2024 MyPriority Special Enrollment Guide

WHAT’S YOUR PRIORITY?

Health coverage that fits your priorities

• Marriage or divorce • Having a baby or planning to adopt

• Job loss • Turing 26 • Moving • Retiring Early

• Loss of health coverage • And other life changing events

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*CMS scores qualified health plans (QHPs) offered through the exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5-star scale. Ratings may change from year to year. 4

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BEST VALUE

BRONZE Monthly cost

SILVER

GOLD

Monthly cost

Monthly cost

$

$$

$$$

Cost when you get care

Cost when you get care

Cost when you get care

$$

$$$

$

*Open Access Plus

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*Michigan Department of Health and Human Services. https://www.michigan.gov/mdhhs/keep-mi-healthy/communicablediseases/ epidemiology/chronicepi **Not applicable to pre-ACA plans.

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Pssst - just pick a Priority Health plan; it’s the best.

Option 1

Option 2

Option 3

MyPriority Premier Silver

Plan type (HMO, HSA)

HMO

Metal Tier (bronze, silver, gold)

silver

Monthly premium (after tax credits) Deductible

$5,500/$11,000

Out-of-pocket max

$9,400/$18,800

30% coinsurance, after ded.

Coinsurance

$30 copay, before ded. $65 copay, before ded. $75 copay, before ded. Chronic Condition Management $5 copay, before ded.

Office visits: Primary doctor

Office visits: Specialist Office visits: Urgent Care

Added benefits

Prescription Coverage Tier 1a

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