PriorityMedicare KeySM 2019 plan information

Scroll down to find everything you need to know about your PriorityMedicare Key (HMO-POS) plan for 2019:

  • 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 2019 plan documents

Common benefits comparison

In-network benefit 2018 2019
Premium $0 $0
Medical deductible $285 $250
Maximum out-of-pocket responsibility $4,200 $4,200
Doctor visits   Primary care physician: $0-$20

Specialist visit $0-$45
Primary care physician: $0-$20
(Deductible doesn't apply)

Specialist visit $0-$45
Part D prescription drug deductible Tiers 1 - 2: $0
Tiers 3 - 5: $150
Tiers 1 - 2: $0
Tiers 3 - 5: $125

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

2019 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.

2019 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 2019 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, 2018. You don't need to notify your 2018 plan that you're switching for 2019.

 

 

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 09252018