PriorityMedicare Compass (PPO)
Michigan Medicare Advantage Plan (2023 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
4.5Ready to Enroll Online?
Plan Overview
PriorityMedicare Compass (PPO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Michigan and offered by the health insurance company Priority Health Medicare. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
PriorityMedicare Compass (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $5,650 In and Out-of-network $5,650 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for PriorityMedicare Compass (PPO) are defined below.
Additional Benefits and Coverage
PriorityMedicare Compass (PPO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. PriorityMedicare Compass (PPO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. PriorityMedicare Compass (PPO) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of PriorityMedicare Compass (PPO) to Other Plans in Michigan
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2023, PriorityMedicare Compass (PPO) received an overall government quality rating of 4.5 stars out of 5 stars.
PriorityMedicare Compass (PPO) performed better than Michigan’s State average overall quality score of 4.2 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
PriorityMedicare Compass (PPO) received 4.5 stars for its health plan quality score which is better than the Michigan State average health plan quality score of 4.3 stars.
PriorityMedicare Compass (PPO) received 3.5 stars for its drug plan quality score which is worse than the Michigan State average drug plan quality score of 3.8 stars.
Plan Benefits and Coverage Details
$5,650 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $0-50 copay per visit
Tests, labs, & imaging
Out-of-network: $20 copay
Out-of-network: $0-20 copay
Out-of-network: $275 copay
Out-of-network: $20 copay
Hospital Services
$0 per day for days 6 through 90
Out-of-network: $350 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: $0-325 copay per visit
Skilled nursing facility
$188 per day for days 21 through 100
Out-of-network: $0 per day for days 1 through 20
$188 per day for days 21 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $325 copay
Therapy services
Out-of-network: $40 copay
Out-of-network: $40 copay
Mental health services
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Out-of-network: $20 copay
Opioid treatment services
Other services
Out-of-network: 20% coinsurance per item
Out-of-network: 0-20% coinsurance per item
Out-of-network: $0 copay
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $11.00 copay |
Brand-name drugs :
|
Brand-name drugs :
|
| Generic | $20.00 copay | ||
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | 50% | ||
| Specialty Tier | 33% |
Part B Drugs
Out-of-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance
Extra Benefits
Hearing
Out-of-network: $0-50 copay
Out-of-network: $0 copay
Out-of-network: $295-1,495 copay
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0-325 copay
Vision
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am-9pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Best Michigan Medicare Advantage Health Insurance Companies for 2023
Health Plan RadarIn this article we rank Michigan Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
New Michigan Medicare Advantage Health Insurance Companies for 2023
Health Plan RadarThe Medicare landscape in Michigan is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Michigan.