Explore your Priority Health plan benefits
Below provides an overview of plan benefits for early retirees. See the Summary of Benefits and Coverage documents for more coverage details.
2019-20 benefits for early retirees
Deductible
$125
Member
Member
$250
Family
Family
This 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
Member
$4,000
Family
Family
Preventive care
$0
Hospital care
100% coverage
After deductible
After deductible
Office care
$20
Copayment
Copayment
Virtual visits
$10*
Copayment
Copayment
Virtual care is great option when you have a non-life-threatening condition but can't wait for a doctor's appointment.
*Applies to all plans except for Medicare eligible retirees. Copayment remains $20 for employees who retired from the State Police enlisted unit on or after October 1, 1987 .
ER (emergency)
$200
Copayment (waived if admitted)
Copayment (waived if admitted)
Urgent care
$20
Copayment
Copayment
Ambulance
100% coverage
After deductible
After deductible
Pharmacy
$10 copay
Ceneric
Ceneric
$30 copay
Preferred brand
Preferred brand
$60 copay
Non-preferred brand
Non-preferred brand
Mail order (90-day supply): 2 copayments