GoldHMO

MyPriority Enhanced Gold Trinity Health East Network

Priority Health

Starting at

$883

/month before subsidy

Key facts

MyPriority Enhanced Gold Trinity Health East Network is a 2026 Gold HMO health insurance plan from Priority Health, sold on the ACA Marketplace in Michigan under plan ID 29698MI0540599. The monthly premium starts at $883 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
29698MI0540599
Plan year
2026
State
Michigan
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

0%

You pay after deductible

Network Type

HMO

MIN005

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$20.00
Specialist Visit$45.00
Urgent Care$75.00
Emergency Room$250.00

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs$100.00
Specialty Drugs50.00%
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$2,660

your estimated cost

Deductible
$0
Copays
$2,600
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$1,520

your estimated cost

Deductible
$0
Copays
$1,500
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,400

your estimated cost

Deductible
$0
Copays
$1,400
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,650/month

Annual Premium

$10,596

OOP Maximum

$9,200

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.

More plans from Priority Health in Michigan

View all Marketplace plans in Michigan

Frequently asked questions about MyPriority Enhanced Gold Trinity Health East Network

How much does MyPriority Enhanced Gold Trinity Health East Network cost per month?

MyPriority Enhanced Gold Trinity Health East Network from Priority Health starts at $883 per month before any subsidy in Michigan. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for MyPriority Enhanced Gold Trinity Health East Network?

The individual medical deductible is $0. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for MyPriority Enhanced Gold Trinity Health East Network?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is MyPriority Enhanced Gold Trinity Health East Network HSA-eligible?

No. MyPriority Enhanced Gold Trinity Health East Network is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does MyPriority Enhanced Gold Trinity Health East Network use?

MyPriority Enhanced Gold Trinity Health East Network is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.