Understanding your benefits
Priority Health makes information about our programs, services and policies available online so you can quickly find answers to questions about your plan or coverage. To request a paper copy on any of the subjects listed, call Customer Service at 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.
Fraud and abuse
Find out how you can help combat health care fraud and abuse.
Grievance procedure
Learn how our three-step grievance procedure works.
Plan basics
Review your Certificate of Coverage 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
Learn how Priority Health is committed to keeping your health information private.
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.
Benefit decisions
Priority Health has a policy to ensure that medical coverage decisions are made fairly. Contact us about our utilization management process and decisions. Know that utilization management decisions are based on appropriateness of care and service and that no financial rewards exist for issuing denials.
Get the latest preventive health care guidelines
Following preventive health care guidelines can help you maintain your well-being. Every year, Priority Health publishes the latest recommended screening, immunization and physical examination guidelines for the whole family. Get your FREE copy at priorityhealth.com.
Topics: Health care quality, Preventive care
