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