MyPriority Holistic Bronze Spectrum Health Partners

MyPriority® Holistic is a different kind of Michigan health insurance plan that combines alternative therapies with traditional care. You get immediate access to services like medically necessary massage therapy and acupuncture. As well as extra incentives to support a healthy lifestyle, like cash rewards for being active.

What is Spectrum Health Partners?

This plan offers a narrow network available only to those who live in Kent County. You must receive care in the Spectrum Health system of doctors and hospitals. A limited network allows you to enjoy a lower monthly premium and have access to quality care. You'll need prior authorization from us to be covered for care in our full HMO network. 

Highlights of what you get

  • $30 acupuncture visit - 20 visits per year per member (medically necessary)
  • $30 medical massage therapy - 20 visits per year per member (medically necessary)
  • Cash rewards - Earn money for being active with ExerciseRewardsTM
  • Free virtual visits - Unlimited 24/7 non-emergency care by phone or online "virtual" connection (Easily schedule an appointment with MedNow, powered by MyHealth)  
  • $0 doctor visits (2) - Limited to two FREE evaluation and management visits per year. After two visits deductibles and copayments apply
  • Prescription drugs - $5 preferred generics or $25 generics before deductible
  • No referral needed - Our plans don't require a referral to see an in-network specialist
  • Optional dental coverage - Two plans to choose from, both include annual exams and cleanings

MyPriority Holistic Bronze Spectrum Health Partners

Network

Spectrum Health Partners

You must receive care in the Spectrum Health system of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc. Emergency services are covered at the in-network level. Use our Find a Doctor online directory to see if your doctor is in the Spectrum Health Partners network.

Metal level

Bronze

The metal level determines how you and your plan share the costs of care. Bronze means your plan pays 60% on average and you pay about 40%.

Deductible

$5,550
Individual
$11,100
Family

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

Coinsurance

50%
Plan pays
50%
You pay

This is the amount you pay in-network, after deductible. Preventive health services are covered at 100%.

Out-of-pocket limit

$7,150
Individual
$14,300
Family

This is the most you pay during a policy period (usually a year) before Priority Health begins to pay 100% of the allowed amount. This includes your copayments, deductibles and coinsurance payments. This limit does not include your monthly premium.

Office visits - primary doctor

Free
First 2 visits
$30 copayment
After first two visits

Office visits - specialist

$50 copayment
After deductible

Deductibles and copayments apply.

Office visits - urgent care

$75
After deductible

Deductibles and copayments apply.

Free preventive care

$0 copayment

Routine care helps keep you and your family healthy. That's why we cover preventive care like well-child visits, flu shots and annual exams at no cost. See our Preventive Health Care Guidelines for a list of in-network covered preventive services.

Emergency services

$250 copayment
After deductible, waived if admitted

Diagnostic tests, X-rays, lab services and radiology services

50% coinsurance
After deductible

Virtual visits

Free

Get 24/7 access to an in-network doctor via the phone or web. 

Preferred generic and generic drugs

$5 or $25 copayment
Before deductible


The features and benefits explained in this section are intended to give you an overview of your coverage and do not include or explain every detail of what is and is not covered. Please refer to the Summary of Benefits and coverage.