PriorityMedicare D-SNPSM 2021 plan information

Scroll down to find everything you need to know about your PriorityMedicare D-SNP (HMO) plan for 2021:

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

Your 2021 plan documents

Common benefits comparison

In-network benefit 2020 2021
Premium $0 $0
Medical deductible $0 $0
Maximum out-of-pocket responsibility*
$0 $0
Doctor visits   Primary care physician $0

Specialist visit $0
Primary care physician $0 

Specialist visit $0

Virtual visit $0
Labs $0 $0
Part D prescription drug deductible  $0 $0

This information is not a complete description of benefits. Call 833.939.0983 (TTY call 711) 8 a.m. to 8 p.m. seven days a week for more information.

*If you lose your Medicaid eligibility and fall into the six-month grace period you are responsible for the cost share of your benefits. The most you'll have to pay out-of-pocket for plan services in 2021 is $7,550. What you pay for Medicare-covered benefits (deductibles, copayments or coinsurance) count toward this maximum out-of-pocket amount.

2021 provider and pharmacy networks

When seeking care, 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. Note - 2021 provider and pharmacy directories will be available beginning Oct. 15, 2020.

Search the online Find a Doctor tool.

2021 drug coverage

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

How to renew your plan

To keep your current plan

To keep the plan you have now through 2021 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 each year. You don't need to notify your current plan that you're switching for next year.

 

 

Priority Health Medicare has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract renewal.
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