MyPriority Travel Bronze 9100

MyPriority® Travel Bronze 9100 plan is an affordable choice for individuals or families who want to travel—for both work and leisure—but still want health coverage when outside of Michigan. Many common health care services like primary care visits and urgent care are available with a copay before deductible.

This added travel benefit allows you to receive covered services and care from any Cigna OAP provider outside of Michigan and within the United States.

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:

  • Out-of-state coverage: Receive in-network benefits outside the state of Michigan, but within the United States, with a Cigna OAP provider
  • 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®

Your out-of-pocket costs may vary based on your subsidy level from the Federally-Facilitated Marketplace (FFM).

Network

HMO

With an HMO, you choose a primary doctor that coordinates your care. You need to see an in-network doctor unless it's an emergency or you get prior approval. Use our Find a Doctor online directory to see if your doctor is in-network.

With a travel plan, the plan deductible, cost share and maximum out-of-pocket amounts stay the same when a participating Cigna Open Access Plus (OAP) provider is used for care while traveling, even outside of Michigan. Find Cigna OAP providers outside of Michigan by searching "Cigna" in Priority Health's Find a Doctor tool.

Metal level

Bronze

The metal level determines how you and your plan share the costs of care. Bronze means generally lower premium costs but higher out-of-pocket costs at time of service.

Deductible

$9,100
Individual
$18,200
Family

This is the amount you pay for in-network covered health care services before Priority Health begins to pay.

Coinsurance

100%
Plan pays
0%
You pay

Coinsurance is the percentage of the cost of medical services you have to pay after you've met your deductible.

Out-of-pocket-limit

$9,100
Individual
$18,200
Family

This is the most you'll pay for covered health care expenses in one year. This amount includes deductibles, coinsurance and copayments for covered services.

Office visits

$30 copayment
Primary doctor, office visits (evaluation only), before deductible
$90 copayment
Specialist, office visits (evaluation only), before deductible
$30 copayment
Mental health, office visits only, before deductible

Tier 1a and Tier 1b drugs

$5 copayment
Tier 1a
Before deductible
$20 copayment
Tier 1b
Before deductible

Tier 1 includes low-cost generic drugs, proven to be as safe as brand-name drugs.

Retail health, urgent care and emergency services

$75 copayment
Retail health clinic (evaluation only), before deductible
$75 copayment
Urgent care (evaluation only), before deductible

Covered in full
Emergency room, after deductible

When you seek treatment for an illness, injury, symptom or condition that needs immediate care.

Limited virtual care

Covered in full
Before deductible

24/7 access to a provider with a Spectrum Health On-Demand virtual urgent care.

Preventive care

Covered in full
Before deductible

Preventive services help you avoid potential health problems or find them early when they are most treatable before you feel sick or have symptoms. See our Preventive Health Care Guidelines for a list of covered preventive services.

Maternity

Covered in full
Routine prenatal and postnatal care, before deductible

Diagnostic tests, X-rays, lab and radiology services

Covered in full
After deductible

The features and benefits explained in this section are intended to give you an overview of your coverage and do not include or explain every detail of what is and is not covered. Please refer to the Summary of Benefits and coverage.