Getting care

We make it easy to find and use all the services included in your PriorityMedicare D-SNP health plan.

Drug coverage

This plan has no deductible, so you'll pay these amounts for your drugs.
Generic Brand
$0, $1.30 or $3.75 per prescription $0, $4 or $9.20 per prescription

Cost share will vary on your LIS status. Specialty drugs are available in a 30-day supply at a time.

What drugs are covered


Medication Therapy Management

Keep up to date on the medications you need with our Medication Therapy Management (MTM) program. We work with specially trained area pharmacists to help you get the best results from your medications while keeping your out-of-pocket costs down. These pharmacists do much more than dispense drugs: they review your current medications and go over any questions you may have.

Learn more


Over-the-counter (OTC) allowance and Healthy Savings program

Your plan includes a quarterly over-the-counter (OTC) allowance through Healthy Benefits Plus so you can purchase non-prescription health and wellness products. Also included with your OTC benefit is the Healthy Savings program which provides weekly discounts on qualifying healthy food items.

Learn more


Vision, dental and hearing coverage

Your plan includes routine vision from EyeMedSM providers, hearing coverage from TruHearingTM providers and preventive dental services through Delta Dental®.

Vision

You won't pay anything for a routine vision exam or retinal imaging and we include a $200 eyewear allowance each year for glasses or contacts.

To find an EyeMed “Select” provider near you, call EyeMed at 844.366.5127 (TTY users should call 711), Monday through Friday from 9 a.m. to 8 p.m. Or, use our Find a Doctor tool.

Dental

Our contract with Delta Dental provides a large network of dentists and includes preventive exams, cleanings, one set of bitewing X-rays and a brush biopsy covered at no cost.

You can find participating dentists in the Delta Dental Medicare Advantage PPO network by calling 800.330.2732 (TTY users should call 711), Monday through Friday 9 a.m. to 8 p.m. or search online at deltadentalmi.com/findadentist and select the Medicare Advantage PPO.

Hearing

You're also covered for a routine hearing exam and one advanced level hearing aid per year, per year. Call TruHearing at 833.714.5356, Monday through Friday from 8 a.m. to 8 p.m., TTY users should call 711. For assistance on Saturday or Sunday, call Priority Health Medicare at 888.389.6648 (TTY users should call 711), from 8 a.m. to 8 p.m.