MyPriority HMO Gold Copay+ – Spectrum Health Partners

Plan Type: HMO
Plan Tier: Gold
Individual Deductible $0.00
Family Deductible $0.00
Individual Out of Pocket Max $8,550.00
Family Out of Pocket Max $17,100.00
Primary Care Visit: $20.00
Specialist Visit: $45.00
Emergency Room: $250.00
Hospital - Physician: No Charge
Hospital - Facility: $1000 Copay per Day
Link to Full SBC: https://www.priorityhealth.com/-/media/C5D23D65C5594E8F8C7CAF81387B9864.pdf
Plan Brochure: https://www.priorityhealth.com/individual-family-health-insurance/2021/gold-copay-plus-spectrum-health?utm_campaign=oep-2021&utm_medium=website&utm_source=ffm-gold-copay-plus-spectrum

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $5.00
Non-Preferred Brand Drugs: $100.00
Preferred Brand Drugs: $75.00
Specialty Drugs: 50%
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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