Medicare Advantage plan benefits

Medicare Advantage plans are offered by private insurance companies like Priority Health.

See a summary of benefits for the Priority Health Medicare Advantage plans:

Original Medicare Part A and Part B benefits

Additional services covered by Priority Health Medicare plans

  • Admission to skilled nursing facilities without having to be in the hospital 3 days prior to admission. See details.
  • Routine dental services, with enhanced dental coverage also available.
  • Routine vision services, with enhanced vision coverage also available.
  • Routine hearing services
  • Comprehensive physical is covered annually if billing guidelines are followed.
  • In-home safety assessments and post-discharge medication reconciliation.
  • Medication Therapy Management visits with pharmacists. See details.
  • Nutritional education for members with medical conditions. Physician recommendation is required. See details.
  • Unlimited medical hospital days
  • Wellness programs, including membership in SilverSneakers® (gym membership or fitness videos)
  • Worldwide emergency and urgent care coverage

Member information

Go to the Priority Health Medicare member web section for plan summaries (copayments & benefits overviews) and formulary information.

Health risk appraisals and high-risk members

Within 90 days of enrollment, Priority Health Medicare Advantage plan members are mailed a health risk appraisal survey to complete. This is a Medicare requirement for all Part C plans. Members who are identified as high-risk according to the health risk appraisal information are assigned to a Priority Health nurse care manager. The care manager coordinates services for the member and develops a care plan for him/her in consultation with the member's primary care physician's office.