Member centers opening.

Our member walk-in centers in Grand Rapids and Holland are opening and our Customer Service team will be available to assist you in person by appointment only. Call 800.942.0954 to schedule an appointment.

  • 1257 East Beltline Ave. NE, Grand Rapids – Opening June 22
  • 250 East 8th Street, Holland – Opening June 29
  • 161 Ottawa Ave. NW, Grand Rapids – Remains closed until further notice.

For everyone's safety, you’ll be asked to follow social distancing guidelines and wear masks.

If you are experiencing life-threatening symptoms call 911. 

Last updated: 6/26/2020

On March 10, the first confirmed cases of COVID-19 in Michigan were announced and Governor Whitmer declared a state of emergency to maximize efforts to slow the spread.

For more information about COVID-19, including symptoms and transmission information, visit our information page, or the Centers for Disease Control and Prevention at cdc.gov.

COVID-19 related coverage through Priority Health

Screening is defined as a series of questions a medical professional uses to determine if a COVID-19 test is appropriate. If you are having symptoms and you are screened for COVID-19 by a medical provider through a virtual visit or in-person, your co-pays and deductibles are waived if it results in the ordering/administering of a test.

Important details:

  • We encourage our members with symptoms to use virtual care to help reduce the risk of spreading or contracting the illness.
  • Copays and deductibles are waived if it results in the ordering/administering of a test.
  • Check with your doctor for virtual care options or log in to your member account for other recommended virtual care options. Download the app (available on the App Store and Google Play).
  • If you’re in the state of Michigan, Spectrum Health is offering a free screening when you call 833.559.0659.

If a COVID-19 test of any kind is ordered by a medical provider that is medically necessary, your member cost share (copays, coinsurance or deductibles) for this test will be waived.

Important details:

  • The test must be ordered by a medical provider for your health plan to cover the costs of the test.
  • Your plan will cover the cost of the test as described above, whether the provider is in or out of network.
  • Medically necessary is determined and appropriately coded by your ordering provider.
  • Medically necessary does not include tests as a condition of employment or returning to work.

If you are experiencing symptoms, first speak to your health care provider to help you understand if you need testing and how to receive it.

The state also has online resources you can access that will provide information on testing centers and steps to take.

COVID-19 treatment* is available to our members with no out-of-pocket health plan costs (copays, and deductibles and coinsurance) when received from an in-network provider between the dates of Mar. 11 and Dec. 31, 2020.

Important details:

  • Out-of-pocket health plan costs are waived for treatment when COVID-19 is the primary diagnosis.
  • If you visit an out-of-network provider, your treatment will be covered as outlined by your health plan and cost sharing will apply if applicable.
  • Note that some plans do not have out-of-network benefits. We encourage you to receive care from providers in your plan’s network.
  • Covered treatment may be inpatient or outpatient, however, this does not apply to prescriptions. There are currently no official drug treatments for COVID-19.
  • Need help finding an in-network provider? Log in to your member account to use your find a doctor tool or call your Priority Health customer service team.

*Employer plans that are self-insured determine benefit coverage for their employees and dependents at their discretion 

If you are out of state and need emergency medical assistance related to COVID-19, testing, diagnosis and treatment of COVID-19 will be covered as outlined above.

Included in most Priority Health plans is Assist America® for emergency travel assistance whenever you are more than 100 miles away from home. Assist America covers the costs of all services related to getting quality emergency medical care while traveling, such as medical referrals, critical care monitoring, emergency evacuation and more. Assist America is not insurance and services do not replace medical insurance.

  • OOC members are covered* for Urgent and Emergency care as stated by their plan.
  • Contact Assist America first for guidance on your options.
  • The usual process will apply where if you seek care, you may be asked to pay up front.
  • You should get a detailed receipt and then file a form to get reimbursed by Priority Health.
  • Testing will be covered, and co-pays and deductibles for the COVID-19 will be waived.

*Note: Priority Health Medicaid members do not have any out-of-country benefits and services received outside of the United States cannot be reimbursed.

Getting care for other conditions

In efforts to keep our members safe and healthy,  Priority Health continues expanding access to $0 virtual care services beyond COVID related care.

  • Between the dates of Mar. 19 – Jun. 30, members were provided with access to designated** in-network routine care and check-ups by providers from virtual services like Spectrum Health Now and MDLive.
  • As of Jul. 1, 2020, we are expanding $0 virtual care services to include other types within telehealth*, audio, video and Behavioral Health services*.
    • Members with high deductible health plans also receive $0 virtual care before deductible.
    • Members need to remain in network to receive $0 cost share.
    • Medicare members have had access to $0 behavioral health virtual care since Mar. 19, 2020.
    • Plans may vary. Please contact customer service if you have questions about your coverage.

*Employer plans that are self-insured determine benefit coverage for their employees and dependents at their discretion

**Virtual Care codes (not telehealth or behavioral health): 99441-99443, 99421-99423 and 98970-98972

If you’re a Priority Health member, download the Priority Health app (available on the App Store and Google Play) or log in to your member account to access virtual care options.

Prescription options

*Availability of these services at no cost will be dependent on social distancing guidelines.

CVS pharmacy logo 

How does it work?

  • Contact CVS* to ask about these home delivery options using CVS.com, CVS mobile app, or by contacting your local CVS pharmacy directly.
  • Once you’re set up, CVS uses UPS or FedEx to deliver your prescriptions within 1-2 days.
  • There are is no limit to a specific amount of days’ supply. You can get anything from a few days up to a 90-day supply (although we recommend setting up 90-day refills).

*CVS is not an in-network pharmacy for Medicaid and Healthy Michigan members. CVS is not a preferred Medicare pharmacy which means your cost share for drugs may be higher.

  Walgreens logo 

How does it work?

  • Walgreens Express™ delivery is available for all Priority Health members.
  • Contact your local Walgreens for details.
  • Once you’re set up you’ll be able to prepay for your prescriptions and receive them as soon as the next day via FedEx.
  • Orders received by 4pm on Friday, as well as requests made during the weekend, have an expected delivery day of Tuesday or Wednesday.
  • Prescriptions are not delivered on Sundays or holidays.
  Meijer pharmacy logo 

How does it work?

  • Contact your primary Meijer pharmacy to set up your home delivery option.
  • The standard Rx delivery time varies between 1-2 days.
  • Rx next day delivery is available from select Meijer pharmacies and the usual $8 fee is being waived at this time.
  • Also, "Touch free" service is being offered. This means no signature is required at the time of delivery. Payment for the prescription copay is on your mobile device of over the phone.
  • Meijer is delivering controlled substances and refrigerated items.
  • Available for all Priority Health members.

Other local pharmacies may have a “home-delivery” option. Check with your pharmacist for options.

If you already have an automatic 90-day refill set up, then no need to change a thing. You get discounted rates and your prescriptions delivered in the mail to your home already. Note: If you have a Medicare plan, you can find your 90-day refill information here.

*Mail order is not available for Medicaid members.

For Medicaid members:

You can use the Find a Doctor tool to find an in-network pharmacy for your plan. Out-of-state pharmacies dispensing medications for the Medicaid population who are not actively enrolled in Michigan's CHAMPS program may need additional assistance for Priority Health to process a prescription claim.