Priority Health lists Kivo as a nine week, at-home virtual COPD recovery program, and the page states it is for Medicare members.
Priority Health describes Kivo as a nine week virtual COPD recovery program done at home. The page states it is for all Medicare members, so an employer group should confirm whether it applies. This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers.
What the program is and what members do.
What the program is
The carrier describes Kivo as a nine week, at-home Chronic Obstructive Pulmonary Disease recovery program led by a clinician through virtual sessions. It is listed as virtual pulmonary rehab.
How members use it
Sessions are virtual and run at home over nine weeks, according to the carrier. The page does not explain how a member is referred, what equipment is needed or how many sessions occur each week.
What it covers and does not
The page covers COPD recovery only. It does not say whether the program is a covered medical benefit, whether cost sharing applies or whether it replaces in-person rehab for members who prefer it.
Eligibility, funding and plan design.
Who the carrier says it is for
This page is the Priority Health provider manual, so it is written for physicians and office staff and not for employers. It states the program is for all Medicare members. It does not name commercial or employer group members for Kivo. Carriers often offer similar programs to Medicare and group members, but we would not assume it here. Ask Priority Health whether Kivo is available to your commercial group.
How it is funded or sold
The page does not describe pricing, a benefit rider or cost sharing. Funding is an open question for the carrier.
Where it fits in plan design
For an employer with a member who has COPD, virtual rehab is a convenience and access option. It would not change the plan design. Because the page speaks to Medicare, we would treat it as relevant to group plans only after the carrier confirms.
What to settle before relying on it.
Does Kivo apply to our commercial group?
The page states Medicare members. We would ask Priority Health directly whether commercial group members can use it, and get the answer in writing.
Is it a covered benefit, and at what cost share?
The page is silent on cost. We would ask how the program is paid for and what a member owes, if anything.
How does a member get referred?
The page does not say. We would ask whether a doctor’s order is required and who contacts the member.
Common questions about this program.
Who is Kivo for according to Priority Health?
The provider manual page says all Medicare members.
What is Kivo?
The carrier describes it as a nine week, at-home COPD recovery program led by a clinician through virtual sessions.
Can an employer group use it?
The page does not say. Confirm with Priority Health whether it is available under your group contract.
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.
Send us your renewal.
We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.
The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier
Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.
An independent employee benefits consulting firm. We look at the entire benefits program: cost, plan performance, risk and administration.
Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →
Cookies on This Site
We use cookies to keep the site working properly and to understand how it is used. You can decline anything that is not essential. See our Privacy Policy for the detail.
- Essential: needed for the site to load and for you to move around it. These cannot be switched off.
- Analytics: tell us which pages get read, so we know what is worth writing more of.
- Advertising: set by third parties such as ad and social platforms to measure and target campaigns.