PriorityMedicare D-SNP (HMO D-SNP)

PriorityMedicare D-SNP (HMO D-SNP) is a HMO D-SNP plan offered by Corewell Health available for enrollment in 2025 to people living in lower peninsula MI counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that PriorityMedicare D-SNP (HMO D-SNP) 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 D-SNP (HMO D-SNP).

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 D-SNP (HMO D-SNP) plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic medications filled at standard pharmacies or through standard mail order. This provides an affordable option for everyday generic prescriptions. For higher-tier medications, including Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members pay a 25% coinsurance. This 25% coinsurance applies to standard pharmacies and standard mail order, with specialty drugs limited to a one-month supply. Understanding these costs helps you plan your healthcare budget effectively.

Additional Benefits

The PriorityMedicare D-SNP (HMO D-SNP) plan offers comprehensive coverage with no copay and no coinsurance for primary care, specialist visits, home health, and routine hearing and vision exams. For hospital care, members pay a $2,000 copay per admission with no coinsurance for inpatient stays, while outpatient services feature no copay and coinsurance ranging from 0% to 35%. Emergency room visits require a $115 copay, which is waived if you are admitted, and worldwide emergency services are fully covered with no copay or coinsurance. This plan also includes valuable supplemental benefits, such as routine dental care with no copay or coinsurance up to a $1,500 annual limit, and a $200 yearly allowance for eyewear with no copay, coinsurance, or deductible. Additionally, members can access up to 30 free one-way transportation trips per year, acupuncture, and over-the-counter items with no copay or coinsurance. Skilled nursing facility stays are also covered with no copay for the first 20 days and a $218 daily copay for days 21 through 100.