Get extra benefits and resources at zero or low cost with a MyPriority Premier Silver plan, designed to help you save even more.
Plan information
MyPriority® Premier Silver is designed for individuals who want more from their Silver plan. This plan delivers richer benefits where it matters most with low copays for prescription drugs and lab services – even before you meet your deductible. This plan is ideal if you’re managing chronic conditions or are seeking more comprehensive coverage. MyPriority Premier Silver offers built-in value you can count on.
Why choose this plan?
- Affordable prescriptions with a low $5 copay on Tier 1a drugs, before deductible
- Chronic condition management and low-cost benefits for some of the most common conditions, before the deductible
- $30 copay for primary care visits, before deductible
- $15 copay for labs, before deductible
- $0 preventive care
- $0 virtual urgent care visits through Corewell Health Virtual Urgent Care, before deductible
- On-demand mental health support through Teladoc Health Mental Health
- Access to a large network of high-quality primary care providers across Michigan
- Award-winning customer service2
Your out-of-pocket costs may vary based on your subsidy level from the Federally-Facilitated Marketplace (FFM).
Network
An HMO provides care through a designated network of doctors, specialists and facilities that members must use in order to be covered by the plan. A primary care provider coordinates your care and you need to see an in-network doctor unless it's an emergency or you get prior approval.
Use our online Find a Doctor directory to check if your doctor is in-network. Change the search parameters from All plans to MyPriority HMO.
HMO
Metal level
The metal level determines how you and your plan share the costs of care. Silver generally means moderate monthly premiums and moderate out-of-pocket costs when you receive care.
Silver
Deductible
The deductible is the amount you pay for in-network covered health care services before Priority Health begins to pay.
Individual
$5,500
Family
$11,000
Coinsurance
Coinsurance is the percentage of the cost of medical services you have to pay after you've met your deductible. Some services – like preventive care and chronic condition management – are accessible with low or no coinsurance before you meet your deductible.
Plan pays
70%
You pay
30%
Out-of-pocket Limit
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.
Individual
$9,500
Family
$19,000
Tier 1a and Tier 1b drugs
Tier 1 includes low-cost generic drugs, proven to be as safe as brand-name drugs. Some drugs for chronic condition management are accessible at low or no cost before you meet your deductible.
Tier 1a
$5 copayment
Tier 1b
$20 copayment
Doctor visits, ER and Urgent Care
Primary care
$30 copayment
Specialist
$65 copayment
Mental health
$30 copayment
Urgent care
$75 copayment
Retail health clinic
$75 copayment
Emergency room
$250 copay + 30% coinsurance
Virtual Care
See a provider through Corewell Health Virtual Urgent Care. This care is accessed through your Priority Health member account and is best for treating minor illnesses and injuries like ear infections, fevers, coughs, minor burns or bites.
Virtual urgent care
Covered in full
Services
Diagnostic tests
$15 copayment
Labs
$15 copayment
X-rays
30% coinsurance
Radiology services
30% coinsurance
Chiropractic manipulation
30% coinsurance
Outpatient physical & occupational therapy
30% coinsurance
Preventive care
Covered in full
Maternity | Routine prenatal and postnatal care
Covered in full
The features and benefits shown on this page are intended to give you an overview of what this plan covers. For more details, please refer to the Summary of Benefits and Coverage.
Attention: This website is operated by Priority Health and is not the Health Insurance Marketplace® website at HealthCare.gov. This website does not display all Qualified Health Plans (QHPs) available through HealthCare.gov. To see all available QHP options, go to the Health Insurance Marketplace website at HealthCare.gov.
Also, you should visit the Health Insurance Marketplace website at HealthCare.gov if:
- You want to select a catastrophic health plan
1 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 QRS ratings yearly on a 5-star scale. QHP issuers work with HHS-approved survey vendors that independently conduct the survey each year. QRS ratings and QHP Enrollee Survey results may change from year to year.
2 America's Best Customer Service 2025 | Newsweek