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Priority Health Update

Priority Health Managed Care Committee Member

Flora Varga

Flora Varga, Cancer & Hematology Centers of West Michigan

What Makes a Good Appeal?  Tips From Our Reimbursement Team

What’s an appeal?
When you make an appeal, you’re asking us to change our reconsideration decision, our utilization review decision, or our initial claim decision based on medical necessity or experimental / investigational coverage criteria. We only offer one level of post-claim appeals. READ MORE

New Commercial plan - PriorityAllowance

In January 2022*, we’re introducing PriorityAllowance. This new product gives each member an allowance to make health care more affordable, promote good health, and remove barriers to care. When the member has an allowance available, we pay the claim – including the member’s portion.

*Available for small groups. PriorityAllowance will be available to large group employers in spring 2022.

Reminder: THC members newly transferred to Priority Health Choice Medicaid may have benefit changes

Read more about 2022 Commercial and Medicare Product Information


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