Explore the Priority Health HMO plan

For Michigan public school retirees who are not yet eligible for Medicare, use the below to review plan benefits at-a-glance. Download the full summary of benefits document for more details.

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Page last updated on: 3/31/25

2025 Pre-Medicare HMO plan benefits

In-network

Deductible

This is the amount you pay for in-network covered health care services before Priority Health begins to pay.

$750

Primary care visits

$25 copayment

Preventive annual exam

$0 copayment

Virtual care visits

$0 copayment

Specialist visits

No referral required from Priority Health to see specialists. 

$40 copayment

Urgent care

Worldwide coverage

$60 copayment

Emergency room

Copayment waived if admitted. Worldwide coverage. 

$150 copayment