POS health coverage from Priority Health
More flexibility, more options
Our Michigan point-of-service (POS) group health plan, PriorityPOSSM, offers more flexibility than HMO coverage through two levels of medical benefits.
- Preferred level: When you use doctors, hospitals and other health care providers in the PriorityPOS plan network, you pay a lower copay.
- Alternate level: When you choose a doctor or hospital outside the PriorityPOS plan network, you pay a higher copay.
PriorityPOS plan features
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You'll choose a primary health care provider (your PCP) for each member of your family. Your PCP - whether a doctor, a nurse practitioner, or other primary health care provider - coordinates your health care.
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You don't need a referral from your PCP to see a specialist, unless the specialist requires one.
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You won't need to file claims when you use your preferred (in-network) health care providers. We take care of virtually all paperwork.
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You'll probably have a deductible, which is just like a car insurance deductible. It's the amount you need to pay for health care services covered by your plan before the plan starts to pay for your care.
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See all your copays, deductible balances, and prescription history when you create an account here at priorityhealth.com. Change your PCP and order new ID cards, too.
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Fill your prescriptions at any pharmacy in our nationwide network for your normal copay when you have prescription coverage.
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Some services, such as surgeries, require prior approval from Priority Health before your plan will cover them.
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PriorityPOS-A is a fully funded plan, which means your employer pays premiums to Priority Health and Priority Health then pays for the health care expenses that are covered by the plan. If you have PriorityPOS-B, your medical costs are paid by your employer (this is called "self-funding") and your plan may be customized by your employer.
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Rely on outstanding customer service, with extended phone service hours, calls answered within minutes, and email responses within 24 hours. Contact Customer Service now.
See a comparison of PriorityPOS to PriorityHMO and PriorityPPO.
When you have PriorityHSA
The way your POS plan works changes slightly. Visit our POS with HSA page to find out more.
Member information:
Using your plan
Find out about online access to your account, finding doctors, getting emergency care, member discounts and more.
Go to the Handbook section of this website.
Staying healthy
Preventive care is the best way to keep yourself healthy and your costs down. Check the Priority Health Preventive Health Care Guidelines to see what shots, screenings and check-ups we recommend for our members of every age.
Go to the Preventive Health Care Guidelines.
Finding doctors, hospitals, and other health care providers
When you enroll in a PriorityPOS plan, you and each of your family members must choose a primary care doctor or other primary health care provider (a "PCP"). If you don't choose a PCP, we'll assign one to you.
Use the online Find a Doctor directory on this website to see what doctors, specialists, medical equipment suppliers, therapists, pharmacies and other health care providers are in your plan's network. You can search for health care providers by name, by location (ZIP code, city, and county), by specialty, and many other options.
Go to the Find a Doctor directory now.
- Choose from thousands health care providers.
- Members and their dependents can each choose different PCPs. For example, a woman might choose an OB/GYN who participates as a PCP; parents might choose a pediatrician as their child's PCP.
- You can change PCPs at any time. The change will take effect on the first day of the following month.
Finding what drugs are covered by your plan
When you have prescription coverage, you can use the online Approved Drug List to look up what drugs are covered by your plan, which are generic and which are brand name. If you log in to your account on this website, the Approved Drug List will also show you what your copay will be for each covered drug.
Go to the Approved Drug List now.
PriorityPOS-A member documents
Your plan details stay the same for 12 months, so if your plan began in March, use that year's plan document until next March.
PriorityPOS-B member documents
PriorityPOS-B is a plan funded by your employer, which means your employer, not Priority Health, decides what your plan will cover and pays your medical costs. Your plan details stay the same for 12 months, so if your plan began in March, you'll use that year's plan document until next March.
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