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Priority POS Insurance Plan


Our PriorityPOSSM (Point-of-Service) health insurance plan offers you more flexibility than HMO coverage by giving you two levels of medical benefits. When you get your health care through your primary care physician (PCP) and other health care providers in our network, you'll stay at the money-saving Preferred Benefits level. Or you can choose to go to out-of-network doctors, labs and hospitals using your Alternate Benefits level.

Preferred Benefits Features
There are no claim forms. We take care of all paperwork.
Copayments are low. Some plans may also include a deductible.
Go to any health care provider in the network without a referral from your primary care doctor.
You can choose from a network of over 12,000 Health Care Providers.
The network includes 125 hospitals.
You and your dependents can each choose your own PCP. (For example, a woman might choose an OB/GYN who participates as a PCP; you might choose a pediatrician as your child's PCP.)
You can change your PCP at any time. The change is effective the first of the following month.
You can fill prescriptions at any pharmacy in our nationwide network for the normal copayment.
You may get out-of-network medical services under the Alternate Benefits level, then return to Preferred Benefits at any time by working with your PCP and our network.
Some services, such as surgeries, require prior approval from Priority Health before you schedule them.

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Last modified 06/13/07