Using your MyPriority plan
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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
- Emergency and urgent care
- When you need pre-approval for services (also known as prior authorization)
- Filling prescriptions
- Request a formulary exception
- Change your Primary Care Provider (PCP)
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.