PriorityExtras: HMO plans

Plan highlights

  • $20 office visits - Any combination of up to four specialist, family doctor or urgent care visits before deductible, including related non-surgical services (like X-rays, labs, etc.)
  • $30 acupuncture visits - 20 visits per year (medically necessary)
  • $30 medical massage - 20 visits per year (medically necessary)
  • $0 virtual visits - Unlimited 24/7 non-emergency care by phone or online "virtual" connection (with a Priority Health hosted provider).
  • 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.
  • Cash incentives to be active - Earn money for being active with ExerciseRewardsTM.
  • $5 generic drugs - Preferred generics for a $5 copayment before deductible.
  • 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)

PriorityExtras HMO plans

  • PriorityExtras 1000

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

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit:
    $4,000 individual,
    $8,000 family

    Primary / specialist / urgent care:
    $20 copayment for first 4 visits a year, then 20% coinsurance

  • PriorityExtras 2500

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

    Coinsurance:
    Employee pays 30%

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

    Primary / specialist / urgent care:
    $20 copayment for first 4 visits a year, then 30% coinsurance

  • PriorityExtras:
    West MI Partners

    Is your small business is located in one of these West Michigan counties:
    Allegan (northern half), Lake, Kent, Mason, Mecosta, Newaygo, Osceola and Ottawa? If yes, then our affordable tiered network option is the best option for you.

PriorityExtras HMO is only available on the full HMO network for groups that live outside this area.