How to let us know about service issues

According to the federal government, complaints about the service you get from Priority Health or from our doctors, hospitals, pharmacies, etc., are called "grievances." When you let us know that you have a problem with us or with our network of doctors, hospitals, pharmacies, or other health care providers, it is called "filing a grievance."

This does not include complaints about what your plan covers or does not cover.

For those kinds of questions or issues, please see the instructions for asking for exceptions to coverage.

Call Customer Service first

We will try to resolve any complaint that you might have over the phone. If you ask for a written answer to your phone complaint, we will answer you in writing.

How to file a grievance

If we can't settle or fix your complaint over the phone, we have a formal way to answer your complaint. It is called the Priority Health Medicare Grievance Procedure. Write us a letter explaining what your complaint is, and mail it to:

Priority Health Medicare Service Coordinator
1231 East Beltline NE, MS 1165
Grand Rapids, MI 49525

You can also deliver it in person, or fax it to us at 616 975-8880 or 942-0995, or call Customer Service for help.

More details about filing a grievance

To better understand the services you are entitled to under your Priority Health Medicare plan, including more details about filing a grievance, you can refer to the "Evidence of Coverage" booklet for your plan. 

• Go to Chapter 9 of the Evidence of Coverage for PriorityMedicare Value plan, (1.7MB PDF) 
• Go to Chapter 9 of the Evidence of Coverage for PriorityMedicare plan, (1.7MB PDF)  
• Go to Chapter 9 of the Evidence of Coverage for PriorityMedicare Plus plan, (1.7MB PDF) 
• Go to Chapter 9 of the Evidence of Coverage for PriorityMedicare Choice plan, (1.7MB PDF)
  
• Go to Chapter 7 of the Evidence of Coverage for PriorityMedicare Rx plan, (980KB PDF) 

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