Members can visit any dentist in Wisconsin and payments are made through a reimbursement process. After receiving services, members fill out a reimbursement form and send it in. Network Health will then reimburse them for eligible expenses.
Eligible expenses include the following.
Through our partnership with Express Scripts®, Inc. (ESI), members have access to an extensive pharmacy network, both large chain and local.
Out-of-Pocket Protection
Out-of-pocket protection maximizes assistance programs from manufacturers.
It tracks copayment assistance as secondary insurance at the specialty pharmacy and adjusts accumulators accordingly.
Care Management
The care management team helps members who are facing difficult diagnoses, complex medical conditions or behavioral health conditions. Learn more about care management.
Condition Management
Our condition management team empowers members to take charge of their chronic condition. We offer programs for COPD, asthma, diabetes, heart failure and heart disease or stroke. Learn more about condition management.
Health Coaching
The health coaches at Network Health specialize in motivation and encouragement to help members meet their personal health goals. Learn more about health coaching.
Network Health offers preventive services at no cost to members when they visit a doctor within our provider network. Network Health follows the recommendations of the United States Preventive Services Task Force (USPSTF). Covered preventive services include the following.
Virtual visits through MDLIVE are a great way to save time and money when your employees experience non-emergency symptoms. By using a phone, smartphone, tablet or computer, members can connect with a board-certified physician or pediatrician for treatment of a wide range of conditions 24 hours a day, seven days a week. They can also get prescriptions filled, if needed.
MDLIVE physicians can help with more than 80 common conditions, including the following.