MyPriority HMO Gold Copay+ - Spectrum Health Partners
Our MyPriority® HMO Gold Copay+ plan is designed for individuals and families who anticipate needing health care services throughout the year. With no deductible, you share the costs with the health plan.
Highlights of what you get:
- $0 deductible
- Virtual care: 24/7 non-emergency care by mobile device or online (i.e. Spectrum Health App)
- Prescription drugs: $5 copay for Tier 1a drugs
- Chronic condition management: Services, supplies and treatments for some of the most common chronic conditions, with cost-share, before deductible
- Primary doctor visits: $20 primary care doctor visits
- Urgent care: $75 urgent care visits
- Cost Estimator: Access to our tool to see prices for hundreds of services and procedures
- Active&Fit Direct™: Discounted prices for gym memberships and more
Spectrum Health Partners: Narrow network option for Kent County residents
Members who choose one of these plans are required to receive care in the Spectrum Health system of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc.
- Spectrum Health hospitals (including those outside Kent County with the exception of Spectrum Health Lakeland)
- Spectrum Health Medical Group
- Physicians who denote a Spectrum Health hospital in Grand Rapids as their primary hospital affiliation
- Orthopedic Associates of Michigan (OAM) physicians (procedures must be done at a Spectrum Health facility)
- Ancillary facilities such as Pine Rest Christian Mental Health Services and Forest View Hospital
- All in-network pharmacies
- A narrow network allows members to enjoy a lower monthly premium while getting access to quality care.
- Members who enroll in this plan will see the Spectrum Health Partners network on their ID cards.
- Care received outside of the Spectrum Health Partners network will not be covered and members will be required to cover the full cost for out-of-network care.