See if your providers are in-network before and after you enroll
The Priority Health EPO plan, administered by Priority Health, includes Michigan Medicine and thousands of other providers in one network. Your in-network benefit level is the same regardless of which in-network provider you choose.
Use our Find a Provider tool to search for physicians, specialists and hospitals.
Stay on top of preventive care
Preventive care helps catch potential health issues early. Find recommended screenings, immunizations, and routine care based on your age and life stage.
Explore resources included with your coverage
There's more to health coverage than finding in-network care. Explore tools and resources available to help you stay healthy, at no extra cost.
Estimate costs for medical services
Estimate costs for medical services
The cost of the same procedure can vary depending on where it's performed. Cost Estimator gives you an estimate of what you could pay for hundreds of common medical services based on your health plan information.
Reproductive resources
Reproductive resources
When you notify Priority Health that you're expecting, or we receive a claim indicating pregnancy, you're invited to enroll in PriorityMOM. You'll receive pregnancy-related resources and personalized communications on topics such as high blood pressure, gestational diabetes and preparing for your baby's arrival. Members who enroll also receive a free gift.
After your baby is added to your Priority Health coverage, you're invited to enroll in PriorityBABY. You'll receive age-based resources, well-child visit reminders and personalized communications to support your child's growth and development through their early years. Members who enroll also receive a free gift.
Gender services
Gender services
The University of Michigan Health helps transgender, gender nonconforming and nonbinary adults access and obtain the highest quality gender-affirming medical care.
Hearing aid and services
Hearing aid and services
With the Priority Health EPO plan, you can have hearing exams at a $30 copayment once per 36 months. Hearing aids (monaural or binaural) are covered up to the allowed amount every 36 months.
Priority Health members also have discounts on hearing exams and hearing aids through our partnership with TruHearing.
Diabetes prevention and management
Diabetes prevention and management
If you're navigating a new diabetes diagnosis or have been living with diabetes for years, Priority Health offers resources and programs to support you every step of the way.
The Priority Health EPO plan 100% covers durable medical equipment.
Plan details and documents
Designed for individuals and families who receive most of their care in Michigan, Priority Health EPO, administered by Priority Health, offers predictable costs while making care easier to access with a broad provider network and no referral requirements for in-network specialists. Out-of-network care is generally covered only in emergencies.
Priority Health EPO Plan
| Service | In-network benefit |
|---|---|
| Out-of-pocket maximum | $3,000 individual/$6,000 family |
| Deductible | No annual deductible |
| Primary care visits for injury or illness | $25 copayment |
| Preventive care | $0 copayment |
| Specialist visit | $30 copayment (no referral required to see in-network specialists) |
| Urgent care | $25 copayment |
| Emergency care | $100 copayment (waived if admitted) |
| Mental health, behavioral health or substance abuse services | $25 copayment |
| Inpatient services | $0 copayment |
| Outpatient surgery | $0 copayment |
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