Priority Health Medicare Advantage network 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. Plus, 9 out of 10 primary care doctors in Michigan and all major hospital systems in the lower peninsula are in our network1. Your plan also includes the Priority Health Travel Pass for out-of-area care at in-network costs, access to MultiPlan® Medicare Advantage providers outside of the Lower Peninsula of Michigan, unlimited worldwide emergency and urgent care and Assist America® for global travel assistance.
If you have a Priority Health Medigap plan, you can see any doctor who accepts Medicare. There is no network.
Visit Medicare.gov to find a Medicare-participating provider outside of our network.
More about our network
There are advantages to using our network of doctors and hospitals in Michigan
- 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.)
Travel smarter with the Priority Health Travel Pass*
All individual Priority Health Medicare Advantage plans include the Priority Health Travel Pass. When you visit any Medicare-participating provider in the U.S. outside of the Lower Peninsula in Michigan, you'll pay in-network costs. Plus, our partnership with MultiPlan makes accessing Medicare-participating providers even easier. You'll have access to out-of-state providers and help locating the right doctor while traveling, so you can get the care you need while outside of Michigan.
- You’ll pay the same as when you're in-network
Whether you’re a snowbird, just on vacation or seeking services in another state, go with confidence knowing you’re covered.
- All Priority Health Medicare Advantage individual and Medigap plans include Assist America
We partner with Assist America for emergency travel assistance when you're more than 100 miles from home or in a foreign country.
- Unlimited worldwide emergency and urgent care coverage
Emergency or urgently needed care, ambulance services, post-stabilization care, or dialysis you receive when you are temporarily outside our service area will be considered in-network with no limit, so you can travel with peace of mind.
It's easy to go to out-of-network health care providers in Michigan
You can go to any Medicare-participating health care providers (doctors, hospitals, medical supply companies) you like outside our network in Michigan if your plan has out-of-network coverage included. Note: When you get your Priority Health Medicare plan through an employer, your costs may vary.
- Some plans 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 out-of-pocket costs may be slightly higher
After you meet the out-of-network deductible, you'll pay a share of costs for covered medical services you receive from out-of-network health care providers in Michigan.
*Excludes PriorityMedicare D-SNP and many employer group Medicare Advantage plans. Please check your Evidence of Coverage document for benefit details.
**Out-of-network deductibles vary by plan
Note: Out-of-network/non-contracted providers are under no obligation to treat Priority Health members, except in emergency situations. Call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
1Excludes hospitals in Michigan's Upper Peninsula; based on American Hospital Directory January 2022 data and Priority Health providers contracts. Network varies by plan.
According to CMS National Downloadable File for Physicians, July 2022. Network varies by plan.