Explore the Priority Health HMO plan

For Michigan public school retirees who are not yet eligible for Medicare, use the below to review plan benefits at-a-glance. Download the full summary of benefits document for more details.

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Page last updated on: 9/30/25

2026 Pre-Medicare HMO plan benefits

 

 

In-network

Deductible

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

$750

Primary care visits

$25 copayment

Preventive annual exam

$0 copayment

Virtual care visits

$0 copayment

Specialist visits

No referral required from Priority Health to see specialists. 

$40 copayment

Urgent care

Worldwide coverage

$60 copayment

Emergency room

Copayment waived if admitted. Worldwide coverage. 

$150 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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