Get started using your Priority Health benefits
Thank you for choosing Priority Health. We know health insurance can be complicated, that’s why we want to make it easier for you to use your benefits so you can spend more time doing the things you love.
To get started, create your online account
The Priority Health app and member account offer you an easy way to access and manage your health insurance information anytime, anywhere. View your personalized information, find doctors, keep track of spending and access tools to help you save money on the cost of care.
Don't forget to download the Priority Health app on the App Store or Google Play to have on-the-go access to all of the information you need.
Get your preventive care
Priority Health covers preventive care services that you receive from an in-network provider.
We encourage all our members to take advantage of their preventive care coverage by having regular physical exams, mammograms, colonoscopies and immunizations like the flu shot.
MPSERS HMO (non-Medicare) plan
MPSERS Medicare plan
No referrals needed to see a specialist
With our plans you don’t need a referral to see an in-network specialist. Some specialists may require a referral from your doctor before they’ll see you, but there’s no approval needed from Priority Health.
Finding doctors, hospitals and pharmacies
While you're in the Priority Health service area, we ask that you use participating doctors and hospitals. You can search for providers in the network by using our online Find a Doctor directory.
Prescription coverage
You can search for participating pharmacies, including all the national chains, and see which are preferred and non-preferred using our online Find a Doctor directory.
You may use our online Approved Drug List to see if your current prescriptions are covered by your plan. The approved drug list, also known as a formulary, determines how prescriptions will be covered.
For Medicare MPSERS members: Stay active with Silver&Fit
Silver&Fit® is included when you become a Priority Health MPSERS Medicare member, at no additional cost to you. So, whether you like working out at a fitness center or in the comfort of your own home, you can stay active and engaged in your health. Program benefits include a membership at a local participating fitness center, or up to two at-home fitness kits. You'll also get access to the Silver Slate newsletter and website, specifically designed for Silver&Fit® members.
For Non-Medicare MPSERS members: Break a sweat – without breaking the bank, with Active&Fit DirectTM
Ready to get moving? It’s easier than ever with the Active&Fit Direct program, which allows you to choose from 9,000+ participating fitness centers nationwide for $25 a month (plus a $25 enrollment fee).
Learn moreKnow the cost of services and prescriptions with the Cost Estimator
Health care costs aren't always clear, but with our Cost Estimator you don't have to brace yourself for the bill. Costs for hundreds of services, and now prescriptions, are available to you whether you need to schedule a doctor's visit, head to the pharmacy, or plan for a surgery.
We even went a step further and centered Cost Estimator completely around you, giving your cost based on your specific health plan. This way you can make decisions with you and your budget in mind.
See a doctor online, anytime, with 24/7 access to virtual doctor visits
Sometimes it's just not convenient to get to your doctor, so we've made a way to get the doctor to you. See a doctor anytime, anywhere by using your phone, tablet or laptop. Perfect for when you have a cold, headache, sinus infection and more. The best part? Virtual doctor visits are covered at no cost to you.
Access your (free) personalized Wellbeing Hub
We're the first in Michigan to introduce an all new personalized health and well-being experience. We're here to help you improve or maintain your health with information, tools, programs and activities that are important to you. Need support with weight loss, quitting tobacco, stress and financial management or managing a condition management?
Care outside Michigan
We know our members like to travel, and we want to make sure you're covered while you do. In the case of a medical emergency, your coverage is the same whether you're here at home, in another state or even another country. If you're accessing routine services while you're outside of the Priority Health service area, don't worry, you're able to use your Priority Health insurance anywhere in the United States.
See the out-of-network POS benefit information in your plan documents for additional details.
Priority Health has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract renewal. This information is not a complete description of benefits. Call 888.389.6648, option 3 (TTY users call 711) for more information.
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Downloads
- 2019 MPSERS benefits overview (quick glance at specific copays, coinsurance, prescription coverage, etc.)
HMO plan
- 2019 MPSERS HMO (Non-Medicare) summary of benefits (full details about your plan)