MyPriority Prime Silver HSA Off Marketplace

An HMO provides care through a designated network of doctors, specialists and facilities that members must use in order to be covered by the plan. A primary care provider coordinates your care and you need to see an in-network doctor unless it's an emergency or you get prior approval.

Use our online Find a Doctor directory to check if your doctor is in-network. Change the search parameters from All plans to MyPriority HMO.

The metal level determines how you and your plan share the costs of care. Silver generally means moderate monthly premiums and moderate out-of-pocket costs when you receive care.

The deductible is the amount you pay for covered health care services before Priority Health begins to pay.

Coinsurance is the percentage of the cost of medical services you have to pay after you've met your deductible. Some services – like preventive care and chronic condition management – are accessible with low or no coinsurance before you meet your deductible.

This is the most you'll pay for covered health care expenses in one year. This amount includes deductibles, coinsurance and copayments for covered services.

Initial mental health visit is covered in full, after deductible.

Tier 1 includes low-cost generic drugs, proven to be as safe as brand-name drugs. Some drugs for chronic condition management are accessible at low or no cost before you meet your deductible.

See a provider through Corewell Health Virtual Urgent Care. This care is accessed through your Priority Health member account and is best for treating minor illnesses and injuries like ear infections, fevers, coughs, minor burns or bites.

Virtual primary care is offered through Corewell Health's Virtual Primary Care Practice in West Michigan when you select a Corewell Health Virtual Primary Care Practice provider as your designated PCP.

Chiropractic manipulation benefits cover 30 visits per year, including maintenance visits.

Physical therapy and occupational therapy have a combined limit of 30 visits per year.

Preventive services help you avoid potential health problems or find them early when they are most treatable before you feel sick or have symptoms. See our Preventive Health Care Guidelines for a list of covered preventive services.

Delivery and nursery care are covered with 30% coinsurance, after deductible.

The features and benefits shown on this page are intended to give you an overview of what this plan covers. For more details, please refer to the Summary of Benefits and Coverage.