Medicare Plans

Additional Benefits for 2020

New for 2020

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. For a $30 copayment, the plan includes one cleaning and one exam per year with a Delta Dental Medicare Advantage (or receive a $100 reimbursement for one out-of-network* cleaning and exam per year).

Need more dental care? You can get additional coverage by adding a dental rider to our plans for $37 per month. Refer to the plan specific Summary of Benefits for more details. This flier outlines the differences between this option and the one that is included with some plans. You can contact Delta Dental Medicare Advantage at 866-548-0292 (TTY 711), Monday–Friday from 8 a.m. to 8 p.m. EST.

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

Hearing Aids

Network Health offers a hearing aid discount program with Simpli Hearing, LLC. Members can find quality brand name hearing aids discounted to $1,220-$1,985 (a savings of up to $1,215 per hearing aid). The discount includes a one-year warranty, three office visits, one pack of batteries and one year of loss and damage insurance. You can contact Simpli Hearing at 888-374-6754, Monday–Friday from 8 a.m. to 8 p.m.

Visit the Simpli Hearing website to Find a Hearing Aid Provider

Protecting Your Vision for the Future

An annual eye 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.

With EyeMed through Network Health, you can have an annual eye exam for a $10 copayment, at a participating EyeMed provider (or receive a $40 reimbursement for one out-of-network* routine eye exam per year). 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 7:30 a.m. to 11 p.m. EST and Sunday from 11 a.m. to 8 p.m. EST.

Visit EyeMed's website to Find a Vision Provider

Please use this form to request an out-of-network* reimbursement, if eligible. 

EyeMed also offers the following discounts to Network Health NetworkPrime 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. 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.

Fitness Benefit with SilverSneakers®

 The 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.

  • 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.
  • Prefer to get wet? Hit the facility fitness pool.
  • 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.
Network Health’s Silver Sneakers membership provides unlimited access to over 16,000 nationwide locations, so if you’re traveling it’s easy to find a convenient location near you. Visit SilverSneakers.com today for more information. 

MDLIVE® Virtual Visits

Virtual visits, brought to you through 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 or pediatrician 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.a week. 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.

  1. 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.
  2. Text NETWORK to 635483 to be walked through step-by-step registration on your phone.
  3. Download the MDLIVE app on your smartphone or tablet. Open the application and follow the instructions to create an account.
  4. 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 and many more. 

  • Acne
  • Ear problems
  • Allergies
  • Fever
  • Behavioral health services
  • Nausea and vomiting
  • Cold and flu
  • Pink eye
  • Constipation
  • Rash
  • Cough
  • Respiratory problems
  • Dermatology
  • Sore throats
  • Diarrhea
  • Urinary problems

 

*Out-of-network benefits are not available on Network Health Medicare Explore (HMO). 

mail order pharmacy

Now Offering

Over-the-Counter Benefit

Some of our Network Health Medicare Advantage plans offer an over-the-counter benefit of $50 per quarter. Refer to your plan specific Evidence of Coverage (EOC) for more details.

Hundreds of useful items can be mailed directly to your home. 

Products include: allergy relief, bathroom safety and fall prevention items (folding cane, bath mat), denture and dental care, incontinence supplies, first aid, diabetes care, pain relievers, vitamins and minerals, eye and ear care and much more.

Available starting January 1, 2020 eligible members can order online, over the phone, or by mail. Additional information to be available in December.

Wellness Rewards

Our NetworkPrime MSA members are eligible to earn up to $180 in gift cards by completing three activities that are essential to your health and wellness.

  1. Receive $100 in gift cards for your Annual Wellness Visit.
  2. Receive $50 in gift cards for your routine labs.
  3. Receive $30 in gift cards for your flu shot.

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.