MyPriority Value Bronze Corewell Health West Michigan Network gives you peace of mind by covering prescriptions, mental health and routine care with a copay before you meet your deductible.

Plan information

The MyPriority® Value Bronze plan offers peace of mind knowing you're covered in case of a major health event while providing access to routine and general care for just a copay before meeting your annual deductible, making it an affordable option.

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

  • $5 copay for tier 1a prescriptions, before deductible
  • $35 copay for primary care visits, before deductible
  • $0 limited virtual urgent care visits through Corewell Health Virtual Urgent Care, before deductible
  • Chronic condition management and diabetes management, 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 service

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

Network

Corewell Health West Michigan Network

This narrow network plan is offered to individuals who live in Kent, Barry, Mecosta, Newaygo, Ottawa counties and a portion of Allegan County.*

To ensure coverage of your health care costs, you must receive care from doctors and hospitals within the Corewell Health West Michigan Network or their affiliated facilities. If you receive care from an out-of-network provider, you will be responsible for paying the full cost. Emergency services are covered at the in-network level.

Corewell Health West hospitals

  • Corewell Health Big Rapids Hospital
  • Corewell Health Gerber Hospital
  • Corewell Health Grand Rapids Hospitals - Blodgett Hospital
  • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
  • Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
  • Corewell Health Greenville Hospital
  • Corewell Health Ludington Hospital
  • Corewell Health Pennock Hospital
  • Corewell Health Reed City Hospital
  • Corewell Health Zeeland Hospital

Physician networks (primary care and specialist)

  • Corewell Health Medical Group West
  • Physicians who denote a Corewell Health hospital in West Michigan as their primary hospital affiliation

Other facilities

  • Orthopedic Associates of Michigan (OAM) physicians
  • Ancillary facilities in the Priority Health network. Examples include Pine Rest Christian Mental Health Services and Forest View Hospital.

All in-network pharmacies

*ZIP codes in Allegan County where the Corewell Health West Michigan Network is offered: 49070, 49311, 49314, 49323, 49328, 49335, 49344, 49348, 49406, 49408, 49416, 49419, 49423, 49453

Use our online Find a Doctor directory to check if your doctor is in-network. Change the search parameters from All plans to Corewell Health West Michigan Network.

Metal level

The metal level determines how you and your plan share the costs of care. Bronze generally means lower monthly premiums but higher out-of-pocket costs when you receive care.

Bronze

Deductible

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

$9,200

Family

$18,400

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.

Coinsurance

Covered in full

After deductible

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

$9,200

Family

$18,400

Tier 1a and Tier 1b drugs

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

Tier 1a

$5 copayment

Before deductible

Tier 1b

$20 copayment

Before deductible

Doctor visits, ER and Urgent Care

Primary Care

$35 copayment

Before deductible | Evaluation only

Specialist

$120 copayment

Before deductible | Evaluation only

Mental health

$35 copayment

Before deductible

Urgent care

$85 copayment

Before deductible

Retail health clinic

$85 copayment

Before deductible

Emergency room

Covered in full

After deductible

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.

Corewell Health's Virtual Primary Care Practice in West Michigan offers virtual primary care. You need to choose a Corewell Health Virtual Primary Care Practice provider as your designated primary care physician (PCP).

Virtual urgent care

Covered in full

Before deductible

Virtual primary care

$10 copayment

Before deductible

Services

Diagnostic tests

Covered in full

After deductible

X-rays

Covered in full

After deductible

Labs

Covered in full

After deductible

Radiology services

Covered in full

After deductible

Chiropractic manipulation

Covered in full

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

Outpatient physical & occupational therapy

Covered in full

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

Preventive care

Covered in full

Before deductible

Maternity | Routine prenatal and postnatal care

Covered in full

Before 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.

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

1CMS 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.