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Woman with mug smiling about her Priority Health hmo health insurance

HMO/EPO health coverage

Great coverage and lower premiums

Give your Michigan employees excellent coverage with low premiums through PriorityHMOSM, our health maintenance organization (HMO) plan, or PriorityEPOSM, the self-funded version.

PriorityHMO features & advantages

  • Requires each member to have a primary care physician (PCP)
  • Each family member can choose their own PCP and change the PCP at any time (can include family practitioners, pediatricians, OB/GYN, internists, etc.)
  • No referrals needed from PCPs for specialist care
  • Covers preventive care before the deductible is met
  • Required authorization for certain services keeps your costs low and ensures your employees are getting the care they need
  • Members must pay for services used outside the network without authorization or referral
  • Employees are covered for emergency care wherever they travel
  • Automatic claims processing means no paperwork for you or your employees
  • Access to our nationwide network
  • Hassle-free customer service with extended phone service hours, calls answered within seconds and e-mail responses within 24 hours
  • Can be paired with PriorityHSASM, our health savings account (HSA), or PriorityHRASM, our health reimbursement arrangement (HRA)
    (When set up as a high deductible health plan. Learn more about PriorityHSA or PriorityHRA.)

Is an HMO right for you?

PriorityHMO plan administration

Our online Employer Manual is your guide to plan administration. Use the manual to:
  • Enroll a new employee and dependents
  • Terminate an employee's and/or dependent's coverage
  • Learn about billing options
  • Find claims processing information
  • Determine member eligibility
  • Reinstate a terminated employee

Get a quote

Contact your account representative or independent agent for more information. Find your account representative.
 
Last modified: 11/28/2012
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