Southeast MI Partners plans—East region

An ideal network solution for people who work and live in Southeast Michigan

We’re committed to helping our members find the right care, at the right time in the right place, everywhere in Michigan. We know that over 70% of insured residents live in Southeast Michigan alone, so we’ve worked with our provider partners in seven counties in this region to bring a low cost solution to members who live and work in Southeast Michigan.

Southeast MI Partners is available to groups that reside in six counties:

Southeast MI Partners map
  • Wayne
  • Oakland
  • Macomb
  • Livingston
  • Washtenaw
  • St. Clair

What are the benefits of a tiered network?

A tiered network can help employers save on premiums and help employees save on deductibles, out-of-pocket limits and cost sharing—all by utilizing the selected Tier 1 provider network.

How does it work?

Providers are separated into two tiers: Tier 1 and Tier 2. We've partnered with our Tier 1 providers to lower member costs, so if employees choose care through a Tier 1 provider, they'll benefit from lower coinsurance, copays and deductibles.

In Tier 2, employees will have access to our entire PriorityHMO network. However, if they choose to receive care outside of the Tier 1 network of hospitals and providers, they will have a higher cost share for care. 

Tier 1 and Tier 2 provider networks include:

Tier 1

  • St. John, Providence Park, and Ascension Crittenton hospitals and select affiliated physicians
  • St. Joseph and St. Mary Mercy Livonia hospitals and select affiliated physicians
  • Lake Huron Medical Center and all affiliated physicians
  • State-wide ancillary coverage: all Tier 1 providers and state-wide, free-standing, independent ancillary facilities such as: labs, physical therapy, Radiology and home health
  • Michigan Medicine (University of Michigan and health centers) for non-primary care (with referral only)
  • All in-network pharmacies
  • Emergency services

Tier 1 hospitals


  • St. John Hospital and Medical Center
  • St. John Macomb-Oakland Hospital-Macomb Center
  • St. John Macomb-Oakland Hospital-Oakland Center
  • St. John River District Hospital
  • Providence Park Hospital-Novi Campus
  • Providence Park-Southfield Campus
  • Ascension Crittenton Hospital and Medical Center
  • St. Joseph Mercy Chelsea
  • St. Joseph Mercy Hospital
  • St. Joseph Mercy Livingston Hospital
  • St. Joseph Mercy Oakland
  • St. Mary Mercy Hospital Livonia

Tier 2

All providers currently covered under the Priority Health HMO network.

Southeast MI Partners plans

  • PriorityHMO 1000 - Southeast MI Partners

    Deductible
    Tier 1: $1,000 individual, $2,000 family
    Tier 2: $4,000 individual, $8,000 family

    Coinsurance
    Tier 1: Employee pays 20%
    Tier 2: Employee pays 40%

    Out-of-pocket limit
    Tier 1: $7,350 individual, $14,700 family
    Tier 2: $7,350 individual, $14,700 family

    Primary / specialist / urgent care
    Tier 1: $20 / $50 / $75
    Tier 2: $45 / $60 / $75

  • PriorityHSA HMO 1400 – Southeast MI Partners

    Deductible
    Tier 1: $1,400 individual, $2,800 family
    Tier 2: $4,500 individual, $9,000 family

    Coinsurance
    Tier 1: Employee pays 10%
    Tier 2: Employee pays 30%

    Out-of-pocket limit
    Tier 1: $3,500 individual, $7,000 family
    Tier 2: $6,650 individual, $13,300 family

    Primary / specialist / urgent care
    Tier 1: 10% coinsurance
    Tier 2: 30% coinsurance

  • PriorityHSA HMO 2000 – Southeast Partners

    Deductible
    Tier 1: $2,000 individual, $4,000 family
    Tier 2: $5,500 individual, $11,000 family

    Coinsurance
    Tier 1: Employee pays 30%
    Tier 2: Employee pays 50%

    Out-of-pocket limit
    Tier 1: $6,650 individual, $13,300 family
    Tier 2: $6,650 individual, $13,300 family

    Primary / specialist / urgent care
    Tier 1: 30% coinsurance
    Tier 2: 50% coinsurance