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
$250
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
$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. 

*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)

Urgent care

$20
Copayment

Ambulance

100% coverage
After deductible

Pharmacy

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

Mail order (90-day supply): 2 copayments