Priority Health waives all member cost sharing for the treatment of COVID-19

(Grand Rapids, Mich. – April 10, 2020) Priority Health announced today that it will waive all copays, deductibles and coinsurance for the treatment of COVID-19 through June 30. This means that all of the company’s nearly one million members across Commercial, Individual, Medicaid and Medicare plans can get the testing and treatment they need for COVID-19 with no out-of-pocket health insurance costs. Covered treatment may be inpatient or outpatient from an in-network provider. Self-funded employer groups are also included unless they choose to opt-out.

“We are committed to ensuring our members have access to the health care they need for COVID-19, when they need it without worrying about cost,” said Joan Budden, President and CEO of Priority Health. “These are unprecedented times, and we will do what is necessary to keep our members and communities safe.”

At this time, patients can only be tested for COVID-19 if a physician orders a test. Patients must have a confirmed primary COVID-19 diagnosis and be receiving evidence-based care for treatment to be fully covered. Anyone experiencing symptoms of COVID-19 should contact their healthcare provider to determine eligibility for testing. Priority Health is encouraging members to use virtual care whenever possible, to prevent further spread of the virus and help avoid overwhelming health care providers and facilities.

To support members throughout the crisis, Priority Health previously announced the following:

  • Fully covering the cost of physician-ordered COVID-19 testing for all members
  • Expanding free telehealth (virtual care) to all members for COVID-19 screening and testing
  • Expanding free home medication delivery for all members with the largest pharmacies in the state

Priority Health continues to follow the CDC’s activities and work with local health departments and the Michigan Department of Health and Human Services to share information with our members and employers. The insurer’s government relations team is also in constant contact with Governor Gretchen Whitmer’s team in Lansing and legislators at the federal level to ensure alignment on action steps.

Learn more about our ongoing efforts surrounding COVID-19.

About Priority Health:

With over 30 years in business, Priority Health is the second largest health plan in Michigan, offering an extensive portfolio of health benefits options for employer groups and individuals, including Medicare and Medicaid plans. Serving more than 1.3 million members each year and offering a broad network of primary care physicians in Michigan, Priority Health continues to be recognized as a leader for quality, customer service, transparency and product innovation. Learn more about affordable, quality health coverage options from Priority Health