PriorityPOS alternate benefits
When employees choose
PriorityPOS
SM alternate benefits, they can go to any doctor or health care provider without coordinating with their primary care doctor or other primary health care provider (PCP).
| Alternate benefits features |
|---|
| This option allows you to go to doctors who do not participate in the Priority Health network. |
| If you or your dependents live outside our service area, you can choose the doctors who best meet your needs. |
| Your out-of-pocket costs may be higher, because health care providers outside our network usually charge more than the charges we negotiate with our network. |
| You may also need to meet deductibles, file claims, and handle your own surgery precertifications outside our network. |
| Out of-pocket costs for provider services will never exceed the percentage stated in your plan Summary of Benefits. |
| Fill prescriptions at any pharmacy in our nationwide network for the plan's normal copayment, if the plan includes prescription coverage. |
| You can return to the Preferred benefits level at any time by going through your primary care doctor or other primary health care provider (PCP). |
| Some services, such as surgeries, require prior approval from Priority Health; if you don't get prior approval from Priority Health, we may not pay for the service. |
Point-of-service plan features page Check the online Find a Doctor directory to see who's in the
PriorityPOS plan network
