Priority Made Simple HMO plans

The new Priority Made Simple plan addresses confusion about insurance and price transparency through a copay-only design with a $0 deductible. This plan includes no out-of-pocket payments for PCP, virtual or mental health visits. It provides both affordability and transparency.

Smart idea:

For employers, Priority Made Simple is a smart choice if you’re looking for a plan that lets you and your employees avoid cost uncertainty.

Plan notes

We want you to know exactly what you're looking at, so here are explanations of the notes used in the plan pricing information.

  • (E) "Embedded" means the plan contains an individual limit (stop) within the family total. The embedded stop occurs when an individual's deductible or out-of-pocket limit has been satisfied, but the family deductible or out of pocket limit hasn't.
  • (A) "Aggregate" means the total deductible or out-of-pocket limit does not contain an individual limit. An individual is covered when the family deductible or out-of-pocket limit has been met.
  • Deductibles and out-of-pocket limits are listed as individual/family amounts.
  • Priority Made Simple (Plus)

    Deductible:
    $0/$0 E
    Coinsurance:
    None
    Out-of-pocket-limit:
    $5000/$10000 E
    Primary/specialist/urgent care:
    $0/$100/$100
  • Priority Made Simple 

    Deductible:
    $0/$0 E
    Coinsurance:
    None
    Out-of-pocket-limit:
    $8150/$16300 E
    Primary/specialist/urgent care:
    $0/$100/$100