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Documents Describing Your Health Coverage

Certificates of Coverage
Your coverage documents describe your rights and obligations as a member of a Priority Health insurance plan as well as what is covered by the plan. You're responsible for understanding the terms and conditions of your health benefits.

Careful! Employers make changes
Please note that employers, especially when they fund your plan versus buying it from us, may add or delete items included in these master documents to create their own version of the plans. See the Rider(s) you received when you enrolled for more details, or contact our Customer Service department for help.

Select your insurance plan's coverage document below

What Priority Health plan do you have?

Group PriorityHMO plans:

Group PriorityPOS plans:

Group PriorityPPO plans:
Note: Find if you have the PPO or the PPO Premier plan by looking at the Schedule of Copayments and Deductibles we sent you at the beginning of your plan year. Most of our PPO members have the Premier plan.

Individual coverage (State-Mandated Individual Coverage insurance plan):
This plan is not purchased through an employer. It renews May 1 each year.
Individual coverage (group conversion plan):

This plan covers individuals who had group Priority Health coverage through their employers and have converted it to individual coverage.

2008 Medicaid plan:


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You are responsible for copayments and deductibles listed in the Schedule of Copayments and Deductibles.
Last modified 06/10/08