telephone icon1-817-813-4562, TTY 711- Text Size +
Find a licensed insurance agent
Shop plans now
telephone iconCall Now
Healthmarkets logo
Find a licensed insurance agent
Highmark Benefits Group Inc.

my Priority Blue Flex EPO Premier Gold 0 + Adult Dental and Vision

Links

Plan Overview

Medical Deductible
  • Individual: 0
  • Family: 0
  • Per Person: 0
Prescription Drug Deductible
  • Individual: 0
  • Family: 0
  • Per Person: 0
Medical Out-of-Pocket Maximum
  • Individual: 6500
  • Family: 13000
  • Per Person: 6500
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: $15 Copay
Specialist
  • Standard: $15 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $25 Copay
Non Preferred Brand Drugs
  • Standard: $75 Copay
Generic Drugs
  • Standard: $0 Copay
Specialty Drugs
  • Standard: 50% Coinsurance

Inpatient Coverage

Hospital Services
  • Standard: $375 Copay per stay
Inpatient Services
  • Standard: 20% Coinsurance

Emergency and Urgent Care

Emergency Room
  • Standard: $250 Copay
Related Articles
You may be interested in these relevant articles from across the HealthMarkets.com network.

8 Reasons to Go In for An Eye Exam

Here’s an eye-opening statistic: Nearly 9 out of 10 people consider sight to be…Read More

Read More

What Is a Qualifying Life Event, and How Might It Help You Get Health Benefits?

Have you recently had a qualifying life event? “A qualifying what?” you might ask.…Read More

Read More

What dental X-rays reveal about your teeth

Your dentist’s assistant just announced that you’re due for X-rays today — and now…Read More

Read More
footer logo
facebook logo
Products
Connect
Get Counsel
Get to Know Us

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN79962PA0240001ACA1

Medicare Plans by State
ALARAZCACOCTDCDEFLGAIAIDILINKSKYLAMDMEMIMNMOMSMTNCNENHNJNMNVNYOHOKORPARISCTNTXUTVAWAWIWVWY
Health Insurance Plans by State
ALARAZCACOCTDCDEFLGAIAIDILINKSKYLAMDMEMIMNMOMSMTNCNENHNJNMNVNYOHOKORPARISCTNTXUTVAWAWIWVWY
Dental Insurance Plans by State
ALARAZCACOCTDCDEFLGAIAIDILINKSKYLAMDMEMIMNMOMSMTNCNENHNJNMNVNYOHOKORPARISCTNTXUTVAWAWIWVWY
Life Insurance Plans by State
ALARAZCACOCTDCDEFLGAIAIDILINKSKYLAMDMEMIMNMOMSMTNCNENHNJNMNVNYOHOKORPARISCTNTXUTVAWAWIWVWY

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN79962PA0240001ACA1

© 2024 HealthMarkets Insurance Agency. All rights reserved.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMPLAN79962PA0240001ACA1