Network Health 2024 Medicare Advantage PPO plans are rated 5 out of 5 stars by Medicare. Learn more.
Virtual Visits Virtual Visits
Find a Doctor Find a Doctor
Find a Pharmacy Find a Pharmacy
Look Up Medications Look Up Medications

Provider Resources

Member Appeals and Grievances

For more information on the grievance process as well as member rights and responsibilities, please visit our legal page.

Commercial Grievance Form
Medicare Appeal Request Form
Grievance and Appeals Resolution Policy and Procedure
for Medicare Advantage Plans Part C  
Non-Contract Provider Claim Appeals (Medicare)
Waiver of Liability Form
Member Appeals Document
Reopening and Peer to Peer (P2P) Process Document


Network Health
1570 Midway Place
Menasha, WI 54952
Hours
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.

Copyright 2024 Network Health Medicare Advantage Plans include MSA, HMO and PPO plans with a Medicare contract. Network Health Cares is a PPO D-SNP plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in Network Health Medicare Advantage Plans depends on contract renewal. Each year, Medicare evaluates plans based on a 5-Star rating system. Out-of-network/non-contracted providers are under no obligation to treat Network Health members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Y0108_4790-01-0923_2024_D Last Updated Jul 29, 2024 2:21 PM

COVID-19 Information for Network Health Members

Learn more about the recent Change Healthcare breach.

Language Assistance

Contrast