Since Priority Health is a non-profit health insurance provider, they may only provide coverage at treatment centers and hospitals that are in-network. Fortunately, nearly 95 percent of the providers in Michigan participate with Priority Health. Addiction treatment services that may be covered by Priority Health plans include:
Full Answer
What is priority health doing for You?
Whether their issue is mild, moderate or severe, Priority Health is committed to helping ensure a happier, healthier workforce.
Does a Michigan treatment center accept priority health insurance?
A Michigan Treatment Center who accepts Priority Health, may be in network with Priority Health, or you can make a claim on your Priority Health insurance as an out of network Priority Health provider. Michigan-based Priority Health offers group health insurance plans, HMO coverage, and options for individual and family medical plans.
How can priority health support employees seeking or receiving treatment?
Throughout the process of seeking or receiving treatment, we may connect your employees with a Priority Health care manager to provide ongoing support. We can even help employees find in-network outpatient providers for mental health and substance abuse.
How do I contact priority health customer service?
For details on this benefit, ask your pharmacist or primary care physician, or call our Customer Service department at 888.975.8102. How are drugs approved? Discover how Priority Health establishes Group, MyPriority and Medicare Approved Drug Lists.
Why is priority health important?
Because each person and their addiction is unique, there is a wide range of addiction treatment services to choose from. Priority Health offers coverage for each of these rehab services, in order to best meet the needs of its members.
Does Priority Health cover rehab?
Insurance companies like Priority Health can help people lower the cost of drug and alcohol rehab programs. By using your health plan benefits, you may be able to reduce the cost of treatment services that include detoxification and outpatient treatment.
Find a Doctor
Use our Find a Doctor tool to choose an in-network primary care provider (PCP).
Cost Estimator
With Cost Estimator, you can know the cost of your medical service or prescription ahead of time.
Preventive care
Preventive care like well-child visits, flu shots and annual physicals are included in most plans at no cost.
Virtual care
Get convenient 24/7 virtual care to treat non-emergencies like the flu, a cold or a fever.
Travel assistance
Assist America can help you with travel services when you're 100+ miles away from home.
Prescription coverage
Review our Approved Drug List to make sure your prescription is in-network or available at a lower cost.
Wellness
The Priority Health Wellbeing Hub is your personal online health and wellbeing dashboard.
What is preventive vs diagnostic?
Preventive vs. diagnostic tests. Remember, the services listed here are only preventive when you have no symptoms—if your doctor orders a test or screening because you are having symptoms, the test is "diagnostic.". That means you will have to pay a share of the cost.
When is HIV screening covered by Medicare?
When: Once per lifetime, or annually for certain people at risk. HIV screening. Who is covered: All Medicare members between the ages of 15 and 65. Those at an increased risk less than age 15 or older than age 65.
How long can you have a health plan with Medicare?
If you've had Medicare Part B (Medical Insurance) for longer than 12 months, you can get a yearly "Wellness" visit to develop or update a personalized prevention plan based on your current health and risk factors. Advanced Care Planning is an optional preventive service at no cost to the member only when given with an AWV.
How many hours of follow up training is required for glaucoma screening?
Subsequent years: Up to 2 hours of follow-up training each calendar year after the initial 10 hours of training has been completed. Glaucoma screening. Who is covered: Medicare members with diabetes or a family history of glaucoma, African-Americans age 50 or older, and Hispanic-Americans age 65 or older.
Does Medicare cover preventive screenings?
Here's a summary of the preventive tests, screenings, vaccinations and exams that Medicare covers at no cost to you. For complete details, Medigap members should reference your Certificate of Coverage.
What is medically necessary?
Medically necessary is determined and appropriately coded by your ordering provider. Medically necessary does not include tests as a condition of employment or returning to work. If you are experiencing symptoms, first speak to your health care provider to help you understand if you need testing and how to receive it.
What happens if you visit an out of network provider?
Important details: If you visit an out-of-network provider, your treatment will be covered as outlined by your health plan and cost sharing will apply if applicable. Some plans do not have out-of-network benefits, so we encourage you to receive care from providers in your plan’s network.
Is OOC covered by priority health?
OOC members are covered* for Urgent and Emergency care as stated by their plan. Contact Assist America first for guidance on your options. The usual process will apply where if you seek care, you may be asked to pay up front. You should get a detailed receipt and then file a form to get reimbursed by Priority Health.
Does a health plan cover a test?
The test must be ordered by a medical provider for your health plan to cover the costs of the test. Your plan will cover the cost of one test per day, as described above, whether the provider is in or out of network. Medically necessary is determined and appropriately coded by your ordering provider.
Does assist America cover medical expenses?
Assist America covers the costs of all services related to getting quality emergency medical care while traveling, such as medical referrals, critical care monitoring, emergency evacuation and more. Assist America is not insurance and services do not replace medical insurance.
Is virtual care covered by Medicaid?
Virtual care services, including behavioral health services, are covered for Medicaid members using in network providers. All members should refer to their plan documents for further benefit details. *Excluding the Vital plan, which has 20% coinsurance for virtual visits.
What is the phone number for Care Management?
Call our Care Management team at 800.998.1037.
What is clinical trial?
Clinical trials explore the use of new drugs, procedures or improvements to existing treatments. Participating in clinical trials can help others with cancer and contribute to treatment research. Check with your oncologist for clinical trials that align with your treatment plan. As a member, clinical trials may be available to you at no cost depending on your health plan. Call the number on the back of your member ID card for more information on your plan benefits.
What is priority health?
Priority Health. Since 1971 Hegira Health, Inc. (HHI) has been a leader in behavioral healthcare. Today, HHI is one of Michigan's largest freestanding, integrated behavioral healthcare organizations, providing a wide variety of mental health and substance abuse treatment services to individuals of all ages.
What is Hegira Health?
Since 1971 Hegira Health, Inc. (HHI) has been a leader in behavioral healthcare. Today, HHI is one of Michigan's largest freestanding, integrated behavioral healthcare organizations, providing a wide variety of mental health and substance abuse treatment services to individuals of all ages. It is HHI's goal to ensure the availability of quality, individualized, and rapidly accessible integrated behavioral healthcare and prevention services to individuals and families of all income levels. Hegira Health, Inc. is accredited by the Joint Commission and by the American Association of Suicidology. All service locations are licensed by the State of Michigan and staffed by experienced professionals.
Does Michigan accept priority health insurance?
Are you looking for a Michigan Priority Health Treatment Center? These Michigan Treatment Centers accept Priority Health insurance. They include Priority Health Treatment Centers in Michigan, Priority Health psychologists and Priority Health counseling. A Michigan Treatment Center who accepts Priority Health, may be in network with Priority Health, or you can make a claim on your Priority Health insurance as an out of network Priority Health provider. Michigan-based Priority Health offers group health insurance plans, HMO coverage, and options for individual and family medical plans. Please confirm when you make an appointment that the Treatment Center you select serves your benefit plan.
Is Hegira Health Inc. accredited?
It is HHI's goal to ensure the availability of quality, individualized, and rapidly accessible integrated behavioral healthcare and prevention services to individuals and families of all income levels. Hegira Health, Inc. is accredited by the Joint Commission and by the American Association of Suicidology.
Facts about your approved drugs
When a generic drug is listed for a brand copay or coinsurance, there will be little cost difference between the brand and its generic equivalent.
How are drugs approved?
Discover how Priority Health establishes Group, MyPriority and Medicare Approved Drug Lists.
