Explore your Priority Health plan benefits

Below provides an overview of plan benefits for active employees. See the Summary of Benefits and Coverage documents for more coverage details.

2022 benefits for active employees

Deductible

$125
Member
$250
Family

Your deductible is the amount you pay for in-network covered health care services before Priority Health begins to pay.

Out-of-pocket maximum

$2,000
Member
$4,000
Family

Preventive care

$0

Hospital care

100% coverage
After deductible

Office care

$20
Copayment

Virtual visits

$10*
Copayment 

Virtual care is great option when you have a non-life-threatening condition but can't wait for a doctor's appointment. 

ER (emergency)

$200
Copayment (waived if admitted)

Urgent care

$20
Copayment

Ambulance

100% coverage
After deductible

Pharmacy

$10 copay
Generic
$30 copay
Preferred brand
$60 copay
Non-preferred brand

Mail order (90-day supply): 2 copayments