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 SNP additional benefits can be found here.

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.

Refer to your plan specific Evidence of Coverage (EOC) for more details. You can contact Delta Dental Medicare Advantage at 866-548-0292 (TTY 711), Monday–Friday from 8 a.m. to 8 p.m. EST.

Visit Delta Dental's website to Find a Dental Provider.

Routine Dental Exam and Cleaning - $30 in-network/ $100 reimbursement out-of-network
Please use this form to request an out-of-network reimbursement.
Routine Dental Exam and Cleaning - $30 in-network/ No coverage out-of-network
Routine Dental Exam and Cleaning - Not included
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 - $37 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.

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. CST and Sunday from 10 a.m. to 7 p.m. CST.

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.

 Services Vision Care
 Member Cost

Standard plastic lenses
Single vision
Bifocal
Trifocal


$50
$70
$105

Frames* 
Any frame available at provider location


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


0% off retail price
15% off retail price

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


15% off retail price or 5% off promotional price

*Frame, Lens and Lens option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, members receive 20% 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 Benefit with SilverSneakers®

 The 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. 

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 $1,220-$1,985 (a savings of up to $1,215 per hearing aid). The discount includes a one-year warranty, three office visits, one pack of batteries and one year of loss and damage insurance. 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

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.

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. 

Acne Ear problems
Allergies Fever
Behavioral health services Nausea and vomiting
Cold and flu Pink eye
Constipation Rash
Cough Respiratory problems
Dermatology Sore throats
Diarrhea Urinary problems
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 request a printed catalog of available over-the-counter items or place your order, visit your member portal at login.networkhealth.com or call 855-435-5164 (TTY 711).

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.
Your plan does not contain an OTC benefit.

Wellness Rewards

Our NetworkPrime MSA members are eligible to earn up to $180 in gift cards by completing three activities that are 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 in gift cards for your annual wellness visit.
    • The wellness form requires a signature from your provider to confirm the annual wellness visit.
  2. Receive $50 in gift cards for your routine labs.
    • The wellness form requires a signature from your provider to confirm that the labs were completed.
    • You must also send a copy of your lab results to Network Health.
  3. Receive $30 in gift cards for your flu shot.
    • The wellness form requires a member signature to attest you received the flu shot

You can wait to submit all three activities together or you can submit separate forms for each activity–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.