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Medicare Plans

2023 Extra Benefits

Network Health Medicare Advantage Plans offer benefits that are not covered by Original Medicare. We partner with quality vendors to ensure you have access to additional benefits that help maintain and improve your health.

*2022 benefits can be found here*

Members with the NetworkCares PPO D-SNP have different benefits available through their plan.

See the NetworkCares Extra Benefits

 

 Pick Your Perks

This unique program reimburses you for the costs of your eligible supplemental benefits, such as dental, vision hardware, personal training, meals, non-emergency transportation, over-the-counter items, acupuncture and more. Simply pay for your eligible items or services, and along with the reimbursement form, submit the necessary documentation such as an itemized receipt, and get reimbursed. Documentation must be submitted for reimbursement within 120 days of the date of service or item's purchase.

The best part is that you decide how to use the money, so you can get the care and services that matter most to you. 

Network PlatinumSelect members receive up to $550 per plan year. View this brochure for additional information.
Network PlatinumZero members receive up to $775 per plan year. View this brochure for additional information.
Network Health Medicare Go members receive up to $1,525 per plan year. View this brochure for additional information.

Pick Your Perks is not included in your Medicare Advantage Plan.

Coverage for Your Smile

Protect your teeth and gums with routine preventive dental care. Network Health Medicare Advantage Plans partner with Delta Dental Medicare Advantage to offer dental care. View this flier for additional information

You can contact Delta Dental Medicare Advantage at 866-548-0292 (TTY 711), Monday–Friday from 8 a.m. to 8 p.m. 

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

Preventive Dental Exam and Cleaning -  One per year. $30 in-network, $100 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.

Two cleanings and exams per year for $0

One bitewing X-ray per year for $0

OR

$100 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.

Preventive Dental Exam and Cleaning - Use your Pick Your Perks program to be reimbursed for any dental services not covered by Medicare. Cosmetic procedures, orthodontia and dental insurance premiums are excluded.
Unlimited 100% in-network coverage for preventive, diagnostic and comprehensive services. Does not include implants, implant repairs and cosmetic services. 50% of the cost out-of-network.
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 - $39 monthly premium, annual maximum $1,000

Protecting Your Vision for the Future

An annual vision 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. Most Network Health Medicare Advantage Plans cover an annual routine vision exam, at a local EyeMed provider. View this flier for additional information

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. and Sunday from 10 a.m. to 7 p.m. 

Visit EyeMed's website to Find a Vision Provider

Annual Routine Vision Exam - $10 in-network / $40 reimbursement out-of-network. Please use this form to request an out-of-network reimbursement.
Annual Routine Vision Exam - $0 in-network/$40 reimbursement out-of-network. You'll also get up to $400 allowance annually for contact lenses and/or glasses at in-network providers with a valid prescription.
Please use this form to request an out-of-network reimbursement.

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.

 

Fitness for a Healthy Life

A 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. No matter what your fitness level and ability, you will find the support you need.

Your SilverSneakers fitness program includes access to fitness centers, in-person and online fitness events and fitness classes for all levels. Your fitness program travels with you with more than 16,000 fitness center locations nationwide.

  • 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.
  • 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.

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

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, 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. 

Routine Hearing Exam - $0 in-network / $40 out-of-network

Use this form to submit an out-of-network reimbursement.

Hearing aids are available for copayments ranging from $495 - $1,695 per aid. Choose from a wide selection of quality, brand-name hearing aids from Signia, Widex®, ReSound, Starkey®, Oticon, Phonak and more. 

Hearing 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.

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. Be sure to use your benefit amount before the end of each quarter. 

Refer to your plan-specific Evidence of Coverage (EOC) for more details.

The items you order will be shipped directly to your door. Unused benefit amounts will not roll over into the next quarter.

You have an OTC benefit of $150 per quarter, which you can use to place one order from the Over-the-Counter Catalog – online, over the phone or by mail – per quarter. 

View the catalog for additional information. 

You have an OTC benefit of $25 per quarter. Unused benefit amounts will not roll over into the next quarter.

View the catalog for additional information. 

 

Use your Pick Your Perks program to be reimbursed for eligible OTC items.

You have an OTC benefit of $100 per quarter. Unused benefit amounts will not roll over into the next quarter.

View the catalog for additional information. 

 

An OTC benefit is not included in your Medicare Advantage plan.

 Virtual Doctor Visits

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.

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.
  1. Text NETWORK to 635483 to be walked through step-by-step registration on your phone.
  2. Download the MDLIVE app on your smartphone or tablet. Open the application and follow the instructions to create an account.
  3. 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: acne, allergies, cold and flu, constipation, cough, diarrhea, ear problems, fever, nausea and vomiting, pink eye, rash, respiratory problems, sore throats, urinary problems and more.

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.

Convenient In-Home Access to the Care You Need

Through our partnership with Inovalon, Network Health offers convenient health assessments to review your medications and discuss any health concerns you may have.

A physician assistant or nurse practitioner will complete a safe and comprehensive visit in the comfort of your home. If you prefer a virtual visit, Inovalon will send you a tablet to complete the visit. Both you and your personal doctor will receive a copy of the results of the assessment. 

 


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.

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