Chronic condition coverage

Get the right health plan

When selecting Individual health coverage, you need a plan that covers all your needs. Choosing the right plan is especially important if you are looking for benefits that help you manage a chronic condition. Chronic conditions – like asthma, heart disease, high blood pressure, diabetes and others – are conditions that last more than a year and require ongoing medical care.

Priority Health is committed to helping members live a happy life while managing these conditions.

Chronic conditions include:

Asthma Congestive heart failure Coronary artery disease Depression Diabetes

Heart disease Hypertension (high blood pressure) Liver disease and/or bleeding disorder Osteoporosis/Osteopenia

MyPriority^® plans give you access to medical services, supplies and medications related to your chronic condition for just the cost of a copay or coinsurance, even before your deductible is met. It's health care that gives you the most value for what you value most – your health.

Plans also include Teladoc Health Mental Health, on-demand mental health resources that target stress, anxiety, depression and more, to support your overall health and well-being as you manage your chronic condition.

Not sure what some of these health coverage words mean? We can help.

Asthma

Asthma management involves controlling and preventing symptoms as well as promoting overall well-being. With a MyPriority plan, members with asthma get supplies and prescriptions – including inhalers and peak flow meters – covered in full, before deductible, with just a low copay or coinsurance.

Diabetes

Managing diabetes requires a comprehensive approach that encompasses medical care, lifestyle adjustments and ongoing support. With a MyPriority health plan, there are several services, supplies and treatments to help manage diabetes that are covered in full, before deductible, when furnished by a participating durable medical equipment (DME) provider¹.

Members will pay no cost for:

• Insulin pumps
• Blood glucose monitors¹
• Syringes and needles
• Lancets
• Glucose test strips

Diabetes prescriptions and testing procedures are also covered before deductible, with a reliable, low cost share.

Depression/anxiety

With a MyPriority plan, members with depression or anxiety have access to free on-demand mental health resources that target stress, anxiety, depression and more through Teladoc Health Mental Health. The program can be self-directed or used with coaching support.

Common prescriptions for depression and anxiety medications are available for a low copay, even before your deductible is met. Members also have access to low-cost fitness options through Active&Fit to help keep body and mind healthy.

High blood pressure

Managing high blood pressure is a key component of overall cardiovascular health. With a MyPriority plan, members with high blood pressure can get the prescriptions they need at the lowest available price through PriceMyMeds.

Blood pressure monitors, angiotensin converting enzyme (ACE) inhibitors and beta-blockers are also covered, before deductible, with just a low copay or coinsurance.

Heart disease

With a MyPriority plan, members with heart disease can get the prescriptions they need at the lowest available price through PriceMyMeds. Preventive services such as cardiovascular screenings, cholesterol tests and blood pressure checks are covered before deductible, with just a low copay or coinsurance.

Well-being benefits

Managing a chronic condition involves prioritizing your overall health, staying physically active, handling stress and carving out time for self-care. Priority Health members have access to well-being benefits such as the Active&Fit Direct program and Teladoc Health's Mental Health program. Both these benefits – and more – are available any time for our members through your member account.

• Active&Fit allows you to exercise at the gym or at home with flexible fitness options. Find a fitness program that fits your lifestyle with no annual fees and no long-term contracts.
• Teladoc Health's Mental Health program is a free mental wellness resource. Members have access to a digital solution that helps with stress, anxiety, chronic pain and more. It can be self-directed or used with coaching support.

We're more than a health plan. Priority Health is committed to helping members live a happy life while managing these common conditions.