MyPriority Silver Travel HSA Off Marketplace

Our new MyPriority® Silver Travel HSA Off Marketplace plan offers protection in case of a major health event and allows you to save for medical expenses with a Health Savings Account (HSA). Plus, you are covered on the go. Your plan deductible, cost share and maximum out-of-pocket amounts stay the same when you see a participating Cigna Open Access Plus (OAP) provider for covered care outside of Michigan when traveling within the United States.

You get coverage that supports your physical, mental and financial health:

  • In-network costs for covered services out of state with a participating Cigna OAP provider
  • No-cost HSA administration through HealthEquity
  • $0 preventive care, before deductible
  • $0 limited virtual urgent care visits through Corewell Health Virtual Urgent Care, after 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 service

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 online Find a Doctor directory to check if your doctor is in-network. Change the search parameters from All plans to MyPriority HMO.

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's provider directory.

Metal level

Silver

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.

Deductible

$4,000
Individual
$8,000
Family

The deductible is the amount you pay for covered health care services before Priority Health begins to pay.

Coinsurance

80%
Plan pays
20%
You pay

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.

Out-of-pocket limit

$8,000
Individual
$16,000
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

$15 copayment
Primary care
(evaluation only)
After deductible
$50 copayment
Specialist
(evaluation only)
After deductible
$15 copayment
Mental health
After deductible

Initial outpatient mental health visit is covered in full, before deductible.

Tier 1a and Tier 1b drugs

$5 copayment
Tier 1a
After deductible
$15 copayment
Tier 1b
After deductible

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

Urgent care and Retail health clinics

$75 copayment
Urgent care
After deductible
$75 copayment
Retail health clinic
After deductible

Emergency room

$250 copay + 20% coinsurance
Emergency room
After deductible

Emergency room copayment is waived if admitted.

Virtual care

Covered in full
Virtual urgent care
After deductible
Covered in full
Virtual primary care
After deductible

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 primary care is offered through Corewell Health's Virtual Primary Care Practice in West Michigan when you select a Corewell Health Virtual Primary Care Practice provider as your designated PCP.

Rehabilitation services

20% coinsurance
Chiropractic manipulation
After deductible
20% coinsurance
Outpatient physical/occupational therapy
After deductible

Chiropractic manipulation benefits cover 30 visits per year, including maintenance visits.

Physical therapy and occupational therapy have a combined limit of 30 visits per year.

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

Delivery and nursery care are covered with 20% coinsurance, after deductible.

Diagnostic tests, lab services, X-rays and radiology services

20% coinsurance
Diagnostic tests & lab services
After deductible
20% coinsurance
X-rays & radiology services
After deductible


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.