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Individual and Family Plans

Available Plans

Everyone has different insurance needs. That’s why Network Health offers a variety of plans to ensure you have the quality coverage you need at an affordable cost. View available plans now.

All Network Health’s Prestige plans are available on the health insurance exchange, which is also known as the Marketplace. These plans are HMO (Health Maintenance Organization) which means you’ll have to use our high-quality network of doctors, hospitals, clinics and specialists for services to be covered. This includes labs and services your doctor may refer, so you’ll want to ensure all providers you use are in-network.

As you review our plans, remember that you may qualify for a subsidy from the government. If you have questions, call us at 844-635-1322, Monday-Friday from 8 a.m. to 5 p.m. 

2019 Plans

 

 Frequently Asked Questions

A subsidy is financial help provided by the government to help people afford health insurance. There are two types of subsidies – premium tax credits and cost-sharing reductions. A premium tax credit helps make your monthly premium payments lower. A cost-sharing reduction lowers the amount you pay for health insurance deductibles, copayments and coinsurance. If you qualify for a cost-sharing reduction, you must obtain coverage through Marketplace to receive the benefit.

HSA stands for Health Savings Account. This savings account lets you set aside pre-tax money to pay for qualified medical expenses. Qualified medical expenses include deductibles, copayments, coinsurance, and many other medical expenses. Since HSA accounts are associated with high-deductible plans, the pre-tax dollars can offset some of your expenses.
Use our Find a Doctor search tool to easily find providers in this network.
Agent Commission Information
  • Title I (No Surprises Act) and Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260) (CAA), establish new protections for consumers related to surprise billing and transparency in health care.
  • This requires issuers of individual health insurance plans to disclose to prospective enrollees the compensation an agent or broker receives from the issuer.
  • At Network Health we value our member and feel it’s appropriate to disclose this information. Our Agents or brokers who sell individual health insurance coverage receive $18 per member per month (PMPM).
  • Please note the monthly premium you pay for your plan remains the same whether you work with an agent or broker to enroll or not.

2023 Extra Benefits

Some Network Health Prestige plans include vision, dental and fitness benefits.

  • $0 preventive care services
  • $0 annual vision exam through EyeMed
  • $0 routine dental exam, cleaning and bitewing x-ray through DentaQuest
  • $0 virtual doctor visits (for some plans, deductible must be met first)
  • Patient Assurance Program ($25 preferred insulin before deductible)
  • Momentum healthy rewards program
  • WellBeats fitness program
  • Superior, local service

 

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Individual and Family Service Area

2023 IFP Service Area Map Network Health’s Prestige plans for individuals and families are available in nine counties.
  • Northeast Counties
    • Calumet
    • Outagamie
    • Winnebago
  • Southeast Counties
    • Kenosha
    • Milwaukee
    • Ozaukee
    • Racine
    • Washington
    • Waukesha
2023 Coverage
  • Open enrollment starts Tuesday, November 1, 2022
  • Enroll by Thursday, December 15, 2022, for coverage that starts January 1, 2023
  • Open enrollment ends Sunday, January 15, 2023

View our 2023 plan options below.

Prestige Bronze

This is a standard plan that features a lower premium with a higher deductible. The coinsurance is 0 percent after deductible.

  • $9,100 Individual/ $18,200 Family Deductible
  • $9,100 Inividual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze Plus

This is a standard plan that offers an affordable monthly premium. The coinsurance is 50 percent.

  • $7,500 Individual/ $15,000 Family Deductible
  • $9,000 Individual/ $18,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan offers a low monthly premium and great coverage. Your first three primary care doctor visits are $0 and then just $55 per visit after that. The coinsurance is 50 percent.

  • $7,750 Individual/ $15,500 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze 20 HDHP + Dental + Vision + Fitness

In addition to a low monthly premium and quality coverage, this plan offers 20 percent coinsurance. This plan, as displayed here, may be combined with a health savings account (HSA).

  • $6,500 Individual/ $13,000 Family Deductible
  • $7,500 Individual/ $15,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Signature Prestige Bronze Copay + Dental + Vision + Fitness

This plan has no deductibles and has reasonable copayments for common medical services. 

  • $0 Individual/ $0 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

 

Prestige Silver

This plan offers a deductible and coinsurance midway between the Bronze and Gold plans.

  • $5,800 Individual/ $11,600 Family Deductible
  • $8,900 Individual/ $17,800 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Silver Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan has a reasonable deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $25 per visit after that.

  • $4,600 Individual/ $9,200 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

 

Prestige Gold

This is Network Health’s lowest cost gold-level plan. After you meet your deductible, you’ll pay 25 percent coinsurance for most medical services.

  • $2,000 Individual/ $4,000 Family Deductible
  • $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Gold Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan offers a low deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $20 per visit after that.

  • $1,750 Individual/ $3,500 Family Deductible
  • $9,100 Individual/ $18,200 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Gold 50 + Dental + Vision + Fitness

This plan offers broad coverage with the lowest deductible of all our gold-level plans. It also has the lowest out-of-pocket maximum.

  • $1,000 Individual/ $2,000 Family Deductible
  • $4,300 Individual/ $8,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Network Health
1570 Midway Place
Menasha, WI 54952
Hours
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.