PriorityPOS: More flexibility, more options

Our Michigan point-of-service (POS) group health plan, PriorityPOSSM, offers more flexibility than HMO coverage through two levels of medical benefits.

  • Preferred level: When you use doctors, hospitals and other health care providers in the PriorityPOS plan network, you pay lower deductibles, copayments and coinsurance.
  • Alternate level: When you choose a doctor or hospital outside the PriorityPOS plan network, you'll pay more.

PriorityPOS plan features

You'll choose a primary health care provider (your PCP) for each member of your family. Your PCP - whether a doctor, a nurse practitioner, or other primary health care provider - coordinates your health care.

You don't need a referral from your PCP to see a specialist, unless the specialist requires one.

You won't need to file claims when you use your preferred (in-network) health care providers. We take care of virtually all paperwork.

You'll probably have a deductible, which is just like a car insurance deductible. It's the amount you need to pay for health care services covered by your plan before the plan starts to pay for your care.

The plan pays for your preventive care before you meet your deductible. Priority Health pays the cost of your routine preventive care (physicals, immunizations, prenatal care, mammograms, etc.). To see what's included in preventive care, check the Preventive Health Care Guidelines (848KB PDF).

See all your copaymentss, deductible balances, and prescription history when you register your online account here at Change your PCP and order new ID cards, too.

Fill your prescriptions at any pharmacy in our nationwide network for your normal copay when you have prescription coverage.

Some services, such as surgeries, require prior approval from Priority Health before your plan will cover them.

Rely on outstanding customer service, with extended phone service hours, calls answered within minutes, and email responses within 24 hours.