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 (pre-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.
You can go to any pharmacy in our network of more than 66,000 pharmacies nationwide, but you'll pay less for your covered drugs when you use a preferred pharmacy. See a list of preferred pharmacies.
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.
Pre-Medicare
You have access to routine care while traveling. Which means, when you’re away from home you’ll have coverage for office visits, procedures and more. You're also covered worldwide for emergency and urgent care services. For more information on how to use your travel coverage, review the benefit details in your plan documents.
Medicare
You have an out-of-state travel benefit, which means you'll pay in-network costs for care when you visit any Medicare-participating provider in the United States outside of Michigan. That means, when you travel, your coverage travels with you. You're also covered worldwide for emergency and urgent care services. For more information on how to use your travel coverage, review the benefit details in your plan documents.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: Get or stay fit with SilverSneakers®
SilverSneakers is included at no additional cost to you as a Priority Health Medicare member. So, whether you like working out at a fitness center or in the comfort of your own home, you can get or stay fit in the way that works best for you. You'll have access to thousands of locations nationwide, a new participating gym as often as you like, online resources with nutrition tips and videos and much more.
For Pre-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?
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
- 2022 MPSERS benefit overview (quick glance at specific copays, coinsurance, prescription coverage, etc.)
- 2022 ORS Plan Comparison chart
HMO plan
Medicare plan
2022
- 2022 MPSERS Evidence of Coverage
- 2022 MPSERS Annual Notice of Changes
- 2022 Medicare formulary
- 2022 MPSERS Medicare summary of benefits
- 2022 MPSERS TruHearing benefit flyer
2021