All Priority Health Medicare Advantage plans include:

  • Ways to save on prescription drugs, with Preferred Pharmacy pricing and $0 copay on 90-day mail order tier 1 and 2 drugs
  • Preventive dental services, including exams and cleanings
  • Free fitness center membership or at-home fitness kits

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In-network benefits

Deductible

$0
The amount you'll pay for most covered in-network medical services before you start paying only copayments or coinsurance and Priority Health pays the balance.

Doctor office visits

$10 copay
Each primary care doctor visit
$45 copay
Each specialist visit
Deductible does not apply to primary care visits, you'll pay your copay right away.

Authorization rules may apply.

Lab services

$10 copay
Medicare-covered lab services

If you receive additional services, cost-sharing for those services may apply.

Authorization rules may apply.

Diagnostic tests and procedures

$10 copay
Medicare-covered diagnostic procedures and tests

If you receive additional services, cost-sharing for those services may apply.

Authorization rules may apply.

Outpatient X-rays

$35 copay
Medicare-covered outpatient X-rays

If you receive additional services, cost-sharing for those services may apply.

Authorization rules may apply.

Diagnostic radiology services

$150 copay
Medicare-covered diagnostic radiology services

Diagnostic radiology includes services such as MRIs and CT scans.

If you receive additional services, cost-sharing for those services may apply.

Authorization rules may apply.

Radiation therapy

$ 25 copay
Medicare-covered radiation therapy services, such as cancer treatment

If you receive additional services, cost-sharing for those services may apply.

Authorization rules may apply.

Preventive services

$0 copay
Annual wellness visit and preventive services covered under Original Medicare

See a list of preventive services covered at $0 copay. Any additional preventive services approved by Medicare during the contract year will be covered. 

Services may require a referral from your doctor.

Virtual care

$0 copay
Per visit

Also referred to as "evisits" or "remote access technologies," virtual care is a cost-effective and convenient way to visit with a health care professional via phone or video for non-emergencies.

Wellness (fitness) programs

$0 copay

For a fitness membership at a participating Silver&Fit® facility or up to 2 home fitness kits.


Prescription drug benefits

Part D prescription drug deductible

$0
Tier 1 and tier 2
$100
Tiers 3-5

This deductible applies to the cost of all drugs on the plan's list of approved drugs, or "formulary." Download the formulary to see approved drugs or view the Approved Drug List on this website.


Optional benefits

Enhanced Vision & Dental package


Optional benefit: Add enhanced vision and dental coverage to your MAPD plan for an extra $33 monthly premium.

Get details and learn how to add this coverage to your plan