PriorityMedicare Dual Premier (HMO D-SNP)

PriorityMedicare Dual Premier (HMO D-SNP) is a HMO D-SNP plan offered by Corewell Health available for enrollment in 2026 to people living in SE MI, Barry, Wayne and Macomb. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that PriorityMedicare Dual Premier (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 Dual Premier (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 Dual Premier (HMO D-SNP) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay for one-, two-, or three-month supplies filled at standard pharmacies or through standard mail order. For brand-name and specialty medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty drugs all carry a 25% coinsurance for standard pharmacy and standard mail order fills.

Additional Benefits

The PriorityMedicare Dual Premier (HMO D-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care, specialist visits, preventive care, and home health services. For hospital stays, members pay a $2,000 copay per inpatient admission, while outpatient services and diagnostic procedures generally require no copay and coinsurance ranging up to 35%. Emergency care is accessible with a $115 copay, which is waived upon hospital admission, and worldwide emergency services are fully covered with no copay or coinsurance. This plan also features valuable supplemental benefits, including annual vision and hearing exams with no copay or coinsurance, alongside a $200 annual eyewear allowance and coverage for up to two hearing aids every three years. While routine dental is not covered, Medicare-covered dental services and durable medical equipment are available with no copay and coinsurance up to 35% and 20%, respectively. Skilled nursing facility care starts with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.