PriorityMedicare Thrive Plus (PPO)

PriorityMedicare Thrive Plus (PPO) is a PPO 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 out of 5 stars in 2026.

It's important to know that PriorityMedicare Thrive Plus (PPO) 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 Thrive Plus (PPO).

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 Thrive Plus (PPO) plan features a low $100 drug deductible and offers highly competitive rates for generic medications. For Tier 1 preferred generics, you pay as little as a $1 copay for a 1-month supply, and there is no copay for a 3-month supply filled through preferred pharmacies or preferred mail order. Tier 2 generic drugs cost between $7 and $21 at preferred locations, with no copay required for a 3-month supply when using preferred mail order. Brand-name and specialty medications are covered under a coinsurance structure rather than flat copays. Tier 3 preferred brands require a 22% coinsurance at preferred locations compared to 25% at standard pharmacies, while Tier 4 non-preferred drugs carry a 35% to 40% coinsurance depending on your pharmacy choice. Specialty drugs in Tier 5 are available with a 31% coinsurance for a 1-month supply across all pharmacy and mail-order options.

Additional Benefits

The PriorityMedicare Thrive Plus (PPO) plan offers comprehensive medical coverage with many essential services featuring no coinsurance and predictable copays. For inpatient hospital stays, members pay a $300 daily copay for the first seven days and no copay thereafter, while primary care visits, annual physicals, and home health services require no copay. Emergency room visits carry a $130 copay, and specialist doctor visits range from no copay up to a $40 copay. In addition to medical care, this plan provides generous supplemental benefits, including dental coverage up to a $2,500 annual limit with no copay for most preventive services. Routine hearing exams and annual eyewear are covered with no copay, though prescription hearing aids carry a copay between $295 and $1,495. For specialized medical needs, durable medical equipment requires a 20% coinsurance, while diabetic equipment and cardiac rehabilitation are covered with no copay.