Medicare Advantage plans with drug coverage

Priority Health Medicare Advantage plan features

When you enroll in a Medicare Advantage plan, you get all your Medicare benefits through Priority Health, under our contract with the federal government. Our Medicare Advantage plans include prescription drug coverage, so they are known as MAPD (Medicare Advantage + Prescription Drug) plans.

• You get the same benefits as Original Medicare, plus additional coverage.
• Medicare Part D prescription drug coverage is included.
• You can see health care providers in and out of our network without a referral.
• We offer plans in 51 Michigan counties for 2012.

Rated "excellent" by our customers

Medicare beneficiaries have rated our Priority Health Michigan Medicare Advantage plans "excellent" every year.* Why?

• Excellent customer service. Our Michigan representatives are available by phone from 8 a.m. to 8 p.m. Eastern time, 7 days a week.
• We answer your questions and resolve problems in one day, 90% of the time.
• Online access to your claims and prescription history once you register your member account on this website.

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Information for plan members

Staying healthy

Preventive care is the best way to keep yourself healthy and your costs down.

• Check your Evidence of Coverage brochure, below, to see what preventive care is covered by your plan.
• Go to our online information on preventive health care for seniors.

Summaries of your benefits online

These charts will give you an easy-to-read overview of what's covered by your plan.

• PriorityMedicare Value plan chart
• PriorityMedicare plan chart
• PriorityMedicare Select plan chart

Summary of Benefits booklet to download or print

2012 Priority Health Medicare Advantage plan Summary of Benefits booklet (886KB PDF)

Finding doctors, hospitals, pharmacies & more

Save money when you use the Priority Health Medicare network of doctors, labs, equipment rental businesses and other health care providers. Search it online by name, ZIP code, city, or other options. Or page through the print version.

• Check the online Find a Doctor directory 
• Check the list of Medicare network pharmacies on this website
• Our lists of doctors, hospitals, pharmacies, labs and other health care providers in our network are also available as PDFs.
  North region Provider Directory booklet (510KB PDF)*
  Form number: Y0056_1004_1004_2 File and Use 09132011
  East region Provider Directory booklet (1.8MB PDF)*
  Form number: Y0056_1004_1004_4 File and Use 09132011
  West region Provider Directory booklet (1MB PDF)*
  Form number: Y0056_1004_1004_3 File and Use 09132011
• Pharmacy Directory for 2012 (445KB PDF)*
  Form number: Y0056_5000_5001_12 File and Use 09132011

Your plan's drug coverage

Our MAPD (Medicare Advantage + Prescription Drug) plans cover both Medicare Part B and Medicare Part D prescription drugs.

• For the most current list of which drugs are covered, use our online formulary (approved drug list) tool.
  Check the Approved Drug List
• The printable formulary is updated monthly. The index of drug names starts on page 69.
  View or print a copy of the 2012 formulary (656KB PDF)
• Ask for a transition refill of a non-approved drug when you first join your plan.
• Learn how diabetes supplies are covered.
• Check all the pending changes to the formulary to see what drugs are being added and deleted during the year

Your plan documents

If you have questions about your Priority Health Medicare plan or these documents, call Customer Service. We'll be happy to help you.

Member handbooks

• PriorityMedicare Value Member Handbook (392KB PDF)
• PriorityMedicare Member Handbook (378KB PDF)
• PriorityMedicare Select Member Handbook (396KB PDF)

Evidence of Coverage booklets

Your Evidence of Coverage booklet gives you the complete details of your coverage.

• 2012 PriorityMedicare Value Evidence of Coverage booklet (1MB PDF)*
  Form number: H2320_1002_1027_18 File and Use 09122011
• 2012 PriorityMedicare Evidence of Coverage booklet (2.2MB PDF)*
  Form number: H2320_1002_1027_18 File and Use 09122011
• 2012 PriorityMedicare Select Evidence of Coverage booklet (1.8MB PDF)*
  Form number: H2320_1002_1027_19 File and Use 09122011
• 2012 PriorityMedicare Rx Evidence of Coverage booklet (1MB PDF)*
  Form number: H2320_1002_1027_18 File and Use 09122011

You'll need a recent version of Adobe^® Reader software to view and print PDF files. Download it free now! 

*According to the newest "Medicare and You" handbook published by the national Centers for Medicare & Medicaid Services (CMS) in September 2010, Priority Health Medicare Advantage plans have received a 5-star (excellent) quality rating for the third year in a row. Plans were rated for quality of care by Medicare plan members across the U.S. by the 2010 Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which was created by the federal Department of Health and Human Services.
These Medicare Advantage plans are offered by Priority Health.