Proof of performance

We save you money by working hard to contain our costs while providing the benefits and service your employees value, and we can prove it.

Efficiency

• 98% of our claims are processed electronically, reducing errors and saving time and money every day
• 99% of our claims are processed accurately
• Average claim processing time: 10.44 days
• Keeping our administrative costs low: $.89 of every dollar goes to medical costs

Discounts

• Average member discount with participating providers:  41% - 48%
• 95% of claims dollars go through the Priority Health network, so you get the full discount
• Drug discounts: 20% for brand drugs and 70% for generic drugs

Choice

• From the simplest HMO to plans incorporating wellness incentives, health savings accounts and other innovations
• Wellness packages focused on keeping employees healthy and lowering your overall medical costs
• Solutions tailored to your needs
• Add-on benefits include dental, vision, flex, and COBRA administration

Learn more about our health plans and services.

Prevention

• Using our in-house expertise and technology to keep keep employees - and your bottom line - healthy
  
• Covering preventive care with no dollar limit and no deductible
  
• 99% of members who are offered condition/disease management choose to participate
• For every 100 employees, case and condition management saves $5,870 per year
• 74% of members in case management state the program helps them better manage their conditions

Learn more about HealthforLife, our approach to helping members be their healthiest

Network

• Includes more than 14,000 physicians statewide
• 107 acute care hospitals statewide
• 41 inpatient mental health and substance abuse facilities statewide
• National network covers your out-of-state employees
• Travel benefits cover employees anywhere, any time they travel

Find a doctor or learn more about our service area.

Service

• Ranked number 1 in Michigan by employers who purchase health care for their employees*
• 91% of our new employer groups choose to reenroll with us after their first year
• Easy, paperless enrollment, benefit and billing information available online 24/7

Learn more about our online plan administration tools.

Quality

• Recognized as one of America’s Best Health Plans by U.S. News & World Report and NCQA**
• Member satisfaction ranks among the highest in Michigan***
• Ranks #9 in the nation and #2 in Michigan according to the National Business Coalition on Health (NBCH) and eValue8
• Rated A- (excellent) by A.M. Best Co.

Read testimonials and success stories from members of Priority Health plans.