West MI Partners plans

Our tiered network HMO plan is available to small employers within a 13-county area and includes "tier 1" care providers who have privileges at:

  • Spectrum Health1
  • Holland Hospital
  • Metro Health
  • Bronson Healthcare

What are the benefits of a tiered network?

A tiered network can help employers save on premiums and help employees save on deductibles, out-of-pocket limits and cost sharing—all by utilizing the selected Tier 1 provider network.

How does it work?

Providers are separated into two tiers: Tier 1 and Tier 2. We've partnered with our Tier 1 providers to lower member costs, so if employees choose care through a Tier 1 provider, they'll benefit from lower coinsurance, copays and deductibles.

In Tier 2, employees will have access to our entire PriorityHMO network. However, if they choose to receive care outside of the Tier 1 network of hospitals and providers, they will have a higher cost share for care.

Emergency services outside of this plan's limited network are covered. Use our Find a Doctor online directory to find providers in the West MI Partners network.

An ideal solution if: you're a price-sensitive employer with employees that are geographically located within The "tier 1" service area includes all of Allegan (except ZIP Code 49010), Barry, Kalamazoo, Kent, Lake, Mason, Mecosta, Montcalm, Newaygo, Osceola, Ottawa, majority of Calhoun1, and Van Buren counties.

Map of Michigan with West Michigan Partners callout

 1 Excludes Spectrum Health Lakeland Hospital

2 Calhoun County ZIP codes included in Tier 1: 49014, 49015, 49017, 49021, 49029, 49033, 49037, 49051, 49052, 49068, 49076, 49092, 49094.
2 Calhoun County ZIP codes NOT included in Tier 1: 49034, 49224, 49237, 49045, 49252, 49284

  • PriorityHMO 1000 - West MI Partners

    Deductible
    Tier 1:
    $1,000 individual, $2,000 family
    Tier 2:
    $4,000 individual, $8,000 family

    Coinsurance
    Tier 1:
    Employee pays 20%
    Tier 2:
    Employee pays 40%

    Out-of-pocket limit
    Tier 1:
    $7,350 individual, $14,700 family
    Tier 2:
    $7,350 individual, $14,700 family

    Primary / specialist / urgent care
    Tier 1:
    $20 / $50 / $75
    Tier 2:
    $45 / $75 / $85
  • PriorityHSA HMO 1400 - West MI Partners

    Deductible
    Tier 1:
    $1,400 individual, $2,800 family
    Tier 2:
    $4,500 individual, $9,000 family

    Coinsurance
    Tier 1:
    Employee pays 10%
    Tier 2:
    Employee pays 30%

    Out-of-pocket limit
    Tier 1:
    $3,500 individual, $7,000 family
    Tier 2:
    $6,650 individual, $13,300 family

    Primary / specialist / urgent care
    Tier 1:
    10% coinsurance
    Tier 2:
    30% coinsurance
  • PriorityHSA HMO 2000 - West MI Partners

    Deductible
    Tier 1:
    $2,000 individual, $4,000 family
    Tier 2:
    $5,500 individual, $11,000 family

    Coinsurance
    Tier 1:
    Employee pays 30%
    Tier 2:
    Employee pays 50%

    Out-of-pocket limit
    Tier 1:
    $6,650 individual, $13,300 family
    Tier 2:
    $6,650 individual, $13,300 family

    Primary / specialist / urgent care
    Tier 1:
    30% coinsurance
    Tier 2:
    50% coinsurance