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Priority HMO/EPO Health Insurance Plans


 Our Michigan Health Maintenance Organization (HMO) plan is our most popular health insurance option. PriorityHMOSM and PriorityEPOSM (the very similar employer-funded health insurance plan), combine excellent medical benefits with cost savings by ensuring that employees get all the health care and medical services they need, but none that are unnecessary.

Go to any specialist in our network without a referral.
Employees don't need a referral from their Primary Care Physician (PCP), but PCPs can coordinate medical care to help keep out-of-pocket medical costs low. Also, some specialists will require a referral from the PCP.

PriorityHMO Insurance Coverage Features
There are no claim forms to file. We take care of all the paperwork.
Copayments are low. Some plans may also include a deductible.
No need to pay doctor bills up front and then wait for reimbursement.
Choose from a network of 12,000 Health Care Providers.
The network includes 125 hospitals.
Employees are covered for emergency care no matter where they travel.
Each family member can choose his or her own PCP. (Many women prefer an OB/GYN who participates as a PCP, for example, and you can choose a pediatrician as a PCP for children.)
Employees can change PCP anytime. The change is effective the first of the following month.
Routine physicals, immunizations, prenatal care and mammograms are 100% covered, less the office visit copayment.
Any pharmacy in our nationwide network will fill prescriptions for the normal copayment, if the plan includes prescription coverage.
Some services, such as surgeries, will require prior approval from Priority Health beforehand.


More about PriorityHMO

Last modified 06/13/07