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 Medicare 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.
2025 Medicare plan benefits
Here's a table summarizing our plan benefits. See the summary of benefits document for more details.
In-network | |
|---|---|
Deductible This is the amount you pay for in-network covered health care services before Priority Health begins to pay. | $650 |
Primary care visits | $0 copayment |
Preventive annual exam | $0 copayment |
Virtual care visits | $0 copayment |
Specialist visits | $35 copayment |
Urgent care In or out-of-network | $45 copayment |
Emergency care In or out-of-network | $120 copayment |
Labs/X-rays/Diagnostic tests and procedures | $10 copayment |
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 844.403.0847 (TTY users call 711) for more information.
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