Froedtert Thedacare Health, Inc. - Group Medicare Advantage

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

This page contains information for Froedtert ThedaCare Health, Inc. retirees. If you are a current Froedtert ThedaCare Health, Inc. employee, please visit my.networkhealth.com/FTCH

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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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 Coverage for Your Smile

Protect your teeth and gums with routine preventive dental care. Network Health Group Medicare Advantage Plans partner with Say Cheese Dental Network to offer dental care.  

You can contact Say Cheese Dental Network at 888-454-4127 (TTY 711), Monday–Friday from 7 a.m. to 10 p.m. and Saturdays from 8 a.m. to 5:30 p.m. 

Visit Say Cheese Dental Network's website to Find a Dental Provider. 

Please use this form to request an out-of-network reimbursement. 

• Foundation 1005 - 100% preventive, 50% comprehensive coverage in-network. Member pays 80% of the allowed amount out-of-network. $750 combined annual maximum. Click here to download dental certificate.

• Foundation Ultimate - 100% preventive, 50% comprehensive coverage in-network. Member pays 80% of the allowed amount out-of-network. $3,000 combined annual maximum. Click here to download dental certificate.

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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. 

• $200 Eyewear - Foundation Ultimate

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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

  • $50 in-network / $90 out-of-network - Foundation 1005

  • $40 in-network / $80 out-of-network - Foundation Ultimate

• Hearing aids are available through TruHearing for copayments ranging from $495 - $1,695 per aid. Choose from a wide selection of quality, brand-name hearing aids from Signia, Widex®, ReSound, Starkey®, Oticon, Phonak and more.  

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 Over-the-Counter Benefit

Network Health Foundation Ultimate offers an over-the-counter (OTC) benefit, which allows you to get the OTC products you need. Be sure to use your benefit amount before the end of each quarter.  

Refer to your plan-specific Evidence of Coverage (EOC) for more details. 

The items you order will be shipped directly to your door. Unused benefit amounts will not roll over into the next quarter. 

• $50 per quarter in over-the-counter catalog - Foundation Ultimate 

You may view the catalog for additional information, and use this order form to place your order.

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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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 Part B Premium Giveback

If you pay a Medicare Part B premium, we may pay a portion of that premium for you. We call this a Part B premium giveback. It’s like getting a raise on your Social Security check. 

To qualify for the Part B premium giveback, you must be enrolled in Medicare Parts A and B, pay your own premiums, live in our service area and be enrolled in a plan that offers the Part B premium giveback benefit. 

The giveback is distributed through the Social Security Administration and depending on how you pay the Part B premium, the giveback can take up to 90 days to be received and will show as an increase in your Social Security payment or a credit on your Part B premium statement. 

•  Part B Premium Giveback $19 – Foundation 1005