Individual and Family Plans

Additional Benefits Available in 2020

Argus Logo

Coverage for Your Smile

At Network Health, we know how important it is to protect your smile. Preventive dental care can help keep your teeth and gums healthy. Your Network Health plan offers one exam, one cleaning and one bite-wing x-ray at a $0 copayment to all covered members of your plan. Please review your Summary of Benefits and Coverage (SBC) for more details.

Oral exam

You are covered for a comprehensive or periodic oral exam. Your dental benefit includes one oral exam per year for each covered member of your plan, including children.

Annual Cleaning

Your plan covers adult and pediatric cleaning, once annually. This cleaning will remove plaque and tarter from your teeth. By removing the plaque that causes tooth decay and gum infections, your dentist can help you achieve better oral health.

X-Rays

You are also covered for one bitewing x-ray per year. Bitewing x-rays take an image of the upper teeth, lower teeth, roots and supporting bone of the teeth. These x-rays are used to detect decay between teeth.

Beginning January 1, 2020, you can contact Argus Dental at 844-296-1850. If you have questions before then, please contact Network Health customer service.

To use this benefit, simply show your Network Health member ID card at an in-network provider. Visit Argus Dental's website to Find a Dental Provider. Under the Plan dropdown, select Network Health, complete the other information and click Search.

 

 

eyemed

Protect Your Vision

An annual eye exam helps you ensure your health and well-being by spotting early warning signs for a variety of health conditions like diabetes and blood pressure.

With EyeMed through Network Health, all covered members of your plan can have one annual eye exam for a $0 copayment, at a participating EyeMed provider. Please refer to your Summary of Benefits and Coverage (SBC) for more details. If you have questions about your benefit, beginning January 1, 2020, you can contact EyeMed at 833-279-4360 (TTY 711) Monday-Saturday from 7:30 a.m. - 11 p.m. and Sunday from 11 a.m. - 8 p.m. EST. Until January 1, 2020, please contact Network Health's customer service team.

Visit EyeMed's website to Find a Vision Provider

EyeMed also offers the following discounts to Network Health Prestige Plan members.

Vision Care Services

Member Cost

Standard plastic lenses
Single vision
Bifocal
Trifocal
$50
$70
$105
Frames*
Any frame available at provider location
35% off retail price
Lens Options
UV coating
Tint (solid and gradient)
Standard scratch-resistance
Standard polycarbonate
Standard anti-reflective coating
$15
$15
$15
$40
$45
Contact lenses
Disposable
Conventional
0% off retail price
15% off retail price
Laser Vision Correction
LASIK or PRK from U.S. Laser Network
15% off retail price or 5% off promotional price

*Frame, Lens, and Lens Option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, members receive 20% off the retail price. 

Out-of-network/non-contracted providers are under no obligation to treat Network Health members, except in emergency situations. For more information about this benefit, please contact customer service at the number listed on the back of your member ID card.  

 

 

Fitness Benefit (for Essential plans only)

Network Health has partnered with the Active&Fit program to offer a fitness benefit at no additional cost to all covered members of an Essential Prestige Plan. This benefit offers two options to improve or maintain your physical fitness.

1. Fitness Center Program - Provides access to 11,000+ participating fitness centers, including conventional gyms and studio classes such as yoga, cycling and more. With this option, you can join one gym or multiple gyms, whichever is most convenient for you.

OR

2. Home Fitness Program - You may choose to enroll in the Home Fitness Program and select up to two home fitness kits per benefit year. These kits may include DVDs, guides and other items that help you get fit from the comfort of your home.

All Active&Fit members have access to the Active&Fit website, which offers these features to help you make the most of your benefit.
  • The Active&FitConnectedTMtool allows you to track your exercise and activity from a wearable device—this is also available through Active&Fit's ASHConnectTM mobile app*
  • Fitness center search
  • Online classes
  • Quarterly wellness newsletter

To take advantage of your fitness benefit, follow the step-by-step instructions for the Fitness Center Program and Home Fitness Program.

*Purchase of a wearable fitness device or app may be required to use the Connected tool and is not reimbursable by the Active&Fit program.


Network Health
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Tuesday: 8 a.m. to 4 p.m.