Priority PPO health insurance plan

U.S. wide flexibility, local capabilities

Our preferred provider organization, PriorityPPO^SM, offers you the most freedom of choice of all our health plans.
See a comparison of PriorityPOS to PriorityHMO and PriorityPPO.

• Wherever you live in the U.S., you'll have doctors, hospitals and other health care providers nearby in your PriorityPPO plan network - and you pay a lower copay.
• Whenever you like, you can you choose a doctor or hospital outside your PriorityPPO plan network. You will pay a higher copay for services from out-of-network health care providers.

PriorityPPO plan features

• You don't need to choose a primary care physician or other primary health care provider to coordinate your care.
• You don't need a referral to see a specialist, unless the specialist requires one.
• You're covered for emergency care at the in-network level wherever you travel in the U.S.
• You won't need to file claims when you use your in-network health care providers. We take care of virtually all paperwork.
• Most plans will include a deductible, which is just like a car insurance deductible. It's the part you need to pay for health care services covered by your plan before the plan starts to pay for your care.
• 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 cars, too.
• Fill your prescriptions at any pharmacy in our nationwide network for your normal copay when you have prescription coverage.
• Some services, such as surgeries, require prior approval from Priority Health before your plan will cover them.
• Rely on outstanding customer service, with extended phone service hours, calls answered within minutes, and e-mail responses within 24 hours. Contact Customer Service now.

When you have PriorityHSA

The way your PPO plan works changes slightly. Visit our PPO with HSA page to find out more.

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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

In Michigan, use the online Find a Doctor directory on this website to search for thousands of in-network doctors, specialists, medical equipment suppliers, therapists, pharmacies and other health care providers. 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.

Outside Michigan, you'll work with a nationwide partner network
Visit the website or call the number on your Priority Health ID card to search for doctors, hospitals, and other health care providers in-network where you live.

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.

PriorityPPO plan documents

Questions about finding doctors, getting care, using your plan?

• Read the PriorityPPO member handbook (175KB PDF)

Your policy gives you complete plan details

You keep your policy for for 12 months, so if your plan began in August of 2009, use that year's policy until August 2010.  Find out if you have a standard or premier plan by looking at the "Schedule of Copayments and Deductibles" we send you at the beginning of your plan year. Most of our PPO members have the premier plan.

2010 policies

• PriorityPPO standard policy (516KB PDF)
  
• PriorityPPO premier policy (792KB PDF)

2009 policies

• PriorityPPO standard policy (699KB PDF)
  
• PriorityPPO premier policy (821KB PDF)