PriorityMedicare^SM 2022 plan information

Scroll down to find everything you need to know about your PriorityMedicare (HMO-POS) plan for 2022:

• Links to your plan documents 
• Commonly used benefits chart
• Information about our doctor and pharmacy network
• Drug coverage
• Information about how to renew your plan

Your 2022 plan documents

• Annual Notice of Changes (ANOC) 

• Evidence of Coverage (EOC)

Note: detailed benefits and information for your dental, routine vision and routine hearing coverage are now included in the appendix of your EOC.

Common benefits comparison

In-network benefit	2021	2022
Premium	$86 - $170	$74 - $127
Medical deductible	$0	$0
Maximum out-of-pocket responsibility	$4,500	$4,500
Doctor visits	Primary care physician: $0-$10 Specialist: $0-$40 Virtual care: $0	Primary care physician: $0-$10 Specialist: $0-$40 Virtual care: $0
Labs	$30	$30  $0 anticoagulant labs
Part D prescription drug coverage deductible	Tiers 1 - 5: $0	Tiers 1 - 5: $0

This information is not a complete description of benefits. Call 888.389.6648 (TTY call 711) for more information.

2022 provider and pharmacy networks

Save money when you use the Priority Health Medicare network of doctors, labs, facilities, medical equipment and other health care providers. Search online by name, ZIP code, city, or other options. Or page through the print version linked below.

Save money by taking advantage of preferred pharmacy pricing (excludes PriorityMedicare D-SNP). Find a preferred pharmacy in the Find a Doctor tool.

Search the online Find a Doctor tool. 

• North region
• East region
• South region 
• Southeast region
• West region 

2022 drug coverage

Our MAPD (Medicare Advantage + Prescription Drug) plans cover both Medicare Part B and Medicare Part D prescription drugs. 

• View or print a copy of the 2022 formulary

How to renew your plan

To keep your current plan

To keep the plan you have now through 2022, you don't have do anything. You will automatically stay enrolled as a member of that plan.

How to switch to a different plan

To switch to a different Priority Health Medicare plan, or to another insurance company's plan, or back to Original Medicare (Parts A & B) only, you just need to enroll in the new plan between Oct. 15 and Dec. 7.