Chronic condition coverage

Get the right health plan

When selecting Individual health coverage, you need a plan that covers all your needs. Choosing the right plan is especially important if you need benefits that help you manage a chronic condition. Chronic conditions, such as asthma, heart disease, high blood pressure, diabetes and others, persist for more than a year and require ongoing medical care.

Priority Health is dedicated to supporting members in living a fulfilling life while managing their conditions.

Chronic conditions include:

Asthma Congestive heart failure Coronary artery disease Depression Diabetes

Heart disease Hypertension (high blood pressure) Liver disease and/or bleeding disorder Osteoporosis/Osteopenia

MyPriority^® plans give you access to medical services, supplies and medications for your chronic condition for just the cost of a copay or coinsurance, even before reaching your deductible. This approach gives you the most value for what you value most – your health.

Plans also include Teladoc Health Mental Health services to address stress, anxiety, depression and more, supporting your overall well-being while managing your condition.

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Asthma

Managing asthma requires both symptom control and promotion of overall well-being. MyPriority plans ensure that members with asthma have full coverage for supplies and prescriptions, such as inhalers and peak flow meters, with a low copay or coinsurance before the deductible.

Diabetes

Effective diabetes management necessitates a comprehensive approach including medical care, lifestyle adjustments and continuous support. With a MyPriority health plan, there are several services, supplies and treatments required to manage diabetes are fully covered if provided by participating durable medical equipment (DME) suppliers¹, before the deductible is applied.

Members will pay no cost for:

• Insulin pumps
• Blood glucose monitors¹
• Syringes and needles
• Lancets
• Glucose test strips

Additionally, diabetes-related prescriptions and testing procedures are covered before the deductible with an affordable cost share.

Depression/anxiety

Members suffering from depression or anxiety can access complimentary on-demand mental health resources via Teladoc Health Mental Health with a MyPriority plan. These resources address stress, anxiety, depression, and more and can be used independently or with coaching guidance.

Common medications for depression and anxiety are available at a low copay before the deductible is met. Members also benefit from low-cost fitness options through Active&Fit Direct™, promoting physical and mental wellness.

High blood pressure

Proper management of high blood pressure is essential for cardiovascular health. MyPriority plan members can get necessary prescriptions at the lowest possible price using PriceMyMeds. Coverage extends to blood pressure monitors, ACE inhibitors and beta-blockers, all with a low copay or coinsurance, and before deductible. 

Heart disease

For heart disease management, MyPriority plans offer prescriptions at the lowest price through PriceMyMeds. Preventive measures such as cardiovascular screenings, cholesterol tests and blood pressure checks are fully covered with just a low copay or coinsurance, even before reaching the deductible.

Well-being benefits

Managing chronic conditions involves prioritizing overall health, maintaining physical activity, managing stress and dedicating time to self-care. Priority Health provides members access to well-being benefits like the Active&Fit Direct program and Teladoc Health's Mental Health program. These benefits and others are accessible at any time through your member account.

• Active&Fit Direct offers flexible fitness options for workouts at the gym or home without annual fees or long-term commitments.
• Teladoc Health's Mental Health delivers a free digital mental wellness resource focusing on stress, anxiety, chronic pain and more, which can be used independently or with coaching support.

More than just a health plan, Priority Health is dedicated to supporting members in leading a fulfilling life while managing common health conditions.