Get started using your Priority Health benefits
Retirement is all about planning. Whether you hope to travel the world, see more family, learn a new hobby or simply relax, you'll need to be prepared. When it comes to your health plan, we want to help you navigate your options. Our Medicare plans include helpful tools and resources, along with a strong network of providers. Follow the links below to learn more about how we can prepare you for your journey ahead.
Finding doctors, hospitals and pharmacies
While you're in the Priority Health service area, we ask that you use participating doctors and hospitals. You can search for providers in the network by using our online Find a Doctor tool.
Find a doctor in Michigan that participates with Priority Medicare.
Care outside Michigan
We know our members like to travel, and we want to make sure you're covered while you do. In the case of a medical emergency, your coverage is the same whether you're here at home, in another state or even another country.
You have an out-of-state travel benefit, which means you'll pay in-network costs for care when you visit any Medicare-participating provider in the United States outside of Michigan. We've made things easier for you by adding MultiPlan® network access to help you find providers when seeking care outside of Michigan. That means, when you travel your coverage travels with you. You're also covered worldwide for emergency and urgent services.
Find a provider that participates with Original Medicare when you are outside of Michigan.
You may use our online Approved Drug List to see if your current prescriptions are covered by your plan. The approved drug list, also known as a formulary, determines how prescriptions will be covered.
Check to see if you're receiving your medication from a preferred pharmacy.
Know the cost of the services and prescriptions with the Cost Estimator
Health care costs aren't always clear, but with our Cost Estimator tool, you don't have to brace yourself for the bill. Costs for hundreds of services, and now prescriptions, are available to you whether you need to schedule a doctor's visit, head to the pharmacy or plan for a surgery.
We center Cost Estimator completely around you, giving your price based on your specific health plan. This way you can make decisions with you and your budget in mind
See a doctor online, anytime, with 24/7 access to virtual visits
Sometimes it's just not convenient to get to your doctor, so we make it possible to get your doctor to you. See a doctor anytime, anywhere by using your phone, tablet or laptop. Perfect for when you have a cold, headache, sinus infection and more. The best part? Virtual visits are covered at no cost.
No-cost in-home bonus checkups
As a member of a Priority Health Medicare Advantage plan, you can schedule an in-home health assessment once a year. Think of this as a "bonus" checkup, intended to answer your questions and update your regular doctor.
For this assessment, a health care provider comes to you – no driving, no waiting room – and you get a comprehensive checkup at no additional cost in the comfort of your own home, the home of a friend or family member, or a location that's convenient for you. We want you to feel comfortable! You may also ask a friend or family member to be with you during your assessment.
Your participation won't affect your health plan coverage or any care you're receiving from your doctor. All of the information gathered during your health assessment may be shared with you and is sent to your regular doctor, to help you manage your care together. These visits not only help prevent health issues, they've been crucial in detecting problems before they get worse.
SilverSneakers® health and fitness program
SilverSneakers includes a free fitness membership at participating SilverSneakers fitness centers, plus access to online educational programs and SilverSneakers On-Demand™ workout videos.
For any of your servicing needs, you can call the Priority Health Customer Care Center for support with any of your Priority Health Medicare benefit questions, including help in finding providers, verifying prescription and medical coverage and confirming cost sharing requirements.
Call our toll-free line at 833.261.4564 (8 a.m. – 8 p.m., seven days a week)
Priority Health has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract renewal. This information is not a complete description of benefits. Call 888.389.6648, option 3 (TTY users call 711) for more information.
- 2021 DPFRHC benefits overview chart (quick glance at specific copays, coinsurance, prescription coverage, etc.)
- 2021 Medicare formulary
- Out-of-state member letter
- 2021 Out-of-state member letter
Call Customer Service (toll‑free)
8 a.m. to 8 p.m., seven days a week