PriorityHMO tiered copay plans

Plan highlights

  • Range of deductibles - Choose from plans that have individual deductibles of $250, $500, $1,000, $1,500, $2,000 or $3,000, $4,000. (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)

PriorityHMO tiered copay plans

  • PriorityHMO 250 100% tiered copay

    Deductible:
    $250 individual,
    $500 family

    Coinsurance:
    Employee pays 0%

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

    Primary / specialist / urgent care:
    $10 / $25 / $75 copayment

  • PriorityHMO 250 90% tiered copay

    Deductible:
    $250 individual,
    $500 family

    Coinsurance:
    Employee pays 10%

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

    Primary / specialist / urgent care:
    $10 / $25 / $75 copayment

  • PriorityHMO 500 2-tier Rx tiered copay

    Deductible:
    $500 individual, $1,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $20 / $35 / $75 copayment

  • PriorityHMO 500 5-tier Rx tiered copay

    Deductible:
    $500 individual, $1,000 family

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $20 / $35 / $75 copayment

  • PriorityHMO 1000 tiered copay

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

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $20 / $35 / $75 copayment

  • PriorityHMO 1500 tiered copay

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

    Coinsurance:
    Employee pays 20%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $10 / $25 / $75 copayment

  • PriorityHMO 2000 tiered copay

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

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $30 / $45 / $75 copayment

  • PriorityHMO 3000 tiered copay

    Deductible:
    $3,000 individual, $6,000 family

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $30 / $45 / $75 copayment

  • PriorityHMO 4000 tiered copay

    Deductible:
    $4,000 individual, $8,000 family

    Coinsurance:
    Employee pays 30%

    Out-of-pocket limit:
    $7,150 individual, $14,300 family

    Primary / specialist / urgent care:
    $30 / $45 / $75 copayment

  • PriorityHMO tiered copay plans:
    West MI Partners

    If your small business is in West Michigan and most of your employees live in West Michigan, consider our affordable tiered network option.