2022 Extra Benefits for NetworkCares PPO D-SNP

Coverage for Your Smile

It’s important to protect your teeth and gums with routine dental care. We partner with Delta Dental Medicare Advantage providers to offer you preventive and comprehensive 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.

Protecting Your Vision for the Future

NetworkCares members have access to a $0 annual routine eye exam at a participating EyeMed provider. Simply show your Network Health ID card to your EyeMed provider at the time of your exam. The provider will take care of the rest.

You’ll also get up to $400 (in-network allowance, out-of-network reimbursement) annually for contact lenses and/or glasses with a valid prescription. 

Here are some additional benefits available to you with EyeMed through your NetworkCares plan.

You can contact EyeMed at 833-279-4361 (TTY 711), Monday–Saturday from 8:30 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. 

Please use this form to request an out-of-network reimbursement.

Hearing 

Hearing impacts your health, wellness and safety. We know how important that is, which is why we partner with TruHearing to offer you a hearing benefit, so you can enjoy the world around you.

Your hearing benefit includes an annual routine hearing exam at a local TruHearing provider for $0 if you see an in-network provider or $40 if you see an out-of-network provider. Use this form to submit an out-of-network reimbursement.

You also have access to high-quality hearing aids, hearing aid fittings and follow-up care. View this flier for additional information.

To find a provider and schedule an appointment, contact TruHearing at 877-759-8131 (TTY 711), Monday-Friday from 8 a.m. to 8 p.m. You may also search for a provider using the Network Health provider directory. In the Help Me Find section, type Hearing Aids.

Fitness Benefit with SilverSneakers^®

SilverSneakers membership is included in your Medicare Advantage Plan.

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 for treatment of a wide range of conditions—24 hours a day, seven days a week.

NetworkCares D-SNP members have access to MDLIVE virtual visits for $0 per visit.

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 and many more. 

Over-the-Counter Benefit

NetworkCares offers an over-the-counter benefit of $155 per quarter. Hundreds of useful over-the-counter items can be shipped directly to your door, even if you’re traveling outside the Network Health service area. Unused benefit amounts will not rollover into the next quarter. 

You will receive an OTC product catalog in the mail at the beginning of the plan year. To request another copy of the OTC product catalog, call Network Health Member Experience at 855-653-4363 (TTY 800-947-3529), Monday-Friday from 8 a.m. to 8 p.m. From October 1 to March 31, we're available every day from 8 a.m. to 8 p.m. You may also view the OTC product catalog and place your order online through your member portal at login.networkhealth.com. View this flier for additional information. 

Meals

Recovering after an inpatient stay can be difficult. That’s why Network Health partners with Mom’s Meals to provide NetworkCares members with 28 delicious meals delivered right to your door after a qualifying hospital observation, inpatient hospital or skilled nursing facility stay. To take advantage of this benefit, contact your care manager or the Network Health Care Management Department within seven days of discharge at 866-709-0019 (TTY 800-947-3529), Monday-Friday from 8 a.m. to 5 p.m.  View this flier for additional information. 

Transportation

Need a ride to the dentist or to the doctor? We can help. Our partnership with Aryv helps you get where you need to be, safely. The transportation benefit includes 24 one-way trips, anywhere within the Network Health service area. Members with end-stage renal disease receive an additional 24 one-way trips to get to and from dialysis for treatment. To set up transportation, call Aryv at 855-923-1113 (TTY 711) or visit the Aryv website. View this flier for additional information.

Acupuncture

To help treat side effects such as nausea, a maximum of 12 visits per year are covered for members who are undergoing chemotherapy.

Palliative Care Consultation

One home-based consultation and evaluation and two follow up visits per year for members who have been diagnosed with cancer.

Bathroom Adaptation

NetworkCares offers a $300 annual reimbursement for approved bathroom home adaptation services and items. Contact the Network Health Member Experience team for assistance with reimbursements.

Spark Wellness Program

Our NetworkCares D-SNP members are eligible to earn up to $100 in rewards by completing three activities that are essential to your health and wellness. The wellness program form has instructions for completing each activity. The form and the health risk assessment (HRA) were sent in your member guide. If you need another copy of the form or HRA, you can contact your care manager or visit your member portal at login.networkhealth.com.  

1. Receive $50 in health rewards for completing and returning your HRA.
2. Receive $25 in health rewards for your annual wellness visit.
3. Receive $25 in health rewards for your flu shot.

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 member experience number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.