Some plan features for 2027 may vary from your 2026 plan. Confirm your 2026 plan features in 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
- $200 eyewear allowance per year
Find an EyeMed provider
Find an EyeMed 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.
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 covered in your plan
Dental services covered in your plan
- $0 for preventive services up to $1,500
- Medicaid additionally covers the majority of comprehensive benefits that a member would need such as dentures, extractions, sealants, root canals and crowns.
Learn more here.
Find a Delta Dental provider
Find a Delta Dental provider
- 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.
Hearing
Hearing included in your plan
Hearing 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
- $0 copay for up to two (2) TruHearing brand ‘Advanced’ hearing aids, one per ear every two years
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.
PriorityFlex
Access your monthly allowance for over-the-counter and home and bathroom safety devices and modifications with your OTC card.
PriorityFlex allowance amount
$70 per month
Note: Allowance does not roll over.
Special Supplemental Benefit for Chronically Ill (SSBCI)
These items and services are extra benefits offered to members with specific chronic health conditions. If you qualify, you may use your monthly PriorityFlex allowance towards Healthy food and produce, Pest control services, Personal care items, Household supplies, Meal delivery, Utilities like gas, water, sewer, septic, electric, internet and phone.
One Pass
Fitness benefits help you maintain strength, balance and overall health through participating gyms, at-home fitness options and wellness resources.
CogniFit
With your One Pass membership, you also have access to CogniFit, and online brain training platform made just for you to help improve your memory and focus.
Carallel
Unlimited access to resources and support on topics like social and emotional needs, housing, transportation, financial and legal concerns and family communication. Because caregivers need support, too.
SafeRide®
SafeRide provides no-cost transportation to and from medical appointments and other health-related locations. To guarantee availability, we recommend scheduling at least 48 hours before your desired pickup time.
Get up to 30 one-way trips per year, within 100 miles, with just a phone call. You may also submit for mileage reimbursement, up to 100 miles per one-way trip. Call SafeRide at 855.932.5418 to schedule a ride, use the SafeRide app, or ask your Care Manager for help.
Travel benefit
With your Priority Health plan, you have access to unlimited worldwide urgent and emergency care coverage. View your plan documents to learn more.
Healthy Rewards
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.
Care Management
Through your plan, you have access to a care manager to help coordinate your care and manage any chronic conditions you may have.
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.
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:
Priority Health has a D-SNP (HMO) plan with a Medicare contract and a contract with the State Medicaid program. Enrollment in Priority Medicare D-SNP (HMO) depends on contract renewal.
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