How Priority Health partners with associations

Association health plans allow small business employers another option for coverage with access to large group rating and plan designs. With Priority Health, your employees will have the same access to the services, programs, and tools we offer all of our commercial group members.

Browse the association health plan options below.

HMO/POS plans

  • PriorityHMO/POS 1000

    Deductible: $1,000/$2,000
    PCP/specialist/UC copay: $25/$40/$75
    ER/ambulance/imaging copay: $150/$150/$150
    Coinsurance: 90%
    Coinsurance maximum: $1,500/$3,000
    Out-of-pocket maximum: $7,350/$14,700
    Pharmacy: $5/15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHMO/POS 1500

    Deductible: $1,500/$3,000
    PCP/specialist/UC copay: $25/$40/$75
    ER/ambulance/imaging copay: $150/$150/$150
    Coinsurance: 80%
    Coinsurance maximum: $2,500/$5,000
    Out-of-pocket maximum: $7,350/$14,700
    Pharmacy: $5/$15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHMO/POS 2000

    Deductible: $2,000/$4,000
    PCP/specialist/UC copay: $30/$45/$75
    ER/ambulance/imaging copay: $150/$150/$150
    Coinsurance: 80%
    Coinsurance maximum: $2,500/$5,000
    Out-of-pocket maximum: $7,350/$14,700
    Pharmacy: $5/$15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHMO/POS 3000

    Deductible: $3,000/$6,000
    PCP/specialist/UC copay: $35/$50/$75
    ER/ambulance/imaging copay: $150/$150/$150
    Coinsurance: 80%
    Coinsurance maximum: $2,500/$5,000
    Out-of-pocket maximum: $7,350/$14,700
    Pharmacy: $5/$20/$60/$80/20% ($200 max)/20% ($400 max)

  • PriorityHMO/POS 5000

    Deductible: $5,000/$10,000
    PCP/specialist/UC copay: $15/$30/$75
    ER/ambulance/imaging copay: $150/$150/$150
    Coinsurance: 70%
    Coinsurance maximum: $2,500/$5,000
    Out-of-pocket maximum: $7,350/$14,700
    Pharmacy: $5/$20/$60/$80/20% ($200 max)/20% ($400 max)

  • PriorityHSA HMO/POS 1350

    Deductible: $1,350/$2,700
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 80%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $2,000/$4,000
    Pharmacy: $5/$15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHSA HMO/POS 1500

    Deductible: $1,500/$3,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 80%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $3,000/$6,000
    Pharmacy: $5/$15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHSA HMO/POS 2000

    Deductible: $2,000/$4,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 80%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $4,000/$8,000
    Pharmacy: $5/$15/$50/$80/20% ($150 max)/20% ($300 max)

  • PriorityHSA HMO/POS 2500

    Deductible: $2,500/$5,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 80%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $5,000/$10,000
    Pharmacy: $5/$20/$60/$80/20% ($200 max)/20% ($400 max)

  • PriorityHSA HMO/POS 3000

    Deductible: $3,000/$6,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 80%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $5,000/$10,000
    Pharmacy: $5/$20/$60/$80/20% ($200 max)/20% ($400 max)

  • PriorityHMO/POS 6350

    Deductible: $6,350/$12,700
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 100%
    Coinsurance maximum: N/A
    Out-of-pocket maximum: $6,350/$12,700
    Pharmacy: 100%

Value Plans with Rx

  • PriorityHMO 2500

    Deductible: $2,500/$5,000
    PCP/specialist/UC copay: $45/coinsurance/coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 70%
    Coinsurance maximum: $7,900/$15,800
    Out-of-pocket maximum: $7,900/$15,800
    Pharmacy: $5/$45/30%/30%/50%/50%

  • Priority HSA HMO 5000

    Deductible: $5,000/$10,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 70%
    Coinsurance maximum: $6,650/$13,300
    Out-of-pocket maximum: $6,650/$13,300
    Pharmacy: $5/$45/30%/30%/50%/50%

  • PriorityHMO 7900

    Deductible: $7,900/$15,800
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 100%
    Coinsurance maximum: $7,900/$15,800
    Out-of-pocket maximum: $7,900/$15,800
    Pharmacy: $5/$45/30%/30%/50%/50%

Value Plans without Rx

  • PriorityHMO 2500

    Deductible: $2,500/$5,000
    PCP/specialist/UC copay: $45/coinsurance/coinsurance
    ER/ambulance/imaging copay: Coinsurance
    Coinsurance: 70%
    Coinsurance maximum: $7,900/$15,800
    Out-of-pocket maximum: $7,900/$15,800
    Pharmacy: Not covered

  • Priority HSA HMO 5000

    Deductible: $5,000/$10,000
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Deductible, then coinsurance
    Coinsurance: 70%
    Coinsurance maximum: $6,650/$13,300
    Out-of-pocket maximum: $6,650/$13,300
    Pharmacy: Not covered

  • PriorityHMO 7900

    Deductible: $7,900/$15,800
    PCP/specialist/UC copay: Coinsurance
    ER/ambulance/imaging copay: Deductible, then covered in full
    Coinsurance: 100%
    Coinsurance maximum: $7,900/$15,800
    Out-of-pocket maximum: $7,900/$15,800
    Pharmacy: Not covered


 

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