MyPriority HMO Gold 1100

Our MyPriority HMO Gold 1100 plan is designed for individuals and families who anticipate needing health care services throughout the year. Once the deductible is met, you share in the costs with the health plan.

Keep in mind you’ll pay 100% of the cost for your health care out-of-pocket until the deductible is met.

Highlights of what members get:

  • Free virtual care: 24/7 non-emergency care by phone or online
  • Cost Estimator: Access to our tool to see prices for hundreds of services and procedures
  • Active&Fit Direct™: Discounted prices for gym memberships and more

This plan comes with our HMO network of doctors; however, there are some facilities that are not included. Please check our Find A Doctor tool to make sure your doctor is in network. 

Network

HMO

With an HMO, you choose a primary doctor that coordinates your care. You need to see an in-network doctor unless it's an emergency or you get prior approval. Use our Find a Doctor online directory to see if your doctor is in-network.

Metal level

Gold

The metal level determines how you and your plan share the costs of care. Gold means your plan pays 80% on average and you pay about 20%.

Deductible

$1,100
Individual
$2,200
Family

This is the amount you pay for in-network covered health care services before Priority Health begins to pay.

Out-of-pocket limit

$7,350
Individual
$14,700
Family

This is the most you pay during a policy period (usually a year) before Priority Health begins to pay 100% of the allowed amount. This includes your copayments, deductibles and coinsurance payments. This limit does not include your monthly premium.

Office visits

Coinsurance, after deductible
Primary doctor, specialist, urgent care

Virtual visits

$0 copayment
Before deductible

Free preventive care

$0 copayment

Routine care helps keep you and your family healthy. That's why we cover preventive care like well-child visits, flu shots and annual exams at no cost. See our Preventive Health Care Guidelines for a list of covered preventive services.

Emergency services

Coinsurance, after deductible

Diagnostic tests, X-rays, lab services and radiology services

Coinsurance, after deductible

Preferred generic and generic drugs

Coinsurance, after deductible


The features and benefits explained in this section are intended to give you an overview of your coverage and do not include or explain every detail of what is and is not covered. Please refer to the Summary of Benefits and Coverage.