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Enjoy the flexibility of a Medicare supplement at a fraction of the cost

Network Health Insurance Company is pleased to offer area residents with Medicare a choice of six affordable Medicare Advantage plan options for 2008.

Three plans provide medical coverage only:

  • Network PlatinumPlus
    Covers health care services both in- and out-of-network. In-network hospital stays are 100% covered in full.
    Learn more

  • Network PlatinumPremier
    Covers health care services both in- and out-of-network — with NO copayments required for in-network services.
    Learn more

  • NHP SelectChoice
    Covers health care services with NO network requirements and a $0 monthly plan premium.
    Learn more

Two plans provide combined medical and Medicare Part D prescription drug benefits:

  • Network PlatinumPlus Pharmacy
    The same benefits as Network PlatinumPlus, including $0 in-network hospital stays, and Medicare Part D prescription drug coverage with NO deductible.
    Learn more

  • Network PlatinumPremier Pharmacy
    The same health care benefits as Network PlatinumPremier,
    including $0 copays for in-network services, and Medicare Part D prescription drug coverage with NO deductible and NO coverage
    gap for generics.
    Learn more

One plan provides combined medical and Medicare Part D prescription drug benefits for people who have both Medicare and Wisconsin Medicaid:

  • NetworkCares
    A Special Needs Plan that offers health care services, prescription drug coverage, and supplemental benefits including Respite Care and Preventive Dental. There is a $0 monthly plan premium.
     
    Learn more

How do these plans differ
Our wide range of plan options ensures there is a plan that fits your needs and your budget.

Unsurpassed local service, powerful national reach
A respected company right here in your community, NHIC provides a “local” advantage and an unsurpassed level of personal service. As part of Network Health Plan and Affinity Health System, NHIC also delivers national coverage. You’ll enjoy more choices, greater flexibility, generous provider and pharmacy selections all across the country, and value-added benefits such as:

What's the difference between these plans?
Network PlatinumPlus and Network PlatinumPremier are Medicare Advantage Preferred Provider Organization (PPO) plans. They offer richer benefits and discounts, including $0 copays for in-network hospital stays, skilled nursing care, outpatient services, ambulance services, emergency room visits — even doctor and specialist visits. These plans are perfect for anyone who wants comprehensive coverage with little to no out-of-pocket costs.

Network PlatinumPlus and Network PlatinumPremier allow you to choose doctors and hospitals, either in or outside of the preferred provider network. However, if you see a doctor or obtain services outside of the network for non-emergency care, your share of the cost may be higher.

Network PlatinumPlus Pharmacy and Network PlatinumPremier Pharmacy offer additional coverage for Medicare Part D prescription drugs. This will save you considerable expense if you currently take prescription drugs on a regular basis, or need to in the future. And, with over 50,000 pharmacies in our pharmacy network, getting your medication is always convenient.

Our new $0 premium plan, NHP SelectChoice, is a Medicare Advantage Private Fee-For-Service (PFFS) plan. Like a Medicare supplement, NHP SelectChoice does not use a provider network. That means you can go to any doctor, specialist or hospital that accepts Medicare payment and accepts the terms, conditions and payment rate of the plan. You're covered for virtually every health care service you may need, with low or no co-payments. There is no monthly plan premium. You simply continue to pay your Medicare Part A, if applicable, and Part B premiums.

NetworkCares is our Medicare Special Needs plan. It is a Medicare Advantage Preferred Provider Organization (PPO) plan designed for people who have both Medicare and Medicaid. You must meet specific enrollment criteria, and all cost sharing is based on your level of Medicaid eligibility. There is no monthly plan premium. When you join NetworkCares, you get all your Medicare Part A, Part B, and Medicare Part D prescription drug coverage through this plan. There are no copays for generic drugs. As a member you also receive supplemental benefits – including preventive dental services – tailored to keep you health.

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Preventive Care
Enjoy coverage for important preventive services, such as:
  • Diabetes Supplies
  • X-ray and Lab Work
  • Colorectal Screenings
  • Immunizations
  • Mammograms, and more

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Dental Care Advantage Discount Program
Add valuable coverage to your plan with our Dental Care Advantage Discount Plan. For just $3 a month, you’ll enjoy 20-55% savings on dental services when you visit a participating dentist, dental group or dental location, with:

  • NO Deductibles
  • NO Waiting Periods
  • NO Annual Maximums – annual max $500 with NetworkCares
  • NO Claim Forms
  • NO Prior Authorization Required

The products and services described below are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Network Health Insurance Corporation grievance process.

Covered services include:

  • Exams
  • Cleanings
  • Fillings
  • X-rays
  • Crowns
  • Dentures
  • Root Canals
  • Oral Surgery
  • Orthodontics
  • Cosmetics
  • Periodontics
Plus, the Dental Care Advantage Discount Program includes the following discounts at no extra charge:
  • Vision care program: 20% discount on exams, frames, tints, lenses, anti-reflective coatings, progressive lenses, contact solutions and regular contact lenses. 
  • Chiropractic discount program: includes treatment for acute, chronic and preventative care with no charge for initial consultation, unlimited visits per member, 50% savings on diagnostics and x-rays and 30% savings on other services.

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Find out more
To learn more about NHIC plans available and decide which one is best for you, click on the plan names below for additional information. If you still have questions, feel free to contact us at any time. We're always happy to help.

Network PlatinumPlus
Network Platinum Premier
NHP SelectChoice
Network PlatinumPlus Pharmacy
Network Platinum Premier Pharmacy
NetworkCares

 
 
Helpful Resources
Healthcare Update Meetings
 
Find a meeting near you! Click here to see our monthly meeting calendar!
Is Part D part of Medicare?
 
Find out how Part D works.
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Is my drug covered?
 
Find your prescriptions in our Formulary.
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Request for Medicare Prescription Drug Coverage Determination
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Exception and appeals information for members of:
  Network PlatinumPlus Pharmacy
  Network PlatinumPremier
Pharmacy

  NetworkCares
Is my doctor in the network?
 
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Appointment of Representative
 
You have the right to name a relative, friend, advocate, doctor, or someone else to act on your behalf.
Learn more

  1. Click here to complete and submit the form to enroll online.

2. Call 1–800–983–7587 toll free to have a Network Health Insurance Corporation Representative enroll you over the phone. Representatives are available Monday - Friday from 8:00 a.m. to 5:00 p.m. For the hearing impaired, call TTY/TDD 1–800–947–3529.

3. To print out the enrollment form for Network PlatinumPlus / PlatinumPremier / NetworkCares click here. To print out the enrollment form for NHP SelectChoice click here. Please complete the enrollment and mail it to the following address:
Network Health Insurance Corporation
1570 Midway Place
PO Box 120
Menasha, WI 54952

4. Or Call 1-800-983-7587 toll free to have a Network Health Insurance Corporation Representative send you an enrollment package in the mail. Representatives are available Monday - Friday from 8:00 a.m. to 5:00 p.m. For the hearing impaired, call TTY/TDD 1–800–947–3529.

For more complete information on Network Health Insurance Corporation plans, please go to Available Plans.

 
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Site Last Updated July 14, 2008