The MyPriority^® Telehealth PCP Silver 5500 plan is ideal for individuals or families who are looking for an affordable health plan that is virtual first and are comfortable with online and/or phone interaction with providers for care.

Members who choose a MyPriority Telehealth PCP plan will have a provider from our virtual care partner, MyPriority Virtual Primary Care Plus. You can have appointments and consultations with this provider just like you would in person. If your virtual care provider refers you to an in-person facility for health care services, you have access to the broad Priority Health HMO network.

Three important things to know about a MyPriority Telehealth PCP plan:

• Every visit (except emergency care) begins with virtual care provided by MyPriority Virtual Primary Care Plus. You will need a smartphone or computer. When you need care, you make a virtual appointment to connect with a provider via the app or online portal.
• This plan offers all types of 'virtual first' care: The virtual PCP acts as a primary care provider, urgent care, behavioral health, preventive health and chronic care provider.
• You'll need a referral to seek in-person care with a PCP or specialist: This is a 'virtual first' plan. Referrals from your assigned telehealth doctor are required to seek care in a traditional office setting. In-person claims that do not have a referral from a MyPriority Virtual Primary Care Plus provider will be denied.

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:

• Telehealth PCP: All visits with your provider will take place virtually, all you need is a device with an internet connection.
• 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^®.

* 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.