Individual and Family Plans

Available Plans

Everyone has different insurance needs. That’s why Network Health offers a variety of plans to ensure you have the quality coverage you need at an affordable cost.

All Network Health’s Prestige plans are available on the health insurance exchange, which is also known as the Marketplace. These plans are HMO (Health Maintenance Organization) which means you’ll have to use our high-quality network of doctors, hospitals, clinics and specialists for services to be covered. This includes labs and services your doctor may refer, so you’ll want to ensure all providers you use are in-network.

As you review our plans, remember that you may qualify for a subsidy from the government. If you have questions, call us at 844-635-1322, Monday-Friday from 8 a.m. to 5 p.m. 

All Network Health Prestige Plans include

  • $0 preventive care services
  • $0 annual vision exam through EyeMed
  • $0 routine dental exam, cleaning and x-ray through Argus Dental
  • $0 virtual doctor visits (for some plans, deductible must be met first)
  • Patient Assurance Program ($25 preferred insulin before deductible)
  • Momentum healthy rewards program
  • Superior, local service

Get a Personalized Quote 

2019 Special Enrollment

If you qualify for a special enrollment period and are applying for coverage beginning November 1, 2019 or December 1, 2019, you can view our 2019 plans below.
2019 Northeast Wisconsin brochure
2019 Southeast Wisconsin brochure 

2020 Open Enrollment

For 2020 coverage, open enrollment begins November 1 and ends on December 15. View our 2020 plan options below. 

2019 Plans

 

 Frequently Asked Questions

A subsidy is financial help provided by the government to help people afford health insurance. There are two types of subsidies – tax credits and cost-sharing reductions. A tax credit helps make your monthly premium payment lower. A cost-sharing reduction lowers the amount you pay for health insurance deductibles, copayments and coinsurance. If you qualify for a cost-sharing reduction, you must obtain coverage through Marketplace to receive the benefit.
HSA stands for Health Savings Account. This savings account lets you set aside pre-tax money to pay for qualified medical expenses. Qualified medical expenses include deductibles, copayments, coinsurance, and many other medical expenses. Since HSA accounts are associated with high-deductible plans, the pre-tax dollars can offset some of your expenses.
If you live in Calumet, Outagamie or Winnebago county in northeast (NE) Wisconsin, you'll have access to our northeast Wisconsin provider network. Use our NE Find a Doctor and Find a Facility search to easily find providers in this network.  If you live in Washington, Ozaukee, Milwaukee, Waukesha or Racine counties in southeast Wisconsin, you'll have access to our southeast Wisconsin provider network. Use our SE Find a Doctor and Find a Facility search to easily find providers in this network. 

Prestige Bronze Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan offers a low monthly premium and great coverage. Your first three primary care doctor visits are $0 and then just $40 per visit after that. The coinsurance is 50 percent.

  • $7,200 Individual/ $14,400 Family Deductible
  • $8,150 Individual/ $16,300 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze 20 HDHP + Dental + Vision

In addition to a low monthly premium and quality coverage, this plan offers 20 percent coinsurance. This plan, as displayed here, may be combined with a health savings account (HSA). 

  • $6,000 Individual/ $12,000 Family Deductible
  • $6,900 Individual/ $13,800 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze 0 + Dental + Vision

You’ll pay $0 for most medical services once you meet your deductible. There are separate copayments and coinsurance for prescription drugs.

  • $6,700 Individual/ $13,400 Family Deductible
  • $8,150 Individual/ $16,300 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Bronze 50 HDHP + Dental + Vision

This plan has the lowest deductible of all the Bronze plans. This plan, as displayed here, may be combined with a health savings account (HSA). 

  • $3,500 Individual/ $7,000 Family Deductible
  • $6,900 Individual/ $13,800 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Silver Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan has a reasonable deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $25 per visit after that.

  • $4,000 Individual/ $8,000 Family Deductible
  • $8,150 Individual/ $16,300 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Silver 20 HDHP + Dental + Vision

This plan offers a deductible and coinsurance midway between the Bronze and Gold HDHP plans. This plan is HSA qualified when a government cost-sharing subsidy is not applied.

  • $3,500 Individual/ $7,000 Family Deductible
  • $6,900 Individual/ $13,800 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Gold Essential + Dental + Vision + Fitness + 3 Free PCP Visits

This plan offers a low deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $20 per visit after that.

  • $1,750 Individual/ $3,500 Family Deductible
  • $8,150 Individual/ $16,300 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Gold 50 + Vision + Dental

This plan offers broad coverage with the lowest deductible of all our plans. It also has the lowest out-of-pocket maximum.

  • $1,000 Individual/ $2,000 Family Deductible
  • $4,300 Individual/ $8,600 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

Prestige Gold 0 HDHP + Dental + Vision

This is Network Health’s gold-level HSA qualified plan. After you meet your deductible, you’ll pay $0 for most medical services. There are separate copayments and coinsurance for prescription drugs. This plan, as displayed here, may be combined with a health savings account (HSA).

  • $2,800 Individual/ $5,600 Family Deductible
  • $5,000 Individual/ $10,000 Family Maximum Out-of-Pocket
  • Prescription Drug Coverage

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.