Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
MyPriority Enhanced Gold Trinity Health East Network
Priority Health · 2026 plan year
Gold
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $9,200
- Family OOP max
- $18,400
Other cost-sharing reduction variants for this plan:
More Priority Health plans in MI
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Monthly premiums by age
Rating Area 7 — the lowest-priced of the 2 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $528 | $528 |
| 21 | $691 | $725 |
| 30 | $784 | $862 |
| 40 | $883 | $971 |
| 50 | $1,233 | $1,418 |
| 60 | $1,874 | $2,155 |
| 64 and over | $2,072 | $2,382 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $20.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $45.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $250.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1000.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | No charge |
| Urgent Care Centers or Facilities | $75.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $5.00 |
| Non-Preferred Brand Drugs | $100.00 |
| Preferred Brand Drugs | $75.00 |
| Specialty Drugs | 50.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1000.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $20.00 |
Other
| Benefit | In-network |
|---|---|
| Reconstructive Surgery | 50.00% |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | Not covered |
| Acupuncture | Not covered |
| Allergy Testing | $250.00 |
| Applied Behavior Analysis Based Therapies | $20.00 |
| Autism Spectrum Disorders | $45.00 |
| Bariatric Surgery | 50.00% |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chemotherapy | $45.00 |
| Chiropractic Care | $45.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $1,000.00 |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | No charge |
| Dialysis | $45.00 |
| Durable Medical Equipment | 50.00% |
| Emergency Transportation/Ambulance | $250.00 |
| Eye Glasses for Children | No charge |
| Habilitation Services | $45.00 |
| Hearing Aids | Not covered |
| Home Health Care Services | $45.00 |
| Hospice Services | No charge |
| Imaging (CT/PET Scans, MRIs) | $250.00 |
| Infertility Treatment | 50.00% |
| Infusion Therapy | 50.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $45.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | No charge |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $45.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $1,000.00 |
| Outpatient Rehabilitation Services | $45.00 |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 50.00% |
| Radiation | $45.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $45.00 |
| Rehabilitative Speech Therapy | $45.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | $1000.00 Copay per Day |
| Specified Sex-Trait Modification Procedures | $45.00 |
| Substance Abuse Disorder Inpatient Services | $1000.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | No charge |
| Transplant | See plan details |
| Treatment for Temporomandibular Joint Disorders | 50.00% |
| Weight Loss Programs | $45.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $45.00 |
Service area
This plan covers 15 geographic areas. 13 of them are covered only in part, meaning specific ZIP codes rather than the whole county. The filing does not list which, so confirm with the insurer or on HealthCare.gov before enrolling.
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