Requests and complaints
Please call us first.
If you have any questions, concerns or problems with your Priority Health plan or the care you receive, or want to ask us to make an exception in your coverage, contact our Customer Service department right away. Our customer service representatives can help resolve questions about:
- Benefits (including services determined to be experimental or investigational or not medically necessary or appropriate)
- Eligibility
- Payment of claims (in whole or in part)
- How we've handled payment or coordination of health care services
- Contracts with our health care providers
- Availability of care or providers
- Delivery or quality of health care services you received
Calling Priority Health is always the fastest and easiest way to settle your questions, complaints or appeals.
Go to our Customer Service numbers now.
Medicare Advantage and Medicare drug plan members:
Medicare requires following certain procedures for asking and answering questions about your coverage and filing complaints. Note, this does NOT apply to Medigap plan members.
Learn about the Medicare process for coverage questions, complaints and service issues.
All other plans:
If you have called Customer Service and are still not happy with how we have explained or settled your question or request, then you can appeal our initial decision or file a grievance.
Go to grievance and appeal instructions.
