Skip to content Priority Health
Sections
Fall 2007
Health Journal
Health Journal

Access to Important Plan Information

Learn More
Plan Basics
Review your Certificate of Coverage (COC) and Member Handbook for information about benefits, procedures, obtaining care and services, and who participates with your plan.
  • Keyword: Coverage
  • Keyword: Handbook
Take Action
Prescription Drug Updates
Priority Health regularly reviews new drugs to help make sure that you are receiving safe and effective care. If you take prescription drugs, it is important that you review our Approved Drug List occasionally in order to note changes or updates.
  • Keyword: Drugs
Priority Health makes important information available to help you understand how your health plan works and maximize your benefits. This information is available for most members online and in print copy.

PriorityMedicareSM members: Check your Medicare Handbook or call Customer Service at 1-888-389-6648; TTY/TDD, call 1-888-551-6761.
Members in self-funded plans: Check with your plan sponsor on your plan specifics.
All other members: Visit priorityhealth.com and type the keywords provided below in the green SEARCH box in the upper right-hand corner. For print copies, call Customer Service at 1-800-446-5674.

Safety and Quality Performance


Access physician and hospital quality performance information and see how hospitals are improving safety using Priority Health's online tools.
  • Keyword: Safety
You can also 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.
  • Keywords: Member rights

Utilization Management


Contact Priority Health regarding the utilization management process and decisions. Know that utilization management decisions are based on appropriateness of care and service and that no financial incentives exist for issuing denials.
  • Keywords: Care management

Privacy Statement


Learn how Priority Health is committed to keeping your health information private.
  • Keyword: Privacy

Disease Management Programs


Learn what programs are available to help you manage chronic illnesses, how to use the services and how to become eligible.
  • Keywords: Manage my condition

Fraud and Abuse


Learn how you can help combat health care fraud and abuse.
  • Keyword: Fraud

Preventive Health Care Guidelines


Preventive health care is important if you want to stay healthy. Priority Health publishes guidelines each year for screenings, immunizations and physical examinations.
  • Keyword: Preventive

Grievance Procedure


Learn how our three-step grievance procedure works.
  • Keyword: Grievance
Last modified 10/09/07
Health Journal is presented by Priority Health, in cooperation with Health Ink & Vitality Communications © 2007 Health Ink & Vitality Communications