MyPriority Silver 5500 - Trinity Health East Network

MyPriority® Silver 5500 plans are a smart option for individuals or families who are healthy and savings-minded. Many common health care services like primary care visits, specialist visits, urgent care, most prescriptions and labs are available with a low copay before deductible. This plan can be purchased on the federal Marketplace or directly from Priority Health.

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®

Trinity Health East Network

A narrow network plan offered to individuals who live in Wayne, Oakland, Macomb, Washtenaw, Livingston counties and a portion of Jackson* County.

Members who choose a Trinity Health East Network plan must receive care in the Trinity Health East System network of doctors and hospitals and their affiliated clinics, outpatient facilities, labs, etc.

This network includes:

Hospitals

  • Trinity Health Chelsea Hospital
  • Trinity Health Ann Arbor Hospital
  • Trinity Health Livingston Hospital
  • Trinity Health Oakland Hospital
  • Trinity Health Livonia Hospital

Physicians (primary care and specialists)

Physicians who are affiliated with the Trinity Health East groups:

  • IHA
  • Huron Valley Physician Association
  • Oakland Physician Network Services with Trinity Health Oakland designated as the primary hospital
  • Livingston Physician Organization
  • Trinity Health Livonia Physician Practices

All in-network pharmacies

Narrow network details:

  • A narrow network allows members to enjoy a lower monthly premium while getting access to quality care
  • No referral is needed to see an in-network specialist
  • Members who enroll in this plan will see the Trinity Health East network on their member ID cards
  • Care received outside of the Trinity Health East Network will not be covered, and members will be required to cover the full cost of out-of-network care

*ZIP codes in Jackson County where the Trinity Health East narrow network is offered: 49201, 49202, 49203, 49204, 49230, 49240, 49254, 49259, 49261, 49263, 49272, 49277, 49285

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.