2025 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.

*2024 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

 

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 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 Choice, Network Health Select, Network Health PlusRx and Network Health Anywhere. 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 the 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.

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  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 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 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 $580 per plan year. View this brochure for additional information. 

 

Network Health Go

Network Health Go members can get reimbursed up to $1,200 per plan year. View this brochure for additional information. 

 

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

Pick Your Perks is not available with your Medicare Advantage Plan.

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 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.

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 an out-of-network reimbursement.

 

Network Health PlusRx, Network Health Choice and Network Health Anywhere

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

$750 combined 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 an out-of-network reimbursement.

 

Network Health Select, Network Health Zero and Network Health Go

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

 

Network Health Armor and Network Health Bravo

100% coverage in-network. Includes one implant and resin. Member pays 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 $4,600 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

 

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

Optional Dental Benefit with Say Cheese Dental Network - $45 monthly premium, annual maximum $1,000. Please use this form to request an out-of-network reimbursement.

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 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 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 8 p.m.

Visit EyeMed's website to Find a Vision Provider. 

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

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

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 for Network Health Armor and Network Health Bravo

$350 allowance for Network Health Anywhere

$200 allowance for Network Health Choice

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 Prime (MSA)

Vision services are billed at the Medicare-approved amount until you meet your $4,600 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

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

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 $4,600 deductible. Once you've met your deductible, you pay nothing for Medicare-covered services.

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 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. You can submit two orders per quarter. 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.

 

Network Health PlusRx

You have an OTC benefit where you can place two orders per quarter, up to $75 per quarter. Unused amounts will not roll over into the next quarter.

View the catalog for additional information and use the order form to place your order.

Network Health Choice

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

View the catalog for additional information and use the order form to place your order.

 

Network Health Select, Network Health Zero and Network Health Go

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

 

Network Health Armor and Network Health Bravo

You have an OTC benefit where you can place two orders per quarter, up to $100 per quarter. Unused benefit amounts will not roll over into the next quarter.

View the catalog for additional information and use the order form to place your order.

Network Health Prime (MSA)

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

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  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.

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

MDLIVE virtual visit - $0 in-network

 

Network Health Prime (MSA)

MDLIVE virtual visit - Before you meet your deductible, the cost is $55 for most virtual visits. After you meet your $4,600 deductible, you pay $0.

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 Fitness for a Healthy Life

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

The day your benefits start, you can set up your online account by visiting youronepass.com, clicking Get Started and following the prompts to enter your information.

Your One Pass fitness program includes access to fitness centers, including YMCAs, online fitness events and more than 15,000 virtual fitness classes for all levels. Your fitness program travels with you with more than 26,000 fitness center locations nationwide, and you can enroll in as many locations as you like at any time.

On-Demand Fitness and Wellness Classes

• Unlimited access to 15,000+ on-demand audio and video workout and wellness classes across multiple categories

• Multi-week goal-based programs and challenges

• New classes and programs added weekly

• Works with Smart devices and Smart TVs

If you’re traveling it’s easy to find a convenient location near you. Visit YourOnePass.com today for more information. 

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

One Pass membership is included in your Medicare Advantage plan.

Network Health Prime (MSA)

One Pass membership is not included in your Medicare Advantage plan.

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Convenient In-Home Access to the Care You Need

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

A nurse practitioner will complete a safe and comprehensive visit in the comfort of your home or virtually, using the video function on your smart device. Both you and your personal doctor will receive a copy of the results of the assessment.