PriorityMedicare Value (HMO-POS)

PriorityMedicare Value (HMO-POS) is a HMO-POS plan offered by Corewell Health available for enrollment in 2025 to people living in 68 lower peninsula Michigan counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that PriorityMedicare Value (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about PriorityMedicare Value (HMO-POS).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The PriorityMedicare Value (HMO-POS) plan features a low $100 drug deductible and offers budget-friendly copayments for generic medications. For Tier 1 preferred generics, you pay a $2 copay for a 1-month supply at preferred pharmacies and mail-order services, with no copay required for a 3-month supply. Tier 2 generics are also highly accessible, costing a $10 copay for a 1-month supply at preferred pharmacies and offering no copay for a 3-month supply through preferred mail order. For brand-name and specialty medications, the plan utilizes a coinsurance model that rewards you for using preferred pharmacies and mail-order services. Tier 3 preferred brands require 22% coinsurance at preferred locations compared to 25% at standard pharmacies, while Tier 4 non-preferred drugs carry a 35% coinsurance at preferred locations. Finally, Tier 5 specialty drugs are covered with a 31% coinsurance for a 1-month supply regardless of your pharmacy choice.

Additional Benefits

The PriorityMedicare Value (HMO-POS) plan offers robust medical coverage featuring no copay and no coinsurance for primary care visits, annual physicals, and home health services. Specialist office visits are highly affordable with copays ranging from $0 to $35. For hospital care, inpatient stays require a $325 daily copay for the first seven days and no copay for subsequent days, while outpatient hospital services feature no coinsurance and copays up to $325. Supplemental benefits include annual routine hearing exams and most dental services with no copay, plus up to $100 annually for eyewear with no copay or coinsurance. Emergency care is available with a $130 copay that is waived upon hospital admission, while urgently needed care requires a $50 copay. For durable medical equipment and dialysis services, members will pay a 20% coinsurance with no copay.