Tiered copay plans

Our tiered copay plans offer big benefits for your small business. Your employees get great coverage before deductible for services like routine doctor visits, specialist visits, prescriptions and urgent care.

An ideal solution if: You're seeking competitively priced plans with richer benefits before the deductible is met.

 

Plan highlights

  • Range of deductibles - Choose from plans that have individual deductibles of $250, $500, $1,000, $1,500, $2,000, $2,500, $3,500 or $4,500. (Family deductibles are double the individual amount.)
  • Primary doctor visits - Comprehensive office visits before deductible, including related non-surgical services (like X-rays, labs, etc.)
  • Specialist visits - Covered before deductible
  • Urgent care - Covered before deductible
  • Generic drugs - Copayment before deductible
  • Cash rewards - Our Cost Estimator lets you shop for high-quality care at lower-priced facilities. Best of all? When you receive care at a fair-price facility, we'll send you a Visa® reward card.
  • No referral needed - Our plans don't require a referral to see a specialist
  • Optional dental coverage - Two Delta Dental PPO / Premier plans to choose from, both include annual exams and cleanings (learn more)
 

PPO plans

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.

  • PriorityPPO 250 100%

    Deductible:
    $250 individual, $500 family

    Coinsurance:
    Employee pays 0%

    Out-of-pocket limit: $5,000 individual, $10,000 family

    Primary / specialist / urgent care:
    $10 / $35 / $75

  • PriorityPPO 250 90%

    Deductible:
    $250 individual, $500 family

    Coinsurance:
    Employee pays 10%

    Out-of-pocket limit: $5,000 individual, $10,000 family

    Primary / specialist / urgent care:
    $10 / $35 / $75

  • PriorityPPO 500

    Deductible:
    $500 individual, $1,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $20 / $50 / $75

  • PriorityPPO 1000

    Deductible:
    $1,000 individual, $2,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $20 / $50 / $75

  • PriorityPPO 1500

    Deductible:
    $1,500 individual, $3,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $20 / $50 / $75

  • PriorityPPO 2000

    Deductible:
    $2,000 individual, $4,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $20 / $50 / $75

  • PriorityPPO 2500

    Deductible:
    $2,500 individual, $5,000 family

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $35 / $65 / $75

  • PriorityPPO 3500

    Deductible:
    $3,500 individual, $7,000 family

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $35 / $65 / $75

  • PriorityPPO 4500

    Deductible:
    $4,500 individual, $9,000 family

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit: $7,350 individual, $14,700 family

    Primary / specialist / urgent care:
    $35 / $65 / $75