MyPriority HMO Gold Copay+ - St. Joseph Mercy Health System Network

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 members get:

  • On-demand mental health support: myStrength is a free mental health and wellness online tool that helps you live your best life.
  • Chronic condition management: Access to a variety of medications, supplies and services to help keep your chronic conditions under control—covered in full or with a low cost share, before deductible.
  • Diabetes management: Our plans provide coverage for diabetes management services, supplies and treatments for no cost, before deductible when furnished by a participating durable medical equipment (DME) provider. Diabetes prescriptions and testing procedures are covered before deductible, with cost share.
  • Global emergency assistance: If you or your dependents become ill or injured while traveling more than 100 miles from home, our partner Assist America® can help you get care and even arrange your safe travel home.
  • Hearing exams and hearing aids: Discounts for you and your extended family with TruHearing®

St. Joseph Mercy Health System Network: Narrow network option for residents of Wayne, Oakland, Macomb, Washtenaw and Livingston counties

Members who choose a St. Joseph Mercy Health System Network plan are required to receive care in the St. Joseph Mercy Health System network of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc.

The network includes:

Hospitals

  • St. Joseph Mercy Chelsea Hospital
  • St. Joseph Mercy Hospital
  • St. Joseph Mercy Livingston Hospital
  • St. Joseph Mercy Oakland Hospital
  • St. Mary Mercy Livonia Hospital
  • Affiliated partners

Physician network

Physicians who are affiliated with St. Joseph Mercy groups as listed below:

  • IHA
  • Huron Valley Physician Association
  • Oakland Physician Network Services – with St. Joseph Mercy Oakland designated as the primary hospital
  • Livingston Physician Organization
  • St. Mary Mercy Physician Practices

All in-network pharmacies

Details:

  • 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 St. Joseph Mercy Health System network on their ID cards.
  • Care received outside of the St. Joseph Mercy Health System network will not be covered, and members will be required to cover the full cost for out-of-network care.

Reasons to love our HMO

  • identification card in green circle icon

    No referral to see a specialist

  • calculator in green circle image

    Cost Estimator - know the cost of care before you receive it 

  • doctor in laptop in green circle

    Virtual care - see a doctor 24/7 on a mobile device or online

  • globe with location point in green circle icon

    24/7 global emergency services with Assist America®

  • diabetes monitor in green circle icon

    Chronic condition management – Services, supplies
    and treatments for some of the most common chronic
    conditions, with cost-share, before deductible