Visit Medicare.gov to find a Medicare-participating provider outside of the Priority Health 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.) - Some plans have a deductible for in-network services
Routine care—including most primary care physicians, specialists and outpatient visits, lab work and diagnostic tests—will still only cost your copay amount, even before your deductible is met.
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.2 - Your out-of-pocket costs may be slightly higher
After you meet the out-of-network deductible, you'll pay a share of costs for covered medical services you receive from out-of-network health care providers in Michigan.
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.
1 Excludes hospitals in Michigan’s upper peninsula; based on CMS Hospital Listing file Aug. 2025 data and Priority Health provider database.
2 Out-of-network deductibles vary by plan
PriorityMedicare Dual Premier (HMO D-SNP) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Enrollment depends on contract renewal.