Doctors and hospitals
When you have a Medicare Advantage plan from Priority Health, you can see any doctor or specialist in our network without a referral. 97% of primary care doctors in Michigan are in our network. You can go to out-of-network providers, too, but it may cost a little more.
Starting Jan. 1, 2020, Priority Health Medicare Advantage plans also include an out-of-state travel benefit, so when you travel out of state, your coverage travels with you.
See if your doctor or hospital is in the Priority Health Medicare network.
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More about our network
There are advantages to using our network of doctors and hospitals
- You'll save money.
We negotiate with physicians, hospitals and pharmacies to get a discount for members of Priority Health Medicare Advantage plans.
- You'll see excellent doctors and hospitals.
We track the safety and quality ratings of hospitals and primary care physicians. You'll receive your care from some of the most respected physicians and medical facilities anywhere.
- No referrals necessary.
Our plans don't require you to get a referral to see a specialist in our network. (However, some specialists independently require referrals from your primary care physician or other primary health care provider.)
It's easy to go to out-of-network health care providers
You can go to any health care providers (doctors, hospitals, medical supply companies) you like outside our Michigan network. Note: When you get your Priority Health Medicare plan through an employer, your costs may vary.
- Emergency or urgent care is always considered "in network."
Emergency or urgent care, post-stabilization care, or dialysis that you receive outside our network will be considered in-network.
- You have a deductible for out-of-network services.
You'll pay 100% of the cost of Medicare-covered medical services received outside our network until you have met your out-of-network deductible.
- Your copays may be slightly higher.
After you meet the out-of-network deductible, you'll pay a copay for covered medical services you receive from out-of-network health care providers.