PriorityHMO tiered copay plans—Central East region

  • PriorityHMO 250 100%

    Deductible:
    $250 individual, $500 family
    Coinsurance:
    Employee pays 0%
    Out-of-pocket limit: $5,000 individual, $10,000 family
    Primary / specialist / urgent care:
    $10 / $35 / $75

  • PriorityHMO 250 90%

    Deductible:
    $250 individual, $500 family
    Coinsurance:
    Employee pays 10%
    Out-of-pocket limit: $5,000 individual, $10,000 family
    Primary / specialist / urgent care:
    $10 / $35 / $75

  • PriorityHMO 50%

    Deductible:
    $0 individual, $0 family
    Coinsurance:
    Employee pays 50%
    Out-of-pocket limit: $7,350 individual, $14,700 family
    Primary / specialist / urgent care:
    $30 / $45 / $75