Using your MyPriority plan

Here's how your MyPriority plan works for you.

Getting care

Stay in the MyPriority HMO plan network

Using the online Find a Doctor directory tool to find in-network doctors, hospitals, labs, radiology, and more

Change your Primary Care Provider (PCP)

Emergency and urgent care

When you need pre-approval for services (also known as prior authorization)

Filling prescriptions

Paying for care

Understanding your deductible, when you pay for care, and when your plan pays

Understanding claim statements, also called "explanation of benefits" or EOBs

Using Cost Estimator

Submitting claims

Retroactive claim denials

Pending claims during late payment grace period

When you have other insurance, too

Your Priority Health member account

Your online member account

Paying your premium

Grace period for late payment

Overpayment of premium

Renewing, changing, or canceling your plan

Agent Compensation Disclosure

Under the Consolidated Appropriations Act of 2021 (CAA), health insurance issuers offering Individual health coverage or short-term limited duration insurance must disclose actual and anticipated cash and non-cash compensation paid to agents and brokers in connection with the sale, renewal, and extension of Individual Plans.

If you use an agent to help facilitate your enrollment, their compensation is based on a percentage of your total monthly premium. This is paid by Priority Health and the agent will be paid a commission each month for as long as you are enrolled. Your monthly premium will be the same whether you choose to use an agent or not. In addition, your agent may receive a bonus if certain sales thresholds are met.

MyPriority Agent Commission Schedule