City of Racine - Group Medicare Advantage

View coverage and provider detail by clicking the links below. When prompted, select “Group Medicare Advantage” from the search dropdowns.

 

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Extra Benefits

Network Health Group Medicare Advantage plans offer several benefits that go above and beyond. Learn more about your plan options.

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 Protecting Your Vision for the Future

An annual vision exam helps to ensure your health and well-being by spotting early warning signs for a variety of health conditions like diabetes and blood pressure. Network Health Group Medicare Advantage Plans cover an annual routine vision exam, at a local EyeMed provider. 

Refer to your plan-specific Evidence of Coverage (EOC) for more details. You can contact EyeMed at 833-279-4359 (TTY 711), Monday–Saturday from 7 a.m. to 10 p.m. and Sunday from 10 a.m. to 7 p.m. 

Visit EyeMed's website to Find a Vision Provider.  

• Annual routine vision exam - $0 in-network, $40 reimbursement out-of-network.  

• Please use this claim form to request an out-of-network reimbursement. To request reimbursement for your out-of-network services using your in-network benefits use this exception form. 

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 Hearing

Hearing impacts your health, wellness and safety. We know how important that is, which is why we partner with TruHearing® to offer you a hearing benefit, so you can enjoy the world around you. 

Your hearing benefit includes an annual routine hearing exam at a local TruHearing provider, high-quality hearing aids, hearing aid fittings and follow-up care.  

To find a provider and schedule an appointment, contact TruHearing at 877-759-8131 (TTY 711), Monday-Friday from 8 a.m. to 8 p.m.  

• Routine hearing exam - $0 in-network, $40 out-of-network 

• Diagnostic hearing exam - 20% of the allowed amount. 

• Hearing aid allowance (discounts included through plan's approved partner) - $500 

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  Virtual Doctor Visits

You can connect with a board-certified physician for treatment of a wide range of conditions—24 hours a day, seven days a week. 

Register for MDLIVE® today, so your account is ready when you need it. You can also get prescriptions filled if needed. Online doctor visits through MDLIVE are a convenient and affordable alternative to urgent care or a doctor visit if your personal doctor isn't available.  

Set up your Network Health MDLIVE account in one of four ways. 

Log in to your member portal at login.networkhealth.com and click Virtual Visits. Once you've set up your MDLIVE account, you'll be able to seamlessly access it from your member portal. 

1. Text NETWORK to 635483 to be walked through step-by-step registration on your phone. 

1. Download the MDLIVE app on your smartphone or tablet. Open the application and follow the instructions to create an account. 

1. Call 877-958-5455 and an MDLIVE customer service representative will walk you through the process of setting up an account. 

MDLIVE can assist with these conditions: acne, allergies, cold and flu, constipation, cough, diarrhea, ear problems, fever, nausea and vomiting, pink eye, rash, respiratory problems, sore throats, urinary problems and more. 

• MDLIVE® virtual visit - $0 

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 Fitness for a Healthy Life

A One Pass™ nationwide gym membership is included with Network Health Group Medicare Advantage Plans.  

Don’t worry if you’re new to fitness. You will find the support you need regardless of your fitness level and ability. 

Your One Pass fitness program includes access to fitness centers, in-person and virtual fitness events and fitness classes for all levels. Your fitness program travels with you with more than 26,000 fitness center locations nationwide. 

If you’re traveling it’s easy to find a convenient location near you. 

• One Pass™ membership is included with your Group Medicare Advantage plan. 

• Your benefit includes the Premium Network. Be sure to select this option when searching locations near you.

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Meal Delivery

We offer 28 meals delivered to your home for eligible members who have been recently discharged from a qualified inpatient hospital stay, hospital observation stay or a skilled nursing facility stay. 

Contact Network Health within seven days of discharge at 866-709- 0019 (TTY 711) Monday-Friday 8 a.m. to 5 p.m. to start your referral. 

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In-Home Support

We offer six hours of non-medical in-home support services. Support includes help with meal preparation, companionship, light housekeeping and more, up to 30 days following a discharge from a qualified inpatient hospital stay, hospital observation stay or a skilled nursing facility stay. 

Note: Medical care, personal care or support activities of daily living such as bathing, medication administration, dressing, toileting, brushing teeth and feeding are excluded. Tasks that you would pay a professional to do, such as cleaning, are excluded. 

Contact Network Health within seven days of discharge at 866-709-0019 (TTY 711) Monday-Friday 8 a.m. to 5 p.m. to start your referral. 

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