Explore your Priority Health plan benefits
Here's a table summarizing our plan benefits. See the Summary of Benefits and Coverage documents for more details.
2018-19 benefits for active employees
Deductible
$125
Member
Member
$250
Family
Family
Out-of-pocket maximum
$2,000
Member
Member
$4,000
Family
Family
Preventive care
$0
Hospital care
100% coverage
After deductible
After deductible
Office care
$20
Copayment
Copayment
Virtual visits
$20
Copayment
Copayment
ER (emergency)
$200
Copayment (waived if admitted)
Copayment (waived if admitted)
Urgent care
$20
Copayment
Copayment
Ambulance
100% coverage
After deductible
After deductible
Pharmacy
$10 copay
Generic
Generic
$30 copay
Preferred brand
Preferred brand
$60 copay
Non-preferred brand
Non-preferred brand
Mail order (90-day supply): 2 copayments