For coronavirus relief benefits click here for Medicare or click here for Commercial and Individual and Family Plan members.

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Medicare Plans

Additional Benefits

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

NetworkCares PPO D-SNP additional benefits can be found here.

Coronavirus Relief Benefit Enhancements

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 - $30 in-network/ $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 - Not included. View Pick Your Perks for reimbursement options on the benefits that mean the most to you.
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 - $38 monthly premium, annual maximum $1,000

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. Most Network Health Medicare Advantage Plans cover an annual routine eye 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

Routine Eye Exam - $10 in-network/$40 reimbursement out-of-network
Please use this form to request an out-of-network reimbursement.
Routine Eye Exam - $10 in-network/ No coverage out-of-network

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.

 

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

 Vision Care Service
 Member Cost

Routine eye exam with
dilation as necessary

$10 copayment,
$40 reimbursement out-of-network*

Standard plastic lenses
Single vision
Bifocal
Trifocal


$50
$70
$105

Frames* 

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


No discount
15% off retail price

Laser Vision Correction
LASIK or PRK from U.S. Laser Network


15% off retail price or 5% off promotional price

Frequency
Examination
Frame and Lenses
Contact Lenses


Once per calendar year
Unlimited
Unlimited

*Frame, lens and lens option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, members receive 20 percent 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 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.

  • 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. 

In addition to your SilverSneakers fitness benefit, Network Health is partnering with the Greater Green Bay YMCA and the Kettle Moraine YMCA to give you access to their facilities. Simply show your Network Health member ID card and discover what the facilities have to offer. 

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

Hearing Aids

Network Health offers a hearing aid discount program with Simpli Hearing, LLC. Members can find quality brand name hearing aids discounted to $795-$2,370 (a savings of up to $1,050 per hearing aid). The discount includes a three-year warranty, three-year loss and damage insurance, up to six hearing aid follow up visits within three years and 16 batteries. 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

 Pick Your Perks

New in 2021, Network PlatinumSelect and Network Health Medicare Go plans include the Pick Your Perks program. 

This unique program reimburses you for the costs of your Medicare-approved additional benefits, such as dental, vision, 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. View this flier for additional information. 

Network PlatinumSelect members receive up to $550 per plan year.
Network Health Medicare Go members receive up to $775 per plan year.
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.

  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: 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 $5,100 deductible, you pay $0.

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. Hundreds of useful over-the-counter items can be shipped directly to your door. Be sure to use your benefit amounts before the end of every benefit period. 

To view available items and place your order, visit your member portal at login.networkhealth.com or call 855-435-5164 (TTY 711). View this flier for additional information. 

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 - online, over the phone or by mail - per quarter. Unused benefit amounts will not roll over into the next quarter.
You have an OTC benefit of $40 per quarter, which you can use to place one order - online, over the phone or by mail - per quarter. Unused benefit amounts will not roll over into the next quarter.
Your plan does not contain an OTC benefit. View Pick Your Perks for reimbursement options on the benefits that mean the most to you.

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.


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.