HealthbyChoice Incentives plans

Healthy employees are not only more productive, but they also cost less. HealthbyChoice Incentives rewards employees for being, getting and staying engaged in their health. With HealthbyChoice, employees receive the same great benefits, but have different out-of-pocket costs depending on how engaged they choose to be in their health.

Plan highlights

  • Reward people for being, getting and staying healthy
  • Requirements: Health assessment and qualification form; all employees start at the Choice level of benefits
  • There are two levels: Choice and Standard. Choice benefits offer lower cost sharing.
  • Reward: Keeping the Choice level
  • Employees who don't meet requirements get Standard level benefits
  • Priority Health sets the requirements and administers the rewards program
  • The same medical benefits are covered regardless of cost level
  • Adult vision coverage: $15 copay for an annual eye exam, including a refraction test

Select the right network for your employees

Still not sure?

HMO plans

PriorityHMOSM is our most popular health coverage option. It focuses on what’s most important: health and wellness, managing medical costs and ensuring employees receive all the necessary services they need.

  • It provides lower costs, but with limited coverage outside the plans' network of participating providers.
  • While out-of-network care is not covered, in-network benefits are provided only if a member has chosen a primary care physician (PCP).
  • Under this plan, members can also visit any specialist in our plan without a referral.

POS plans

PriorityPOSSM plan benefits employers who are looking for the flexibility of a traditional health plan but need the cost savings of managed care.

  • A hybrid of HMO and PPO plans, our POS offering can designate an in-network primary care provider (PCP) while also covering outside services at a slightly higher out-of-pocket cost.
  • Similar to HMO, members are also required to have a PCP to receive in-network benefits.

PPO plans

PriorityPPOSM offers employees the greatest freedom of choice by providing in-network and out-of-network options.

  • Employers reap the benefits of a low-cost health care plan, while employees can choose to see Priority Health network providers and pay less or visit non-network doctors or hospitals and pay more.
  • It lets members receive in-network benefits without having a designated primary care provider (PCP).