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2021 Plan Materials
Please see the links below for information about 2021 plans. Members can also find 2021 plan coverage documents specific to your plan through your online member portal.
2021 Summary of Benefits
Northeast Medicare Advantage (PPO)
Southeast Medicare Advantage (PPO)
NetworkPrime (MSA)
NetworkCares (PPO SNP)
Network Health Medicare Explore (HMO)
2021 Evidence of Coverage
Network PlatinumSelect (PPO)
Network PlatinumChoice (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
Network Health Medicare Go (PPO)
Network Health Medicare Anywhere (PPO)
NetworkCares (PPO SNP)
NetworkPrime (MSA)
Network Health Medicare Explore (HMO)
2021 Annual Notice of Change
This document explains changes to each plan for the 2021 plan year.
Network PlatinumSelect (PPO)
Network PlatinumPlus (PPO)
Network PlatinumPlus Pharmacy (PPO)
Network PlatinumPremier (PPO)
Network PlatinumPremier Pharmacy (PPO)
Network PlatinumChoice (PPO)
Network Health Medicare Go (PPO)
Network Health Medicare Anywhere (PPO)
NetworkCares (PPO SNP)
NetworkPrime (MSA)
Network Health Medicare Explore (HMO)
2021 Delta Dental Plan Certificate of Coverage
Delta Dental Coverage Included with Most* Plans
*Dental coverage is not included with Network PlatinumSelect (PPO), NetworkCares (PPO SNP) or Network Health Medicare Go (PPO).
Delta Dental Rider Coverage
Optional supplemental dental program available to add on to all plans
Delta Dental Coverage Included with Network Health Medicare Explore (HMO)
Delta Dental Coverage for NetworkCares (PPO SNP)
Specific dental coverage for our members that are dual-eligible.
2020 Plan Materials
For 2020 plan information and documents see 2020 Plan Materials.
