Benefit Guide
Prime EHP: Two Medical Benefit Choices
Benefit Guide and Plan Documents
For Plan documents, Benefit guide and all other plan information
To access the Prime Healthcare Health Plan benefits portal for learning about your benefits and information on each benefit plan offered along with more detailed information about the carriers and complete plan documents are available
Prime EPO
Most services are at little or no cost to you within the Prime Healthcare Network.
Preventive care costs and most inpatient and outpatient hospital based services are 100% covered.
Members don’t have to pay anything for care, besides usual premium and copays.
97%
of Prime employees
choose Prime EPO
of Prime employees
choose Prime EPO
Value Plan
All the essential health benefits specified under the Affordable Care Act (ACA)
Prime Value Plan covers the ten categories of essential services outlined in the ACA.
Value Plan Members should use Prime Healthcare facilities and Tier 1 Providers for services to avail the lower member responsibility.
