Explore the Priority Health Medicare MPSERS plan details

Learn how Priority Health Medicare works

The Priority Health plan is a Medicare Advantage Prescription Drug plan. This means Priority Health becomes your Part A (hospitalization), Part B (outpatient care) and Part D (prescription drug) coverage. You'll still need to pay your Part B premiums through Social Security and keep that red, white and blue card in a safe place. You'll only need to use your Priority Health card when you have medical services or fill a prescription. If you have questions or concerns about your coverage, you'll call Priority Health, not Medicare.

2019 Medicare plan benefits 

Here's a table summarizing our plan benefits. See the summary of benefits document for more details.

Deductible

$300
In-network

This is the amount you pay for in-network covered health care services before Priority Health begins to pay.

Primary care visits

$20 copayment
In-network

Preventive annual exam

$0 copayment
In-network

Virtual care visits

$0 copayment
In-network

Specialist visits

$35 copayment
in-network

Urgent care

$45 copayment
In-network

In- or out-of-network

Emergency care

$75 copayment
In-network

In- or out-of-network

Labs/X-rays/Diagnostic tests and procedures

$20 copayment
In-network

Priority Health has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract renewal. This information is not a complete description of benefits. Call 888.389.6648, option 3 (TTY users call 711) for more information. NCMS_H2320_400040061900A 10082018