Network Health Point-of-Service (POS) Plans

For groups with 51+ employees

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High-quality coverage with the freedom to choose any doctor 

Network Health Point-of-Service (POS) plans offer access to the same high quality in-network health care facilities as the Network Health HMO plans, but members of the POS plan have the added flexibility to see doctors that aren’t contracted through Network Health’s network. That flexibility comes with a higher monthly premium.

Our POS plans are perfect for members who would like the freedom to see any doctor and are willing to pay a higher monthly premium for that choice. POS plans are available for groups with 51+ employees. Some high-deductible Network Health POS plans qualify for a Health Savings Account (HSA). You can find links to specific plan benefits here.

POS Advantages

• WellnessWays Wellness Program – Our WellnessWays wellness program gives your employees a variety of tools, resources and services needed to improve their overall health. They also have the opportunity to earn prepaid gift cards for completing a wide range of activities throughout the year. By actively promoting better health among your employees, your claims costs go down
• Condition Management– Our team of registered nurses is here to help manage specific health conditions by offering local workshops and educational events.
• Care Management – If you are diagnosed with a serious health problem, our care managers will help you coordinate care and answer any questions you may have.
• Built-In Pharmacy Benefits – Through our partnership with Express Scripts®, Inc. (ESI), members have access to an extensive pharmacy network, both large chain and local.

Out-of-Area Coverage Solutions

If your organization has employees living outside the Network Health service area, you may qualify to use Network Options wrap plan as part of your Network Health POS plan. The Network Options wrap plan allows out-of-area members to use participating health care facilities in their area at an in-network benefit level. Those members can receive care from out-of-network providers, but will pay less when using participating providers. To find a participating provider, go to myfirsthealth.com and enter your zip code to get started. Network Options wrap plan requires the following:

• A total of at least 51 employees with 35+ enrolled in Network Health POS plan.
• A minimum of 80 percent of enrolled employees must live within the Network Health service area.
• Network Options requires approval for participation. Talk to your agent for more information. If you don’t have an agent, call 920-720-1250.