Tiered copay plans
Our tiered copay plans offer big benefits for your small business. You get a choice of three plan types (HMO, POS, PPO). Best of all, your employees get lots of coverage before deductible for services such as routine doctor visits, specialist visits, prescriptions and urgent care.
An ideal solution if:
You’re seeking competitively priced plans and more interested in richer, traditional benefits.
Select the right network for your employees
Still not sure?
PriorityHMOSM is our most popular health coverage option. It emphasizes health and wellness while managing medical costs, ensuring employees receive all the services they need, but none that are unnecessary. Members can go to any specialist in our network without a referral (but PCPs can coordinate medical care to help keep out-of-pocket costs low).
PriorityPOSSM plan benefits employers who are looking for the flexibility of traditional health plan but need the cost savings of managed care. In this plan, we offer our same extensive provider network. Employees can choose an in-network primary care physician (PCP) and receive full benefits. Employees can also seek care outside the network without a referral, but must pay more for out-of-pocket expenses.
PriorityPPOSM offers employees the greatest freedom of choice by providing in-network and out-of-network options. Employers reap the benefits of a low-cost health care plan, while employees can choose to see Priority Health network providers and pay less or visit non-network doctors or hospitals and pay more.
West MI Partners network
Our tiered network HMO plan is available to small employers within an 8.5-county* area and includes "tier 1" care providers who have privileges at Spectrum Health, Holland Hospital and Metro Health.
In a tiered network, members pay less out-of-pocket for care from hospitals and primary care providers that are high-quality and lower cost.
Emergency services outside of this plan's limited network are covered. Use our Find a Doctor online directory to find providers in the West MI Partners network.
Ideal solution if:
You're a price-sensitive employer with employees that are geographically located within The "tier 1" service area includes the northern half of Allegan*, Lake, Kent, Mason, Mecosta, Montcalm, Newaygo, Osceola and Ottawa counties.**
*ZIP codes in Allegan where tiered network is offered: 49423, 49453, 49406, 49419, 49464, 49426,49315, 49323, 49328, 49335, 49316, 49333, 49348, 49408, 49311, 49314
Not included in tiered network: 49344, 49070, 49078, 49080, 49010, 49026, 49055, 49056, 49090, 49450, 49416.
**The full-network PriorityExtras HMO product is only available where the tiered network PriorityExtras HMO product is not.