POS health coverage from Priority Health
Flexibility for your employees
Our
PriorityPOS
SM, or point-of-service, health plan offers great flexibility by providing two levels of medical benefits.
- Preferred benefits: When employees get their health care through their primary care physician (PCP) and other health care providers in our network, they'll pay a lower copay.
- Alternate benefits: When employees choose to go to out-of-network doctors, labs and hospitals, they'll pay a higher copay.
No matter what option your employees choose, your organization saves money with a low-cost health plan that gives your employees great flexibility in and control over their health care.
PriorityPOS features & advantages
- No paperwork - we automatically process claims for in-network visits
- Easy employee enrollment via your secure priorityhealth.com account
- Great flexibility for your employees - they choose service at the Preferred Benefits level or Alternate Benefits level
- Employees are covered at the Preferred Benefit level for emergency care wherever they travel
- Members must select a PCP (but don't need a referral to see a specialist). If a member has not selected a PCP, one will be auto-assigned to them.
- Uses two different physician networks based on your plan funding: PriorityPOS A for fully funded groups and PriorityPOS B for self-funded or shared funding groups
- Hassle-free customer service with extended phone service hours, calls answered within seconds and e-mail responses within 24 hours
- Web tools such as interactive health assessments, medical libraries, a prescription drug price comparison tool and more to help employees understand their health needs and choices
- 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 a POS plan right for you?
PriorityPOS 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