MyPriority^® Silver 5500 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, most prescriptions and labs are available with a low copay before deductible. This plan can be purchased on the federal Marketplace or directly from Priority Health.

Your health is our top priority

Earning 4 out of 5 stars* on healthcare.gov, Priority Health gives you more for your money and does more to improve your health.

Highlights of what members get:

• On-demand mental health support: myStrength, included at no added cost, is a 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^®

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

*CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5 star scale. Ratings may change from year to year.