Southeast MI Partners

An ideal network solution for people who work and live in Southeast Michigan

We’re committed to helping our members find the right care, at the right time in the right place, everywhere in Michigan. We know that over 70% of insured residents live in Southeast Michigan alone, so we’ve worked with our provider partners in seven counties in this region to bring a low cost solution to members who live and work in Southeast Michigan.

Southeast MI Partners is available to groups that reside in six counties:

What are the benefits of a tiered network?

A tiered network can help employers save on premiums and help employees save on deductibles, out-of-pocket limits and cost sharing—all by utilizing the selected Tier 1 provider network.

How does a tiered network work?

Providers are separated into two tiers: Tier 1 and Tier 2. If members choose care through a Tier 1 provider, they'll benefit from lower coinsurance, copays and deductibles. Members will still have access to the entire Priority Health network in Tier 2. However, if they choose to receive care outside of the Tier 1 network, they will have a higher cost share.

All Tier 1 and 2 providers meet our rigorous quality standard and share our commitment to care management and coordination.

Tier 1 and Tier 2 provider networks include:

Tier 1

• Ascension St. John and Ascension Providence hospitals and select affiliated physicians
• Beaumont ACO Hospitals and select affiliated physicians
• Detroit Medical Center hospitals and affiliated physicians
• Lake Huron Medical Center and all affiliated physicians
• Michigan Medicine (University of Michigan and health centers) for non-primary care (with referral only)
• St. Joseph Mercy Health System hospitals and select affiliated physicians
• State-wide ancillary coverage: all Tier 1 providers and state-wide, free-standing, independent ancillary facilities such as: labs, physical therapy, radiology and home health
• All in-network pharmacies
• Emergency services

Tier 1 hospitals

• Ascension St. John Hospital and Medical Center
• Ascension Macomb–Oakland Hospital—Madison Heights Campus
• Ascension Macomb–Oakland Hospital—Warren Campus
• Ascension River District Hospital
• Ascension Providence Hospital—Novi Campus
• Ascension Providence Hospital—Southfield Campus
• Ascension Providence Rochester Hospital
• Beaumont Hospital Dearborn
• Beaumont Hospital Farmington Hills
• Beaumont Hospital Grosse Pointe
• Beaumont Hospital Royal Oak
• Beaumont Hospital Taylor
• Beaumont Hospital Troy
• Beaumont Hospital Trenton
• Beaumont Hospital Wayne
• Beaumont Urgent Care Centers
• Children's Hospital of Michigan
• Detroit Receiving Hospital
• Harper-Hutzel Hospital
• Huron Valley-Sinai Hospital
• Rehabilitation Institute of Michigan
• Sinai-Grace Hospital
• Lake Huron Medical Center
• Michigan Medicine (University of Michigan) for non-primary care with referral only
• St. Joseph Mercy Chelsea
• St. Joseph Mercy Hospital
• St. Joseph Mercy Livingston Hospital
• St. Joseph Mercy Oakland
• St. Mary Mercy Hospital Livonia 

Tier 2

All providers are currently covered under the Priority Health network.

Out-of-network

With an HMO tiered-network solution, only services performed within the Priority Health HMO network are covered. With a POS tiered-network solution, services within or outside of the Priority Health network are covered.