2022 NetworkPrime (MSA)


NetworkPrime (MSA) H1181-001 is a 2022 Medicare Advantage Plan or Part-C by Network Health Medicare Advantage Plans available to residents in Wisconsin. This plan does not provide additional prescription drug (Part-D) coverage. The NetworkPrime (MSA) has a monthly premium of and has an in-network maximum out-of-pocket limit of $- (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $- out-of-pocket. This can be a extremely nice safety net.

Network Health Medicare Advantage Plans works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for NetworkPrime (MSA) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Network Health Medicare Advantage Plans and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from Network Health Medicare Advantage Plans except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.




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2022 Network Health Medicare Advantage Plans Medicare Advantage Plan Costs

Name:
NetworkPrime (MSA)
Plan ID:
H1181-001
Provider:Network Health Medicare Advantage Plans
Year:2022
Type: MSA *
Monthly Premium C+D:
Part C Premium:
MOOP: $-
Similar Plan: H1181-001
New Plan: 2023 H1181-001




2021 NetworkPrime (MSA) Summary of Benefits

*This will be updated with 2022 data when available.



Additional Benefits


No



Comprehensive Dental


Diagnostic services Not covered
Endodontics Not covered
Extractions Not covered
Non-routine services Not covered
Periodontics Not covered
Prosthodontics, other oral/maxillofacial surgery, other services Not covered
Restorative services Not covered



Deductible


$5,100 annual deductible



Diagnostic Tests and Procedures


Diagnostic radiology services (e.g., MRI) $0 copay after you pay your deductible
Diagnostic tests and procedures $0 copay after you pay your deductible
Lab services $0 copay after you pay your deductible
Outpatient x-rays $0 copay after you pay your deductible



Doctor Visits


Primary $0 copay after you pay your deductible
Specialist $0 copay after you pay your deductible



Emergency care/Urgent Care


Emergency $0 copay after you pay your deductible
Urgent care $0 copay after you pay your deductible



Foot Care (podiatry services)


Foot exams and treatment $0 copay after you pay your deductible
Routine foot care Not covered



Ground Ambulance


$0 copay after you pay your deductible



Hearing


Fitting/evaluation Not covered
Hearing aids - inner ear Not covered
Hearing aids - outer ear Not covered
Hearing aids - over the ear Not covered
Hearing exam $0 copay after you pay your deductible



Inpatient Hospital Coverage


$0 copay after you pay your deductible



Medical Equipment/Supplies


Diabetes supplies $0 copay after you pay your deductible
Durable medical equipment (e.g., wheelchairs, oxygen) $0 copay after you pay your deductible
Prosthetics (e.g., braces, artificial limbs) $0 copay after you pay your deductible



Medicare Part B Drugs


Chemotherapy $0 copay after you pay your deductible
Other Part B drugs $0 copay after you pay your deductible



Mental Health Services


Inpatient hospital - psychiatric $0 copay after you pay your deductible
Outpatient group therapy visit $0 copay after you pay your deductible
Outpatient group therapy visit with a psychiatrist $0 copay after you pay your deductible
Outpatient individual therapy visit $0 copay after you pay your deductible
Outpatient individual therapy visit with a psychiatrist $0 copay after you pay your deductible



MOOP


Not Applicable



Option


No



Optional supplemental benefits


Yes



Outpatient Hospital Coverage


$0 copay after you pay your deductible



Package #1


Deductible $100.00
Monthly Premium $38.00



Preventive Care


$0 copay



Preventive Dental


Cleaning Not covered
Dental x-ray(s) Not covered
Fluoride treatment Not covered
Oral exam Not covered



Rehabilitation Services


Occupational therapy visit $0 copay after you pay your deductible
Physical therapy and speech and language therapy visit $0 copay after you pay your deductible



Skilled Nursing Facility


$0 copay after you pay your deductible



Transportation


Not covered



Vision


Contact lenses Not covered
Eyeglass frames Not covered
Eyeglass lenses Not covered
Eyeglasses (frames and lenses) Not covered
Other Not covered
Routine eye exam Not covered
Upgrades Not covered



Wellness Programs (e.g. fitness nursing hotline)


Not covered





Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST




Coverage Area for NetworkPrime (MSA)

(Click county to compare all available Advantage plans)



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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit. Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.

      Site Search:

MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.