MyPriority HMO Silver 5500 - Beaumont Health Network

MyPriority® HMO Silver 5500 (full or narrow network) plans are a smart option for individuals or families who are healthy and savings-minded. Many common health care services like primary care visits, specialist visits, urgent care, generic and brand prescriptions and labs are available with a low copay before deductible.

Highlights of what you get:

  • Virtual care: 24/7 non-emergency care by mobile device or online (i.e. Spectrum Health App)
  • Prescription drugs: Tier 1-Tier 3 drugs before deductible
  • Chronic condition management: Services, supplies, and treatments for some of the most common chronic conditions, with cost-share, before deductible
  • Primary doctor visits: $30 primary care doctor visits before deductible
  • Specialist visits: $65 specialist visit before deductible
  • Urgent care: $75 urgent care visits before deductible
  • 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

Beaumont Health Network

A narrow network offered to individuals who live in Wayne, Oakland and Macomb counties

Members who choose a Beaumont Health Network plan are required to receive care in the Beaumont Health system of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc.

This network includes:

Hospitals: Beaumont Health Hospitals (including former Oakwood hospitals) – Dearborn, Farmington Hills, Grosse Pointe, Royal Oak, Taylor, Trenton, Troy, Wayne

Physicians (primary care and specialist) network:

  • Physicians employed by Beaumont Health
  • Any individual community physicians with admitting privileges at Beaumont Health that are listed as in-network in the Priority Health Beaumont Network Find a Doctor directory

All in-network pharmacies

Details:

  • A narrow network allows members to enjoy a lower monthly premium while getting access to quality care
  • No referral needed to see an in-network specialist
  • Members who enroll in this plan will see the Beaumont Health network on their ID cards
  • Care received outside of the Beaumont Health 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