up to 30 acute and/or maintenance care visits per contract year
- Standard copayments for the services needed most – primary care, urgent care, labs, and Tier 1a and Tier 1b prescription drugs covered before deductible
- 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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PriorityAssure HMO 1750
Deductible: $1750/$3550 E
Coinsurance: 90%
Out-of-pocket-limit: $7350/$14700 E
Primary/specialist/urgent care: $30/Coins/$85 -
PriorityAssure HMO 3685
Deductible: $3685/$7370 E
Coinsurance: 70%
Out-of-pocket-limit: $7900/$15800 E
Primary/specialist/urgent care: $35/Coins/$85 -
PriorityAssure HMO 5000
Deductible: $5000/$10000 E
Coinsurance: 70%
Out-of-pocket-limit: $7900/$15800 E
Primary/specialist/urgent care: $25/Coins/$85 -
PriorityAssure HMO 8300
Deductible: $8300/$16600 E
Coinsurance: 100%
Out-of-pocket-limit: $8300/$16600 E
Primary/specialist/urgent care: $35/Coins/$85
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