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2024 Plan Materials

Please see the links below for information about 2024 plans. Members can also find plan-specific 2024 coverage documents through the online member portal.

Notice of Update
As a result of the Inflation Reduction Act (IRA) enacted on August 16, 2022 there are updates impacting Medicare Part B prescription drug coverage and Medicare Part B insulin coverage. You will find a notice at the end of each document, if applicable. Please view the specific plan material to reference the notice. If there is no notice, this does not apply to that particular plan.

2024 Summary of Benefits

Northeast Wisconsin Medicare Advantage Plans

Southeast Wisconsin Medicare Advantage Plans

Network Health Cares PPO D-SNP

Network Health Prime MSA

2024 Evidence of Coverage

Network Health Zero (PPO)

Network Health Select (PPO)

Network Health Choice (PPO)
Network Health Plus (PPO)
Network Health PlusRx (PPO)
Network Health Premier (PPO)
Network Health PremierRx (PPO)
Network Health Cares (PPO D-SNP)
Network Health Go (PPO)

Network Health Armor (PPO)
Network Health Bravo (PPO)

Network Health Anywhere (PPO)

Network Health Prime (MSA)

2024 Annual Notice of Change

This document explains changes to each plan for the 2024 plan year.

Network Health Armor (PPO)
Network Health Zero (PPO)

Network Health Select (PPO)
Network Health Choice (PPO)
Network Health Plus (PPO)
Network Health PlusRx (PPO)
Network Health Premier (PPO)
Network Health PremierRx (PPO)
Network Health Cares (PPO D-SNP)
Network Health Go (PPO)

Network Health Anywhere (PPO)
Network Health Bravo (PPO)

Network Health Prime (MSA)

2024 Delta Dental Plan Certificate of Coverage

Delta Dental Coverage for Network Health Choice (PPO)

Delta Dental Coverage for Network Health Anywhere (PPO)

Delta Dental for Network Health Premier (PPO), PremierRx (PPO), Plus (PPO), PlusRx (PPO)

Delta Dental for Network Health Armor (PPO) and Network Health Bravo (PPO)

Delta Dental Coverage for Network Health Cares (PPO D-SNP)
Specific dental coverage for our members that are dual-eligible.

Delta Dental Rider Coverage
Optional supplemental dental program available to add on to all plans.

2023 Plan Materials

For 2023 plan information and documents see 2023 Plan Materials.

Copyright 2023 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_C Last Updated Nov 30, 2023 8:09 AM

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