Priority Health Medicare Advantage network doctors and hospitals
When you have a Medicare Advantage plan from Priority Health, you can see any doctor or specialist in our network without a referral. 97% of primary care doctors in Michigan are in our network. You can go to out-of-network providers, too, but it may cost a little more.
Starting Jan. 1, 2020, Priority Health Medicare Advantage plans also include an out-of-state travel benefit, so when you travel out of state, your coverage travels with you.
See if your doctor or hospital is in the Priority Health Medicare network.
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Visit Medicare.gov to find a Medicare-participating provider outside of our network.
More about our network
There are advantages to using our network of doctors and hospitals in Michigan
- You'll save money.
We negotiate with physicians, hospitals and pharmacies to get a discount for members of Priority Health Medicare Advantage plans.
- You'll see excellent doctors and hospitals.
We track the safety and quality ratings of hospitals and primary care physicians. You'll receive your care from some of the most respected physicians and medical facilities anywhere.
- No referrals necessary.
Our plans don't require you to get a referral to see a specialist in our network. (However, some specialists independently require referrals from your primary care physician or other primary health care provider.)
Travel smarter with out-of-state travel benefits*
Starting Jan. 1, 2020, many Priority Health Medicare Advantage plans include an out-of-state travel benefit when you visit any Medicare-participating provider, in the U.S., outside of Michigan.
- You’ll pay the same as when you're in-network
Whether you’re a snowbird, just on vacation or seeking services in another state, go with confidence knowing you’re covered.
- All Priority Health Medicare Advantage individual plans include Assist America.
We partner with Assist America for emergency travel assistance when you're more than 100 miles from home or in a foreign country.
- Unlimited worldwide emergency and urgent care coverage.
Emergency or urgently needed care, ambulance services, post-stabilization care, or dialysis you receive when you are temporarily outside our service area will be considered in-network with no limit, so you can travel with peace of mind.
Learn more about out-of-state travel benefits.
It's easy to go to out-of-network health care providers in Michigan
You can go to any Medicare-participating health care providers (doctors, hospitals, medical supply companies) you like outside our network in Michigan if your plan has out-of-network coverage included. Note: When you get your Priority Health Medicare plan through an employer, your costs may vary.
- Some plans have a deductible for out-of-network services.**
You'll pay 100% of the cost of Medicare-covered medical services received outside our network until you have met your out-of-network deductible.
- Your out-of-pocket costs may be slightly higher.
After you meet the out-of-network deductible, you'll pay a coinsurance for covered medical services you receive from out-of-network health care providers in Michigan.
*Excludes PriorityMedicare D-SNP and many employer group Medicare Advantage plans. Please check your Evidence of Coverage document for benefit details.
**Out-of-network deductibles vary by plan
Note: Out-of-network/non-contracted providers are under no obligation to treat Priority Health members, except in emergency situations. Call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
According to the Michigan Department of Insurance and Financial Services 2019 Individual and Small Group network filing comparisons of primary care doctors who participate with insurance, excluding out-of-state and Upper Peninsula providers. Network varies by plan.