Tiered copay option
Lower premiums. Smarter choices.
Our tiered copay option directly links what employees pay out-of-pocket with the cost of their health care services. Here's how it works:
- Higher copays for costlier specialized services (emergency room, advanced imaging, ambulance)
- Employee pays the deductible first before the plan covers high-cost services
- No copays for eligible preventive care
Deductibles don't apply for services such as routine doctor visits, specialist visits or urgent care services.
The tiered copay option benefits you, too:
- Lower premiums
- Save even more when you choose a higher deductible
- Combine with PriorityHMOSM, PriorityPPOSM or PriorityPOSSM (deductible required)
Small groups (2-50 eligible employees)
Tiered copays are automatically included in your plan packages.
Mid-market groups (51-99 eligible employees)
Tiered copays are automatically included in your plan packages.
Large groups (100+ eligible employees)
Several tiered copay options are available to fit nearly any plan design.
Contact your Priority Health account representative or your independent agent for more information about these options.
