MyPriority Standard Gold 2000 - Ascension St. John Providence
MyPriority® Gold 2000 is a standardized plan, offered by qualified health plans (QHPs) on the federal Marketplace. Standard plans have uniform plan designs with the same cost-sharing parameters from issuer to issuer, making plan choice and comparison simpler for enrollees. These standard plans allow consumers to more easily find the right form of quality, affordable health coverage for their circumstances.
Your health is our top priority
Earning 4 out of 5 stars* on healthcare.gov, Priority Health gives you more for your money and does more to improve your health.
Highlights of what members get:
- On-demand mental health support: myStrength, included at no added cost, is a mental health and wellness online tool that helps you live your best life.
- Chronic condition management: Access to a variety of medications, supplies and services to help keep your chronic conditions under control—covered in full or with a low cost share, before deductible.
- Diabetes management: Our plans provide coverage for diabetes management services, supplies and treatments for no cost, before deductible when furnished by a participating durable medical equipment (DME) provider. Diabetes prescriptions and testing procedures are covered before deductible, with cost share.
- Global emergency assistance: If you or your dependents become ill or injured while traveling more than 100 miles from home, our partner Assist America® can help you get care and even arrange your safe travel home.
- Hearing exams and hearing aids: Discounts for you and your extended family with TruHearing®
This plan comes with our HMO network of doctors; however, there are some facilities that are not included. Please check our Find A Doctor tool to make sure your doctor is in network.
Ascension St. John Providence Network
A narrow network offered to individuals who live in Wayne, Oakland and Macomb counties
Members who choose an Ascension St. John Providence Network plan are required to receive care in the Ascension St. John Providence system of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc.
This network includes:
Hospitals: Ascension Macomb-Oakland Hospital – Madison Heights Campus, Ascension Macomb-Oakland Hospital – Warren Campus, Ascension River District Hospital, Ascension Providence Rochester Hospital, Ascension Providence Hospital – Novi Campus, Ascension Providence Hospital – Southfield Campus, Ascension St. John Hospital
Physicians (primary care and specialist) network: Physicians who are affiliated with the Ascension St. John Providence groups listed below:
- Ascension St. John and St. John North Shore
- Ascension St. John River District
- Ascension St. John Oakland
- Ascension St. John Macomb
- Ascension St. John Cornerstone
- Ascension Providence Hospital
All in-network pharmacies
Details:
- A narrow network allows members to enjoy a lower monthly premium while getting access to quality care
- No referral needed to see an in-network specialist
- Members who enroll in this plan will see the Ascension St. John Providence network on their ID cards
- Care received outside of the Ascension St. John Providence network will not be covered, and members will be required to cover the full cost for out-of-network care
1CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates QRS ratings yearly on a 5-star scale. QHP issuers work with HHS-approved survey vendors that independently conduct the survey each year. QRS ratings and QHP Enrollee Survey results may change from year to year.
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Still have questions?
Talk to a Priority Health enrollment specialist: 833.709.2966