2026 Extra Benefits

Medicare Advantage Plans

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.

*2025 benefits can be found here*

Members with Network Health Cares (PPO D-SNP) have different benefits available through their plan.

See the Network Health Cares Extra Benefits

Part B Premium Giveback

Virtual Doctor Visits

In-Home Care

Part B Premium Giveback

If you pay a Medicare Part B premium, we may pay part of that premium for you. We call this a Part B Premium Giveback, and it is included with the Network Health Anywhere, Network Health Armor, Network Health Bravo, Network Health Choice, Network Health Select and Network Health Zero plans. It’s like getting a raise on your Social Security check.

To qualify for the Part B Premium Giveback, you must be enrolled in Medicare Parts A and B, pay your own premiums, live in our service area and be enrolled in a plan that offers the Part B Giveback benefit.

The Giveback is administered through the Social Security Administration, and depending on how you pay your Part B premium, the Giveback can take up to 90 days to begin and will show as an increase in your Social Security check or a credit on your Part B premium statement.

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 invoice or receipt, and get reimbursed. Reimbursement documentation must be received by Employee Benefits Corporation (EBC) within 120 days of the date of service or the 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 Health Go

Network Health Go members can get reimbursed up to $1,155 per plan year. View this brochure for additional information.

Network Health Select

Network Health Select members can get reimbursed up to $550 per plan year. View this brochure for additional information.

Network Health Zero

Network Health Zero members can get reimbursed up to $625 per plan year. View this brochure for additional information.

Network Health Anywhere, Network Health Armor, Network Health Bravo, Network Health Choice, Network Health PlusRx, Network Health PremierRx and Network Health Prime (MSA)

Pick Your Perks is not available with 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 Say Cheese Dental Network to offer dental care. View this brochure for additional information.

You can contact Say Cheese Dental Network customer service toll free 888-454-4127 (TTY 711), Monday-Friday from 7 a.m. to 10 p.m. and Saturday from 8 a.m. to 5:30 p.m. for assistance with your dental benefits or help locating a provider near you.

Visit the Say Cheese Dental Network website to Find a Dental Provider.

Out-of-network dentists do not have a contract with Say Cheese Dental Network, so they have not agreed to a contracted price or payment amount for dental services. Additionally, out-of-network dentists can balance bill you the difference between the charges they bill for their services and Say Cheese Dental Network’s allowed payment amount.

Network Health PremierRx

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

Network Health Anywhere, Network Health Choice and Network Health PlusRx

100% preventive, 50% comprehensive coverage in-network. Members pay 80% of the allowed amount out-of-network.

$750 combined in- and out-of-network annual maximum for Network Health PlusRx.

$1,500 combined annual maximum for Network Health Choice.

$2,000 combined annual maximum for Network Health Anywhere.

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

Network Health Go, Network Health Select and Network Health Zero

Preventive Dental Exam and Cleaning - Use your Pick Your Perks benefit to be reimbursed for any dental services not covered by Medicare. Cosmetic dentistry, orthodontia, dental insurance premiums and dental memberships are excluded.

Network Health Armor and Network Health Bravo

100% coverage in-network. Includes one implant and resin. Members pay 50% of the allowed amount out-of-network.

$5,000 combined annual maximum.

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

Network Health Prime (MSA)

Dental services are billed at the Medicare-approved amount until you meet your $4,000 annual medical deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

For all Network Health Medicare Advantage Plans except Network Health Anywhere, Network Health Armor, Network Health Bravo and Network Health Choice

Optional Dental Benefit with Say Cheese Dental Network - $49 monthly premium, combined in- and out-of-network annual maximum $1,000. Please use this form to request an out-of-network reimbursement.

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 high blood pressure. Most Network Health Medicare Advantage Plans cover an annual routine vision exam at a local EyeMed^® provider. View this brochure 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 7 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.

Network Health Go, Network Health PlusRx, Network Health PremierRx, Network Health Select and Network Health Zero

Annual Routine Vision Exam - $10 in-network / $40 reimbursement out-of-network. Please use this claim form to request an out-of-network reimbursement. To request reimbursement for your out-of-network services using your in-network benefits, use this exception form.

Network Health Anywhere, Network Health Armor, Network Health Bravo and Network Health Choice

Annual Routine Vision Exam - $0 in-network/$40 reimbursement out-of-network. You'll also receive an annual allowance for contact lenses and/or glasses at EyeMed providers with a valid prescription.

$400 allowance at EyeMed provider for Network Health Armor and Network Health Bravo

$350 allowance at EyeMed provider for Network Health Anywhere

$200 allowance at EyeMed provider for Network Health Choice

Please use this claim form to request out-of-network reimbursement using your out-of-network benefits.

Please use this exception form to request reimbursement at the in-network benefit if you were unable to receive care from an in-network provider within two weeks or within a reasonable distance from your primary location.

Network Health Prime (MSA)

Vision services are billed at the Medicare-approved amount until you meet your $4,000 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

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 brochure 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.

Network Health Anywhere, Network Health Armor, Network Health Bravo, Network Health Choice, Network Health Go, Network Health PlusRx, Network Health PremierRx, Network Health Select and Network Health Zero

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

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

Hearing aids are available through TruHearing 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.

Network Health Prime (MSA)

Hearing services are billed at the Medicare-approved amount until you meet your $4,000 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 receive the OTC products you need shipped directly to your door, even if you are traveling outside the Network Health service area. You can submit two orders per quarter. Be sure to use your benefit amount before the end of each quarter because unused benefit amounts will not roll over to the next quarter.

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

Network Health Anywhere

You have an OTC benefit where you can place two orders per quarter, up to $25 per quarter. Unused amounts will not roll over into the next quarter.