Network Health Prime (MSA)

Health Insurance Company: Network Health Medicare Advantage Plans

Medicare Advantage Plan Details

Network Health Medicare Advantage Plans
$0 /mo
monthly premium
Network Health Prime (MSA)
Additional Coverage
Overall Star Rating (2024)
  • Hearing
4
out of 5 stars

General Plan Details

Medical Deductible
$5100
Out-of-Pocket Maximum
$0
Rx Drug Coverage
No
Rx Deductible
$0

Additional Benefits

Dental Coverage
No
Vision Coverage
No
Mental Health Coverage
Yes
Chiropractic Coverage
No
Optional Supplemental Benefits
Yes
Part B Give Back
Yes

Doctor & Hospital Coverage

Primary Doctor Office Visit
$0 copay after you pay your deductible
Specialist Office Visit
$0 copay after you pay your deductible
Periodic Exam Coverage
$0 copay

Emergency Room

$0 copay after you pay your deductible

Ambulance Coverage

$0 copay after you pay your deductible

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: $0 copay after you pay your deductible
Medicare-covered lab services: $0 copay after you pay your deductible
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): $0 copay after you pay your deductible
Medicare-covered x-ray services: $0 copay after you pay your deductible

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: $0 copay after you pay your deductible

Hospitalization Coverage

Inpatient hospital-acute:
$0 copay after you pay your deductible
Inpatient hospital psychiatric:
$0 copay after you pay your deductible

Rehabilitation Coverage

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

Urgent Care Coverage

$0 copay after you pay your deductible

Skilled Nursing Facility (SNF)

$0 copay after you pay your deductible

Mental Health Coverage

Medicare-covered individual sessions: $0 copay after you pay your deductible
Medicare-covered group sessions: $0 copay after you pay your deductible

Dental, Vision, Hearing Benefits

Dental Services

Oral exams: Not covered
Prophylaxis (cleaning): Not covered
Dental x-rays: Not covered

Vision Benefits

Eye exams:
Routine eye exams: Not covered
Eyewear:
Contact Lenses: Not covered
Eyeglasses: Not covered

Hearing Benefits

Hearing exams:
Routine hearing exams: $0 copay after you pay your deductible

Plan Links

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Where This Plan is Available

Additional Plan Info

Year:
2024
Plan ID:
H1181-001-0
Insurance Company Website:
Network Health Medicare Advantage Plans

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following carriers:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Aspire Health Plan
  • Dean Health Plan
  • Devoted Health
  • GlobalHealth
  • Health Care Service Corporation
  • Cigna Healthcare
  • Humana
  • Medica Central Health Plan
  • Molina Healthcare
  • Mutual of Omaha
  • Premera Blue Cross
  • SCAN Health Plan
  • Scott and White Health Plan now part of Baylor Scott & White Health
  • UnitedHealthcareⓇ
  • Wellcare