Understand your benefits
Priority Health makes important information available to help you understand how your health plan works and maximize your benefits. This information is available for most members online and in print.
To access the information, please follow the directions below:
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Medicare members: Check your Medicare Handbook or call Customer Service at 1-888-389-6648. TTY users should call 711.
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Members in self-funded plans: Check with your employer for your plan specifics.
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All other members: Learn more using the links below. For print copies, call Customer Service at 1-800-446-5674.
Disease management programs
Learn what programs are available to help you manage chronic illnesses, how to use the services and how to become eligible. Learn more.
Fraud and abuse
You can help combat health care fraud and abuse. Learn how.
Plan basics
Review your coverage documents and Member Handbook for information about benefits, procedures, obtaining care and services, and providers who participate with your plan.
Prescription drug updates
Priority Health regularly reviews new drugs to help make sure that you are receiving safe and effective care. If you take prescription drugs, it's important that you review our Approved Drug List occasionally in order to note changes or updates.
Privacy statement
Priority Health is committed to keeping your health information private. Learn more.
Quality performance
Review Priority Health's most recent Quality Improvement Workplan, the Quality Improvement Program Description and our Annual Quality Improvement Evaluation by calling Customer Service for print copies.
Rights and responsibilities
Know what you can expect from Priority Health and what Priority Health expects from you. Review your rights. Review your responsibilities.
Benefit decisions
If you have questions regarding the utilization management process and decisions, contact Customer Service at 1-888-389-6648, and they will contact a health management staff member to help. Know that all utilization management decisions are based on appropriateness of care and service and that no financial incentives exist for issuing denials. Learn more.
Answers to your health plan questions
Your Medicare Handbook includes important details about your plan. It can provide quick answers to questions about your coverage, how to use benefits and more. See your Medicare Handbook.
Topics: Health care quality, Benefits
