Being a Priority Health Medicare member comes with perks like fitness memberships, discounts on brands you love and programs to keep you at your healthiest. See the tools and extras included in your plan.
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.
Routine vision benefits through EyeMed can help you care for your eye health and offset the cost of eyewear. Covered services include:
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 in-network vision benefits.
To see your full EyeMed coverage, please reference the Vision section in your Certificate of Coverage.
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.
To find a Delta Dental Medicare Advantage PPO and Medicare Advantage Premier network dentist call 800.330.2732 (TTY 711), Mon. - Fri., 8 a.m. - 8 p.m., or go to their provider locater.
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 benefits through TruHearing can help make hearing care and hearing aids more affordable, supporting independence, communication and quality of life.
In order to receive in-network benefits, 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.
Show your Priority Health Medicare member ID card to health care providers when using your in-network hearing benefits.
See your plan's Certificate of Coverage document for details.
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.
Region 3: Antrim, Benzie, Charlevoix, Clare, Emmet, Grand Traverse, Isabella, Kalkaska, Lake, Leelanau, Manistee, Mason, Mecosta, Midland, Missaukee, Newaygo, Oceana, Osceola, Wexford
Region 4: Alcona, Alpena, Arenac, Bay, Cheboygan, Crawford, Gladwin, Huron, Iosco, Montmorency, Ogemaw, Oscoda, Otsego, Presque Isle, Roscommon, Sanilac, Tuscola
| Region 3 | $40 quarterly |
| Region 4 | $33 quarterly |
These items and services are extra benefits offered to members with specific chronic health conditions. If you qualify*, you may use your monthly allowance towards healthy food and produce.
Fitness benefits help you maintain strength, balance and overall health through participating gyms, at-home fitness options and wellness resources.
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.
Your plan includes no or low-cost virtual care for primary care provider (PCP), urgent care, specialists 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.
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:
Simply go to the Teladoc Health website or app, click "Create a new account" or "Set up your account" to get started.
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®.
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.
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:
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:
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.
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.
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