PriorityClassic HMO plans

Our PriorityClass (formerly tiered copay) plans offer big benefits for your small business. You get a choice of three plan networks (HMO, POS, PPO). Best of all, your employees get great coverage before deductible for services like routine doctor visits, specialist visits, prescriptions and urgent care.

Smart idea:

Classic plans are ideal if you’re seeking competitively priced plans with richer benefits before the deductible is met.

Plan highlights

  • Range of deductibles – Choose from plans that have individual deductibles of $250, $500, $850, $1,000, $1,500, $2,000, $2,500, $2,750, $3,500 or $4,500 (family deductibles are double the individual amount)
  • Primary doctor visits – Comprehensive office visits before deductible, including related non-surgical services (like X-rays, labs, etc.)
  • Specialist visits – Copayment before deductible
  • Urgent care – Copayment before deductible
  • Generic drugs – Copayment before deductible
  • Cash rewards – Our Cost Estimator lets you shop for high-quality care at lower-priced facilities. Best of all? When you receive care at a fair-price facility, we'll send you a Visa® reward card.
  • No referral needed – Our plans don't require a referral to see a specialist
  • Optional dental coverage – Two Delta Dental PPO/Premier plans to choose from, both include annual exams and cleanings
  • Adult vision coverage  $15 copay for an annual eye exam, including a refraction test

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.
  • PriorityHMO 250 100%

    Deductible:
    $250/$500 E
    Coinsurance:
    100%
    Out-of-pocket-limit:
    $5000/$10000 E
    Primary/specialist/urgent care:
    $10/$35/$75

  • PriorityHMO 250 90%

    Deductible:
    $250/$500 E
    Coinsurance:
    90%
    Out-of-pocket-limit:
    $5000/$10000 E
    Primary/specialist/urgent care:
    $15/$35/$75

  • PriorityHMO 500

    Deductible:
    $500/$1000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7900/$15800 E
    Primary/specialist/urgent care:
    $20/$50/$75

  • PriorityHMO 850

    Deductible:
    $850/$1700 E
    Coinsurance:
    70%
    Out-of-pocket-limit:
    $8150/$16300 E
    Primary/specialist/urgent care:
    $10/$40/$75

  • PriorityHMO 1000

    Deductible:
    $1000/$2000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $20/$50/$75

  • PriorityHMO 1500

    Deductible:
    $1500/$3000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $20/$50/$75

  • PriorityHMO 2000

    Deductible:
    $2000/$4000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $20/$50/$75

  • PriorityHMO 2500

    Deductible:
    $2500/$5000 E
    Coinsurance:

    80%
    Out-of-pocket-limit:
    $7900/$15800 E
    Primary/specialist/urgent care:
    $20/$60/$75

  • PriorityHMO 2750

    Deductible:
    $2750/$5500 E
    Coinsurance:
    70%
    Out-of-pocket-limit:
    $8150/$16300 E
    Primary/specialist/urgent care:
    $45/$75/$85

  • PriorityHMO 3500

    Deductible:
    $3500/$7000 E
    Coinsurance:
    70%
    Out-of-pocket-limit:
    $7900/$15800 E
    Primary/specialist/urgent care:
    $35/$65/$75

  • PriorityHMO 4500

    Deductible:
    $4500/$9000 E
    Coinsurance:
    70%
    Out-of-pocket-limit:
    $7900/$15800 E
    Primary/specialist/urgent care:
    $35/$65/$75

  • PriorityHMO 50%

    Deductible:
    $0/$0 E
    Coinsurance:
    50%
    Out-of-pocket-limit:
    $8150/$16300 E
    Primary/specialist/urgent care:
    $30/$50/$75

Tiered networks

Learn more about West MI Partners and Southeast MI Partners.

  • PriorityHMO 1000 - West MI Partners

    Tier 1

    Deductible:
    $1000/$2000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $20/$50/$75


    Tier 2

    Deductible:
    $4000/$8000 E
    Coinsurance:
    60%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $45/$75/$85

  • PriorityHMO 1000 - Southeast MI Partners

    Tier 1

    Deductible:
    $1000/$2000 E
    Coinsurance:
    80%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $20/$50/$75


    Tier 2

    Deductible:
    $4000/$8000 E
    Coinsurance:
    60%
    Out-of-pocket-limit:
    $7350/$14700 E
    Primary/specialist/urgent care:
    $45/$75/$85