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. Find out now.

Fraud and abuse

Find out how you can help combat health care fraud and abuse.

Grievance procedure

Get information about how our grievance procedure works.

Plan basics

Review your 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're 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. Learn more.

Benefit decisions

If you have questions regarding the utilization management process and decisions, contact Customer Service at 800 446-5674, 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.

Topics: Benefits, Fraud & abuse, Prescription drugs