For your 2026 plan features, see your plan documents.
Using your vision, dental and hearing benefits
Vision, dental and hearing services included in your plan provide you with holistic coverage to keep you at your best.
View your full vision, dental and hearing coverage details in your Certificate of Coverage.
Vision
Vision services included in your plan
Vision services included in your plan
Routine vision benefits through EyeMed can help you care for your eye health and offset the cost of eyewear. Covered services include:
- $0 copay for one routine exam each year (includes dilation and refraction)
- $0 copay for one retinal imaging per year
- $100 eyewear allowance per year
Find an EyeMed network provider
Find an EyeMed network provider
As a Priority Health EyeMed member, you have access to thousands of independent providers as well as national retailers such as LensCrafters, Pearle Vision and Target Optical.
Routine vision services must be provided by an EyeMed "Select" provider. Call 844.366.5127 (TTY 711), Monday through Friday from 8 a.m. to 8 p.m. Or search here.
When you go to an EyeMed "Select" network provider, they file your claim and you only have to pay the cost of any services or eyewear that exceeds your plan's benefit. Show your Priority Health member ID card to health care providers when using your vision benefits.
To see your full EyeMed coverage, please reference the Vision section in your Certificate of Coverage.
To see your full EyeMed coverage, please reference the Vision section in your Certificate of Coverage.
Dental
Preventive dental care with Delta Dental is included with your plan, making it easier to keep up with routine dental visits and support your overall health.
Dental services included in your plan
Dental services included in your plan
- 2 oral exams
- 2 cleanings (regular or periodontal)
- 1 fluoride treatment
- 1 set of bitewing x-rays
- Periapical radiographs as needed
- 1 brush biopsy
- Radiographs (full-mouth or panoramic x-rays)
Find a Delta Dental network dentist
Find a Delta Dental network dentist
- Call 800.330.2732 (TTY 711), Mon. - Fri., 8 a.m. - 8 p.m.
- Visit their online provider locater. Put in your location and click Search. You will then see a list of available dentist offices near you to choose from and schedule an appointment.
- When you go to a participating dentist, they file your claim. You only have to pay your copayment and the cost of any non-covered services.
If you go to a non-participating dentist
If you go to a non-participating dentist
- If you see an out-of-network dentist, you may pay more if you go to a dentist who is not in the Delta Dental network. If the dentist charges more than Delta Dental allows, you will need to pay the difference.
- You’ll usually pay less with an in-network dentist.
- Before seeing an out-of-network dentist, ask if they have opted out of Medicare. Delta Dental can’t pay for services from dentists who have opted out.
Hearing services included in your plan
Hearing services included in your plan
Hearing benefits through TruHearing can help make hearing care and hearing aids more affordable, supporting independence, communication and quality of life.
- $0 copay for routine hearing exam per year
- Three levels of hearing aids: $399 for standard aids, $599 for advanced aids or $899 for premium aids, one ear per year
How to schedule an appointment with a TruHearing provider
How to schedule an appointment with a TruHearing provider
Because this is a benefit offered to Priority Health members, all appointments must be made through TruHearing directly by calling 833.714.5356 (TTY 711), Monday through Friday 8 a.m. to 8 p.m. A TruHearing consultant will verify your plan enrollment, answer all your questions, and schedule an appointment with an in-network provider.
Routine hearing services must be received from a TruHearing provider. There is no out-of-network coverage. Members must seek services and care covered by approved providers by following the steps above.
Show your Priority Health Medicare member ID card to health care providers when using your hearing benefits.
See your plan's Certificate of Coverage document for details.
OTC Plus allowance
Use your quarterly OTC Plus allowance for over-the-counter (OTC) items and home and bathroom safety devices and modifications. If eligible, you may also use your allowance toward healthy food and produce.
See what region you live in to check your OTC allowance
See what region you live in to check your OTC allowance
Region 1: Allegan, Barry, Ionia, Kent, Montcalm, Muskegon, Ottawa
Region 2: Berrien, Branch, Calhoun, Cass, Clinton, Eaton, Gratiot, Hillsdale, Ingham, Jackson, Kalamazoo, Saint Joseph, Van Buren
Region 5: Genessee, Lapeer, Lenawee, Livingston, Macomb, Monroe, Oakland, Saginaw, Saint Clair, Shiawassee, Washtenaw, Wayne
OTC allowance amounts
| Region 1 | $40 quarterly |
| Region 2 | $35 quarterly |
| Region 5 | $39 quarterly |
Get more details about your OTC Plus allowance
Special Supplemental Benefit for Chronically Ill (SSBCI)
Members with specific chronic conditions can use their OTC Plus allowance toward additional items and healthy food and produce.
Virtual care
Your plan includes no or low-cost virtual care for primary care provider (PCP), urgent care, specialist and behavioral health providers.
If you need care for a medical issue that's not life threatening but can't wait for your doctor's office to open, virtual care may be a great option for you.
Contact your doctor's office to see if they offer virtual care or access virtual care in your member account.
How to schedule a virtual visit
How to schedule a virtual visit
Emotional health support with Teladoc Health Mental Health
Emotional health support with Teladoc Health Mental Health
Teladoc Health Mental Health is a free mental wellness resource that offers support for stress, depression, sleep and more to help you live your happiest and healthiest life.
Teladoc Health Mental Health empowers you with:
- A personalized plan. Answer a series of questions and Teladoc Health will create a plan designed just for you.
- Recommended digital content and resources. Explore self-guided activities and tools based on your goals and needs.
- In-the-moment tools. Mindfulness and meditation techniques to boost your mood and help you focus on the present.
- Dedicated support. Connect with a coach to encourage and support you through your journey.
Simply go to the Teladoc Health website or app, click "Create a new account" or "Set up your account" to get started.
Medication Therapy Management program
As a Priority Health Medicare member, you have access to our Medication Therapy Management services, or MTM for short. The MTM program connects you with a registered pharmacist for a yearly comprehensive medication review that can help reduce your costs and improve your health.
Your MTM pharmacist is your personal resource and advocate who will:
- Help you understand your medications including what they do, when and how to take them, what to expect, and how to minimize side effects.
- Identify and help avoid possible conflicts between medications and/or over-the-counter products.
- Discuss money saving options and alternatives for filling your prescriptions.
Travel benefit
Show your member ID card to any Medicare-accepting provider outside the lower peninsula of Michigan and pay in-network prices. You also have access to unlimited worldwide urgent and emergency care coverage, and global emergency travel assistance from Assist America®.
Healthy Rewards program
When you complete eligible healthy activities like getting your flu shot or annual physical, you’ll earn rewards that you can spend at popular retailers.
How to dispose of unused controlled medications
How to dispose of unused controlled medications
The preferred way of disposing unused controlled medications is to bring them to community take-back sites near you. Before bringing your medications to take-back sites, use a marker to cover any personal information, such as your name or prescription number. The US Drug Enforcement Administration (DEA) allows unused prescription medications to be mailed back to pharmacies or other authorized sites using packages made available at pharmacies or other drug disposal sites. Contact your local pharmacy prior to mailing unused medications. Other medication collection sites in your area and information about medication disposal may be found at the websites below:
Health Risk Assessment
The information you provide allows our Care Management team to connect you to a Care Manager who will also work with your doctor to create a personalized care plan with you.
Medicare webinars and resources
Our Medicare experts have created a series of informative webinars to show you how to make the most of your Priority Health Medicare plan.
*Benefit mentioned is part of a special supplemental benefit for chronically ill members with one of the following conditions: diabetes, chronic obstructive pulmonary disease (COPD), arrhythmia, depression, heart failure, prostate/breast/other cancers and bipolar disorder. This is not a complete list of qualifying conditions. Even if you have a qualifying condition, you will not necessarily qualify to receive the benefit because coverage of the item or service depends on if you are chronically ill as defined by CMS and meet all applicable eligibility requirements. To see if you qualify, contact our Customer Care team by calling 833.939.0983 (TTY 711). From Oct. 1-Mar. 31, we’re available seven days a week from 8 a.m.-8 p.m. ET. From Apr. 1-Sept. 30, we’re available Mon.-Fri. from 8 a.m.-8 p.m. and Sat. 8 a.m.-noon ET.