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See the Network Health Cares Extra Benefits
See Group Medicare Advantage Extra Benefits
See 2023 Extra Benefits

2024 Extra Benefits

Network Health Medicare Advantage Plans offer benefits that are not covered by Original Medicare. We partner with quality vendors to ensure you have access to additional benefits that help maintain and improve your health.

*2023 benefits can be found here*

Members with Network Health Cares (D-SNP) have different benefits available through their plan.

See the Network Health Cares Extra Benefits

 

Part B Premium Giveback
Pick Your Perks
Dental
Vision
Hearing
Fitness
Over-the-Counter
Virtual Doctor Visits
In-Home Care

dollar billsPart B Premium Giveback

If you pay a Medicare Part B premium, we may pay part of that premium for you. We call this a Part B premium giveback, and it is included with the Network Health Choice and the Network Health Anywhere plans. It’s like getting a raise on your Social Security check.

To qualify for the $25 Part B premium giveback, you must be enrolled in Medicare Parts A and B, pay your own premiums and live in a service area that offers the Part B giveback.

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

 Pick Your Perks

This unique program reimburses you for the costs of your eligible supplemental benefits, such as dental, vision hardware, personal training, meals, non-emergency transportation, over-the-counter items, acupuncture and more. Simply pay for your eligible items or services, and along with the reimbursement form, submit the necessary documentation such as an itemized receipt, and get reimbursed. Reimbursement documentation must be received within 120 days of the date of service or item's purchase.

The best part is that you decide how to use the money, so you can get the care and services that matter most to you. 

Network Health Select members can get reimbursed up to $550 per plan year. View this brochure for additional information.
Network Health Zero members can get reimbursed up to $775 per plan year. View this brochure for additional information. 
Network Health Go members can get reimbursed up to $1,525 per plan year. View this brochure for additional information. 

Pick Your Perks is not available with your Medicare Advantage Plan.

Coverage for Your Smile

Protect your teeth and gums with routine preventive dental care. Network Health Medicare Advantage Plans partner with Delta Dental Medicare Advantage to offer dental care. View this brochure for additional information.  

You can contact Delta Dental Medicare Advantage at 866-548-0292 (TTY 711), Monday–Friday from 8 a.m. to 8 p.m (changing to 7 a.m. to 7 p.m. starting January 1, 2024). 

Visit Delta Dental's website to Find a Dental Provider.

Preventive Dental Exam and Cleaning - One per year. $30 copayment in-network, $100 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.
100% preventive, 50% comprehensive coverage in-network. Member pays 80% out-of-network.

$1,500 combined annual maximum for Network Health Choice.

$3,000 combined annual maximum for Network Health Anywhere.
Preventive Dental Exam and Cleaning - Use your Pick Your Perks benefit to be reimbursed for any dental services not covered by Medicare. Cosmetic procedures, orthodontia and dental insurance premiums are excluded.
100% coverage in-network. Includes one implant and resin. Member pays 50% out-of-network.

$5,000 combined annual maximum.
Dental services are billed at the Medicare-approved amount until you meet your $5,100 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.
Optional Dental Benefit with Delta Dental Medicare Advantage - $42 monthly premium, annual maximum $1,000

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. Most Network Health Medicare Advantage Plans cover an annual routine vision exam at a local EyeMed provider. View this brochure for additional information.

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 1 a.m. and Sunday from 10 a.m. to 7 p.m. Sunday hours from October 1 - March 31 are 7 a.m. to 1 a.m.

Visit EyeMed's website to Find a Vision Provider. 

Annual Routine Vision Exam - $10 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.
Annual Routine Vision Exam  - $0 in-network/$40 reimbursement out-of-network. You'll also receive an annual allowance for contact lenses and/or glasses at EyeMed providers with a valid prescription.
$400 allowance for Network Health Armor and Network Health Bravo
$350 allowance for Network Health Anywhere
$200 allowance for Network Health Choice
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.

Vision services are billed at the Medicare-approved amount until you meet your $5,100 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

 

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. View this brochure for additional information.

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

Use this form to submit an out-of-network reimbursement.

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. 

Hearing services are billed at the Medicare-approved amount until you meet your $5,100 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

Over-the-Counter Benefit

Some of our Network Health Medicare Advantage plans offer an over-the-counter (OTC) benefit, which allows you to get the OTC products you need. You can submit two orders per quarter. 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.

You have an OTC benefit where you can place two orders per quarter, up to $225 per quarter. Unused amounts will not roll over into the next quarter.

View the catalog for additional information.

You have an OTC benefit where you can place two orders per quarter, up to $75 per quarter. Unused benefit amounts will not roll over into the next quarter.

View the catalog for additional information.

 

Use your Pick Your Perks benefit to be reimbursed for eligible OTC items.

You have an OTC benefit where you can place two orders per quarter, up to $100 per quarter. Unused benefit amounts will not roll over into the next quarter.

View the catalog for additional information.

 

An OTC benefit is not included in your Medicare Advantage plan.

 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.
  2. Download the MDLIVE app on your smartphone or tablet. Open the application and follow the instructions to create an account.
  3. 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 in-network
MDLIVE virtual visit - Before you meet your deductible, the cost is $55 for most virtual visits. After you meet your $5,100 deductible, you pay $0.

Fitness for a Healthy Life

A SilverSneakers® nationwide gym membership is included with most Network Health Medicare Advantage Plans. Refer to your plan-specific Evidence of Coverage (EOC) for more details.

Don’t worry if you’re new to fitness—nearly half of SilverSneakers members have never been to a gym before joining. No matter what your fitness level and ability, you will find the support you need.

Your SilverSneakers fitness program includes access to fitness centers, in-person and online fitness events and fitness classes for all levels. Your fitness program travels with you with more than 16,000 fitness center locations nationwide, and you can enroll in as many locations as you like at any time.

  • Ready to socialize? Join a group class like yoga or SilverSneakers Classic.
  • Rather exercise on your own? You’ll have full access to all facility fitness equipment.
  • Looking for something different? Discover FLEX® classes, taking workouts beyond the gym.
  • Enjoy the pool at one location and the stability class at another? Your membership grants you access to multiple facilities, so you can participate in both classes.

If you’re traveling it’s easy to find a convenient location near you. Visit SilverSneakers.com today for more information. 

Network Health Select, Network Health Zero, Network Health Armor, Network Health Choice, Network Health Plus, Network Health PlusRx, Network Health Premier, Network Health PremierRx, Network Health Go, Network Health Bravo, Network Health Anywhere, Network Health Cares (D-SNP)
Silver Sneakers membership is included in your Medicare Advantage plan.
SilverSneakers membership is not included in your Medicare Savings Account plan.

Convenient In-Home Access to the Care You Need

Through our partnership with Inovalon, Network Health offers convenient health assessments to review your medications and discuss any health concerns you may have.

A physician assistant or nurse practitioner will complete a safe and comprehensive visit in the comfort of your home. If you prefer a virtual visit, Inovalon will send you a tablet to complete the visit. Both you and your personal doctor will receive a copy of the results of the assessment. 

 


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.

Copyright 2025 Network Health Medicare Advantage Plans include MSA, HMO and PPO plans with a Medicare contract. Network Health Cares is a PPO D-SNP plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in Network Health Medicare Advantage Plans depends on contract renewal. Each year, Medicare evaluates plans based on a 5-Star rating system. Out-of-network/non-contracted providers are under no obligation to treat Network Health members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Y0108_4790-01-0923_2024_D Last Updated May 29, 2025 4:44 PM

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