There are advantages to using our network of doctors and hospitals
- 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.)
It's easy to go to out-of-network health care providers
You can go to any health care providers (doctors, hospitals, medical supply companies) you like outside our Michigan network with your out-of-state travel benefit.
Note: When you get your Priority Health Medicare plan through an employer, your costs may vary.
- Emergency or urgent care is always considered "in network."
Emergency or urgent care, post-stabilization care, or dialysis that you receive outside our network will be considered in-network.
- You 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 copays may be slightly higher.
After you meet the out-of-network deductible, you'll pay a copay for covered medical services you receive from out-of-network health care providers.