Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Priority Health (H4875)
H4875Contract
A company of Corewell Health, sold as Priority Health Medicare
4 plans in 2027 (5 in 2026) · 107,692 members in September 2026
Priority Health is the Corewell Health company that holds Medicare contract H4875, sold as Priority Health Medicare. In 2027 it offers 4 plans (5 in 2026); 1 of its 2026 plans is not offered in 2027. 107,692 people were in its plans in September 2026.
What plans does H4875 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| PriorityMedicare MeritH4875-016 | PPO | $100 to $163 | $5,000 | 68 counties | renews |
| PriorityMedicare Thrive PlusH4875-018 | PPO | $66 to $68 | $6,600 | 32 counties | renews in fewer counties |
| PriorityMedicare EdgeH4875-020 | PPO | $0 | $7,100 | 32 counties | renews in fewer counties |
| PriorityMedicare ThriveH4875-024 | PPO | $0 | $7,150 | 32 counties | renews in fewer counties |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| PriorityMedicare VitalH4875-022 | 23,660 | 38 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Which employer and union group plans does it hold?
H4875 also holds 8 group plans offered through former employers and unions, with 5,149 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H4875-803 | PriorityMedicare PPO EG Non-Calendar Year | 93 | renews |
| H4875-804 | PriorityMedicare PPO EG Calendar Year | 1,535 | renews |
| H4875-805 | PriorityMedicare PPO No RX EGWP Calendar | fewer than 11 | renews |
| H4875-806 | PriorityMedicare PPO No RX EGWP Non-Calendar | fewer than 11 | renews |
| H4875-807 | PriorityMedicare EG Calendar Year $50 Part B PPO | fewer than 11 | renews |
| H4875-808 | PriorityMedicare EG Calendar Year $75 Part B PPO | fewer than 11 | not offered in 2027 |
| H4875-809 | PriorityMedicare EG Calendar Year $100 Part B PPO | fewer than 11 | not offered in 2027 |
| H4875-810 | PriorityMedicare EG Calendar Year $125 Buy Back | 3,521 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4 of 5 (health plan 4 of 5, drug plan 4 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Osteoporosis Management in Women who had a Fracture | 2 |
| Reducing the Risk of Falling | 2 |
| Statin Therapy for Patients with Cardiovascular Disease | 2 |
| Reviewing Appeals Decisions | 2 |
| Highest-rated measures | Stars |
|---|---|
| MPF Price Accuracy | 5 |
| Members Choosing to Leave the Plan | 5 |
| Complaints about the Drug Plan | 5 |
| Call Center – Foreign Language Interpreter and TTY Availability | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Priority Health Medicare plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter