FAQ Category: Finding Care

• How do I search for a provider?

  Click “Search a Provider” in the left column under Quick Links or, under the My Health Plans tab in the top navigation bar.

• Why aren’t there any results when I search for a provider?

  First, make sure you are spelling the provider’s name correctly. If you are not sure of the spelling, type in the first three letters and a list of all doctors with a last name starting with those letters will be displayed. You can then browse the list manually. Your search may also be too narrow,…

• How do I change my doctor?

  You can change your primary care doctor (PCP) by logging into your member portal. You can also call Priority Partners at 800-654-9728.

• What doctors can I see as a Priority Partners member?

  Go to the Find a Doctor section of this website or call Priority Partners at 800-654-9728.

• Who or where do I call for eye/vision care?

  Your vision care is through Superior Vision. Call Superior Vision at 800-428-8789 or go to their website.

• Who or where do I call for dental care?

  Dental care is provided by the Maryland Healthy Smiles Dental Program. Call 855-934-9812 or visit their member website for more information or to find a dentist.

• How do I find care for mental health or substance use disorder?

  If you have a substance abuse or mental health question or concern, or want treatment options, please call Carelon Behavioral Health at 800-888-1965; (TTY 711).

• Do I need to contact Priority Partners before going to the emergency room?

  No. For life-threatening emergencies, call 911 or go the emergency room. After, call your primary care doctor within 24 hours to let him or her know about the emergency. However, if you have a problem after normal business hours that is not a medical emergency, you can receive services at an urgent care center. Directions…

• What is a Site of Service?

  Site of service is a term used to indicate the facility in which you receive care. Many surgical procedures can be performed safely in an outpatient hospital setting, such as an ambulatory surgery center (ASC). Certain procedures require prior authorization when performed in an outpatient hospital setting. For information on covered outpatient services, refer to…

• Where can I find an urgent care center?

  You can find an urgent care center near you in three easy steps. Go to the “Find a Doctor” and enter your ZIP code or select your state from the drop-down menu. Click the “Hospital or Facility” option, then click the “Search Providers” button. From the search results page, find the “Specialty” search category on the right side, and select “Urgent…