MyPriority HMO Gold 1100

Plan Type: HMO
Plan Tier: Gold
Individual Deductible $1,100.00
Family Deductible $2,200.00
Individual Out of Pocket Max $8,150.00
Family Out of Pocket Max $16,300.00
Primary Care Visit: 20% Coinsurance after deductible
Specialist Visit: 20% Coinsurance after deductible
Emergency Room: 20% Coinsurance after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: https://www.priorityhealth.com/-/media/13B64BC5675E4ADB961C385D01F139E8.pdf
Plan Brochure: https://www.priorityhealth.com/individual-family-health-insurance/2021/gold-1100?utm_campaign=oep-2021&utm_medium=website&utm_source=ffm-gold-1100

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: 20% Coinsurance after deductible
Non-Preferred Brand Drugs: 20% Coinsurance after deductible
Preferred Brand Drugs: 20% Coinsurance after deductible
Specialty Drugs: 20% Coinsurance after deductible
Summary of Benefits https://www.priorityhealth.com/formulary

About The Carrier

Priority Health is an award-winning health plan nationally recognized for creating innovative solutions that impact health care costs while maximizing customer experience. It offers a broad portfolio of products for employer groups and individuals including Medicare and Medicaid beneficiaries. As a nonprofit company, Priority Health serves more than 600,000 people and continues to be rated among the best health plans in the nation by the National Committee for Quality Assurance.

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