PriorityMedicare IdealSM 2018 annual changes

Scroll down to find everything you need to know about your PriorityMedicare Ideal (PPO) plan for 2018:

  • 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 2018 plan documents

Common benefits comparison

In-network benefit

2017 2018
Premium $18 $18
Medical deductible $160 $80
Maximum out-of-pocket responsibility $6,400 $6,400
Doctor visits

Primary care physician: $0-$25

Specialist: $0-$50

Primary care physician: $0-$20

Specialist: $0-$50

Part D prescription drug coverage deductible $400 $125

This information is not a complete description of benefits. Contact the plan for more information. Limitations, deductibles copayments, restrictions and exclusions may apply. Benefits, premium and or copayments/coinsurance may change on Jan. 1 of each year.

2018 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.

New for 2018 - Members in all plans can take advantage of preferred pharmacy pricing.

North region

East region

South region 

Southeast region

West region 

2018 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 2018 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, 2017. You don't need to notify your 2017 plan that you're switching for 2018.