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Medicare Plans

2022 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.

Members with the NetworkCares PPO D-SNP have different benefits available through their plan.

See the NetworkCares Extra Benefits

 

2021 Extra Benefits

You can find information about the 2021 extra benefits here.

Coverage for Your Smile

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

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

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

Preventive Dental Exam and Cleaning -  One per year. $30 in-network, $100 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.

Two cleanings and exams per year for $0

One bitewing X-ray per year for $0

OR

$100 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.

Preventive Dental Exam and Cleaning - $30 in-network/ No coverage out-of-network
Preventive Dental Exam and Cleaning - Use your Pick Your Perks program to be reimbursed for any dental services not covered by Medicare. Cosmetic procedures, orthodontia and dental insurance premiums are excluded.
Dental services are billed at the Medicare-approved amount until you meet your $5,400 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.
Optional Dental Benefit with Delta Dental Medicare Advantage - $39 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 flier 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 6:30 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 - $10 in-network / $40 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.
Annual Routine Vision Exam - $10 in-network/ No coverage out-of-network

Vision services are billed at the Medicare-approved amount until you meet your $5,400 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

 

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 SilverSneakers. 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 on-demand digital fitness classes, live virtual classes and more than 16,000 fitness center locations nationwide.

  • 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. 

SilverSneakers membership is included in your Medicare Advantage plan.
SilverSneakers membership is not included in your Medicare Advantage plan.

Hearing

Hearing impacts your health, wellness and safety. We know how important that is, which is why we offer you a hearing benefit, so you can enjoy the world around you. A hearing aid exam with fitting is included with your purchase of a hearing aid.

Routine Hearing Exam - $0 in-network / $40 out-of-network

Hearing aids are available for copayments ranging from $679 - $2,299 per aid. Choose from a wide selection of quality, brand-name hearing aids from Signia, Widex®, ReSound, Starkey®, Oticon, Phonak and more. 

Routine Hearing Exam - $0 in-network / No coverage out-of-network

Hearing aids are available for copayments ranging from $679 - $2,299 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 $5,400 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. 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.

You have an OTC benefit of $50 per quarter, which you can use to place one order from the Over-the-Counter Catalog – online, over the phone or by mail – per quarter. The items you order will be shipped directly to your door. Unused benefit amounts will not roll over into the next quarter.

View this flier for additional information. 

You have an OTC benefit of $25 per quarter. You'll get an easy-to-use OTC card that can be used to get the OTC products you need when you need them. This card can be used online and at local retailers. When you get your card, it will be loaded with your initial benefit amount. Do not throw this card away, because it will automatically be reloaded at the beginning of each quarter. Unused benefit amounts will not roll over into the next quarter.

View this flier for additional information. 

Use your Pick Your Perks program to be reimbursed for eligible OTC items.
An OTC benefit is not included in your Medicare Advantage plan.

 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 and acupuncture. Simply pay for your care, and submit the reimbursement form.

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 PlatinumSelect members receive up to $550 per plan year. View this flier for additional information.
Network PlatinumZero members receive up to $750 per plan year. View this flier for additional information.
Network Health Medicare Go members receive up to $1,500 per plan year. View this flier for additional information.
Pick Your Perks is not included in your Medicare Advantage Plan.

MDLIVE® Virtual Visits

Virtual visits with MDLIVE, are a great way to save time and money when you experience non-emergency symptoms. By using your phone, smartphone, tablet or computer, 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, behavioral health services, cold and flu, constipation, cough, dermatology, 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. The cost for behavioral health and dermatology visits may vary, depending on the service. After you meet your $5,400 deductible, you pay $0.

Ignite Wellness Program

Our NetworkPrime MSA members are eligible to earn up to $180 in Health Rewards by completing three activities essential to your health and wellness. The wellness program form has instructions for completing each activity. This form can be found in your member portal at login.networkhealth.com

  1. Receive $100 for your annual wellness visit.
  2. Receive $50 for your routine labs.
  3. Receive $30 for your flu shot.

You can wait to submit all three activities together or you can submit separately–whichever works best for you. Completed forms can be sent securely through the member portal by clicking Email Us in the upper left corner. For Subject, select My Wellness Program. Under Attachments, upload your completed form. You can also send by mail to:

Network Health
Wellness Incentives
1570 Midway Pl.,
Menasha, WI 54952

If you have questions about qualifications, exceptions or alternatives, please contact us at 844-635-1326. Monday–Friday from 8 a.m. to 5 p.m. or email nhwellnessincentives@networkhealth.com.

 

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.

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.