Priority Health

Using Priority Health for Therapy in West Michigan

Priority Health is a Michigan-based insurance company with a strong presence in West Michigan. Many employers in the Grand Rapids area offer Priority Health plans, making it one of the most common options for therapy coverage here.

What's typically covered

Priority Health plans generally cover outpatient mental health services, including individual and group therapy. Coverage details depend on your specific plan type (HMO, POS, or PPO).

What you'll pay

  • HMO plans: Usually require you to see in-network providers. Copays are common ($20–$40 per session).
  • POS/PPO plans: More flexibility to see out-of-network providers, but at a higher cost.
  • High-deductible plans: You may pay full session cost until your deductible is met.

How to check your benefits

  1. Log into your Priority Health member portal or call member services
  2. Ask specifically about outpatient behavioral health benefits
  3. Confirm whether you need a referral from your primary care doctor
  4. Ask about any pre-authorization requirements

Tips

  • Priority Health has a provider directory on their website that can help you find in-network therapists
  • Some Priority Health plans include access to virtual therapy platforms
  • If your preferred therapist isn't in-network, ask about single-case agreements