MyPriority Standard Gold
Gold · HMO · Priority Health · Michigan
At age 40 it costs between $752.45 and $945.02 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 29698MI0541320 |
|---|---|
| Insurer | Priority Health |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-682-5217 · TTY 1-888-551-6761 |
Where it is sold, and what it costs there
68 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Macomb County | $588.77 | $668.25 | $752.45 | $1,051.54 | $1,597.92 |
| Oakland County | $588.77 | $668.25 | $752.45 | $1,051.54 | $1,597.92 |
| Antrim County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Benzie County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Charlevoix County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Emmet County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Grand Traverse County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Kalkaska County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Leelanau County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Manistee County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Missaukee County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Wexford County | $612.62 | $695.32 | $782.93 | $1,094.14 | $1,662.65 |
| Genesee County | $617.93 | $701.35 | $789.71 | $1,103.62 | $1,677.06 |
| Lapeer County | $617.93 | $701.35 | $789.71 | $1,103.62 | $1,677.06 |
| Shiawassee County | $617.93 | $701.35 | $789.71 | $1,103.62 | $1,677.06 |
| Monroe County | $622.98 | $707.08 | $796.17 | $1,112.64 | $1,690.77 |
| Wayne County | $622.98 | $707.08 | $796.17 | $1,112.64 | $1,690.77 |
| Huron County | $641.65 | $728.27 | $820.03 | $1,145.99 | $1,741.44 |
| Sanilac County | $641.65 | $728.27 | $820.03 | $1,145.99 | $1,741.44 |
| Tuscola County | $641.65 | $728.27 | $820.03 | $1,145.99 | $1,741.44 |
| Saint Clair County | $646.57 | $733.86 | $826.32 | $1,154.77 | $1,754.79 |
| Arenac County | $650.62 | $738.45 | $831.49 | $1,162.01 | $1,765.78 |
| Bay County | $650.62 | $738.45 | $831.49 | $1,162.01 | $1,765.78 |
| Gratiot County | $650.62 | $738.45 | $831.49 | $1,162.01 | $1,765.78 |
| Saginaw County | $650.62 | $738.45 | $831.49 | $1,162.01 | $1,765.78 |
| Alcona County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Alpena County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Cheboygan County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Crawford County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Iosco County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Montmorency County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Ogemaw County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Oscoda County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Otsego County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Presque Isle County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Roscommon County | $655.27 | $743.73 | $837.44 | $1,170.31 | $1,778.40 |
| Allegan County | $679.92 | $771.71 | $868.94 | $1,214.34 | $1,845.30 |
| Barry County | $679.92 | $771.71 | $868.94 | $1,214.34 | $1,845.30 |
| Ionia County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Kent County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Lake County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Mason County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Mecosta County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Montcalm County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Muskegon County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Newaygo County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Oceana County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Osceola County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Ottawa County | $682.24 | $774.34 | $871.90 | $1,218.48 | $1,851.60 |
| Clare County | $704.97 | $800.14 | $900.95 | $1,259.08 | $1,913.29 |
| Gladwin County | $704.97 | $800.14 | $900.95 | $1,259.08 | $1,913.29 |
| Isabella County | $704.97 | $800.14 | $900.95 | $1,259.08 | $1,913.29 |
| Midland County | $704.97 | $800.14 | $900.95 | $1,259.08 | $1,913.29 |
| Clinton County | $711.48 | $807.53 | $909.27 | $1,270.70 | $1,930.96 |
| Eaton County | $711.48 | $807.53 | $909.27 | $1,270.70 | $1,930.96 |
| Hillsdale County | $711.48 | $807.53 | $909.27 | $1,270.70 | $1,930.96 |
| Ingham County | $711.48 | $807.53 | $909.27 | $1,270.70 | $1,930.96 |
| Jackson County | $711.48 | $807.53 | $909.27 | $1,270.70 | $1,930.96 |
| Lenawee County | $721.71 | $819.14 | $922.35 | $1,288.97 | $1,958.72 |
| Livingston County | $721.71 | $819.14 | $922.35 | $1,288.97 | $1,958.72 |
| Washtenaw County | $721.71 | $819.14 | $922.35 | $1,288.97 | $1,958.72 |
| Branch County | $732.27 | $831.13 | $935.84 | $1,307.83 | $1,987.38 |
| Calhoun County | $732.27 | $831.13 | $935.84 | $1,307.83 | $1,987.38 |
| Kalamazoo County | $732.27 | $831.13 | $935.84 | $1,307.83 | $1,987.38 |
| Berrien County | $739.45 | $839.28 | $945.02 | $1,320.66 | $2,006.87 |
| Cass County | $739.45 | $839.28 | $945.02 | $1,320.66 | $2,006.87 |
| Saint Joseph County | $739.45 | $839.28 | $945.02 | $1,320.66 | $2,006.87 |
| Van Buren County | $739.45 | $839.28 | $945.02 | $1,320.66 | $2,006.87 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.