MyPriority Value Bronze HSA

MyPriority® Value Bronze HSA is an affordable plan if you tend to be healthy and prioritize savings. This plan offers you protection in case of a major health event and allows you to save for medical expenses with a Health Savings Account (HSA). With an HSA, you can take advantage of federal tax benefits and roll over any unused funds into the next year.

Certain services and supplies covered under chronic condition and diabetes management are covered with cost share or in full before the deductible is met, giving you the resources you need to take control of your health.

Keep in mind, with an HSA plan, you'll be responsible for 100% of the cost of your health care until you meet your deductible.

Helping you stay healthy and engaged is our priority.

  • Free HSA partners: HealthEquity® will set up your HSA banking account and help you manage it. Then use your HSA card in our online Priority Health storefront on Amazon to purchase HSA-eligible health care items.
  • On-demand mental health support: Get access to a digital solution that helps with stress, anxiety, chronic pain and more. It can be self-directed or used with coaching support at no cost.
  • Chronic condition management: Before your deductible is met, certain services, supplies and prescriptions used to treat common long-term health conditions are covered with cost share or in full.
  • Diabetes management: Before your deductible is met, certain supplies, treatments, prescriptions and tests are covered with cost share or in full.
  • Global emergency assistance: If you become ill or injured while traveling more than 100 miles from home, our partner Assist America® will help you get care or arrange your safe travel home.
  • Care for your hearing: Get discounts for you and your extended family for hearing exams and hearing aids through TruHearing.®

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

Network

HMO

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.

Metal level

Bronze

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.

Deductible

$7,200
Individual
$14,400
Family

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

Coinsurance

Covered in full
After deductible

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

$7,200
Individual
$14,400
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

Covered in full
Primary care
After deductible
Covered in full
Specialist
After deductible
Covered in full
Mental health
After deductible

Tier 1a and Tier 1b drugs

Covered in full
Tier 1a
After deductible
Covered in full
Tier 1b
After deductible

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.

Urgent care and Retail health clinics

Covered in full
Urgent care
After deductible
Covered in full
Retail health clinic
After deductible

Emergency room

Covered in full
Emergency room
After deductible

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.

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 in full after deductible.

Diagnostic tests, X-rays, lab and radiology services

Covered in full
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.