Priority Health’s family programs split into free outreach for members and a Carrot fertility benefit the employer must buy.
Priority Health lists PriorityMOM and PriorityBABY for pregnancy and early childhood, and Carrot Fertility as a buy-up or rider for fertility and family-building support.
What the program is and what members do.
PriorityMOM
Priority Health says PriorityMOM supports expectant mothers in their pregnancy journey. Its stated goal is to reduce obstetric costs, preterm births and postpartum readmissions and to improve outcomes for mother and baby. It is listed for pregnant members. Ask Priority Health how members enroll and what outreach they receive, so employees know what to expect.
PriorityBABY
Priority Health describes PriorityBABY as a program supporting children and their caregivers during a child’s first two years. It continues PriorityMOM and includes health care information, gifts and incentives. Priority Health lists it for all members with a child under six months old.
Carrot Fertility
Priority Health lists Carrot as a buy-up and rider that offers fertility treatment options for those with or without an infertility diagnosis, expert guidance and education, pregnancy, postpartum and doula support, gestational surrogacy, adoption, and menopause and low testosterone support. Priority Health offers employers two choices, Carrot Core and Carrot Pro.
Eligibility, funding and plan design.
Who qualifies
PriorityMOM and PriorityBABY are listed for members by pregnancy or child age, with no employer purchase mentioned. Carrot is listed for commercial members whose employer groups purchased the Carrot Core Buy-Up or the Carrot Pro Rider. Whether dependents can use Carrot, and whether spouses on the plan are included, should be confirmed in the Carrot plan documents.
How it is sold
Carrot is explicitly a purchased option. The manual does not give prices or specific coverage amounts. Those come from the quote and the Carrot plan documents, which should state what is covered and any lifetime limits. Ask whether the buy-up is priced per employee per month or on another basis, and how that changes with enrollment.
Plan design fit
A fertility benefit is often a recruiting and retention decision as much as a cost decision. It also touches the medical plan, since fertility coverage rules vary. Pair the decision with a review of what the base plan already covers.
What to settle before relying on it.
What exactly does Carrot Core cover compared with Carrot Pro?
Ask Priority Health for a side-by-side of the two options, including any lifetime maximums, eligible services and whether adoption, surrogacy and menopause support are in both. Do not describe either benefit to employees until the documents are in hand. A written comparison also protects you if an employee disputes what was promised.
How does Carrot interact with our medical plan?
Ask whether fertility treatment under the base plan and under Carrot overlap, and which pays first. Unclear coordination leads to claim disputes and frustrated employees at an emotional time. Ask Priority Health to state the order of payment in writing, including for pregnancy and postpartum services that both could touch, and for any services both could cover.
Are there incentives or data collection we should review?
PriorityBABY includes gifts and incentives, and any program that collects health information can raise HIPAA, ADA and GINA questions. Have employment counsel review how family-related information is handled and communicated. Pregnancy and fertility information is sensitive, so confirm what the vendor collects, who sees it, and that the employer receives only aggregate reporting, never individual details.
Common questions about this program.
Is Carrot included in Priority Health plans?
No. Priority Health lists Carrot for commercial members whose employer groups purchased the Carrot Core Buy-Up or the Carrot Pro Rider.
Who can use PriorityMOM?
Priority Health lists PriorityMOM for pregnant members. Specific enrollment steps and any incentives should be confirmed with Priority Health.
How long does PriorityBABY run?
Priority Health describes it as supporting children and caregivers during a child’s first two years, and lists it for members with a child under six months old.
Programs and vendors named on this page
Official pages for the services mentioned above. Availability, cost and eligibility vary by plan and employer group, so confirm what applies to your group with the carrier.
Where these details come from.
This page summarizes what Priority Health publishes. Programs change, so confirm current details with the carrier before relying on them.
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Contribution split by tier
Enrolled counts by tier
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