PriorityMedicare IdealSM 2020 plan information
Scroll down to find everything you need to know about your PriorityMedicare Ideal (PPO) plan for 2020:
- 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 2020 plan documents
Common benefits comparison
|Premium||$14||$14 - $18|
|Maximum out-of-pocket responsibility||$6,000||$6,000
(Combined in-network and
out of network)
Primary care physician: $0-$20
(Deductible doesn't apply)
Primary care physician: $0-$15
|Part D prescription drug coverage deductible||$125||$125|
This information is not a complete description of benefits. Call 888.389.6648 (TTY call 711) for more information.
2020 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.
Search the online Find a Doctor tool.
Members in all plans can take advantage of preferred pharmacy pricing.
2020 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 2020 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, 2019. You don't need to notify your 2019 plan that you're switching for 2020.
Priority Health Medicare has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract renewal.
Y0056_400040061900_M CMS accepted 09212018