PriorityMedicare Value plan documents

Page last updated on: 10/15/25

Thank you for being a Priority Health Medicare Advantage member.

You can find important plan information below. If you have questions or would like to request printed copies of your plan documents, our customer care team is here to help.

You don't need to do anything to continue your coverage, your plan will automatically renew on January 1, 2026.

Any changes you'd like to make to your Medicare coverage need to be made during the Annual Enrollment Period (AEP) of October 15 – December 7. Connect with your agent of record, or our Medicare benefit advisors, who are happy to help with plan changes. Please call toll-free at 844.803.5302.

PriorityMedicare® Value plan documents

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Provider and pharmacy directories

Use the Find a Doc tool or download directories below to see providers and pharmacies, including DME suppliers.

Region2026 directories coming soon2025 directories
North region: Alcona, Alpena, Antrim, Arenac, Benzie, Charlevoix, Cheboygan, Clare, Crawford, Emmet, Gladwin, Grand Traverse, Iosco, Kalkaska, Lake, Leelanau, Manistee, Mason, Missaukee, Montmorency, Ogemaw, Oscoda, Osceola, Otsego, Presque Isle, Roscommon, Wexford
East region: Bay, Clinton, Genesee, Gratiot, Huron, Isabella, Lapeer, Midland, Saginaw, Sanilac, Shiawassee, St Clair, Tuscola
South region: Berrien, Branch, Calhoun, Cass, Eaton, Hillsdale, Ingham, Jackson, Kalamazoo, Lenawee, Livingston, Monroe, St. Joseph, Van Buren, Washtenaw
West region: Allegan, Barry, Ionia, Kent, Mecosta, Montcalm, Muskegon, Newaygo, Oceana, Ottawa
Southeast region: Macomb, Oakland, Wayne

Coverage exceptions, decisions and appeals

For coverage decisions, appeals and payment decisions for medical care or Part D drugs, and the appeals forms visit this page.

Important update to home health services and diabetic supplies.

Starting October 6, 2025, “Home health services” will no longer require prior authorization.

Also starting October 6, 2025, OneTouch® diabetic supplies will no longer be covered when dispensed by a retail or mail-order pharmacy. If you wish to continue using OneTouch diabetic supplies, you’ll be responsible for the total cost. Contour® brands (Ascensia) and Accu-Chek® Guide (Roche) are covered alternative supplies to monitor your blood glucose.

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