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Available Plans
Everyone has different insurance needs. That’s why Network Health offers a variety of plans to ensure you have the quality coverage you need at an affordable cost.
All Network Health’s Prestige plans are available on the health insurance exchange, which is also known as the Marketplace. These plans are HMO (Health Maintenance Organization) which means you’ll have to use our high-quality network of doctors, hospitals, clinics and specialists for services to be covered. This includes labs and services your doctor may refer, so you’ll want to ensure all providers you use are in-network.
As you review our plans, remember that you may qualify for a subsidy from the government. If you have questions, call us at 844-635-1322, Monday-Friday from 8 a.m. to 5 p.m.
2019 Plans
Frequently Asked Questions
- Title I (No Surprises Act) and Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260) (CAA), establish new protections for consumers related to surprise billing and transparency in health care.
- This requires issuers of individual health insurance plans to disclose to prospective enrollees the compensation an agent or broker receives from the issuer.
- At Network Health we value our member and feel it’s appropriate to disclose this information. Our Agents or brokers who sell individual health insurance coverage receive $18 per member per month (PMPM).
- Please note the monthly premium you pay for your plan remains the same whether you work with an agent or broker to enroll or not.
All Network Health Prestige Plans include
- $0 preventive care services
- $0 annual vision exam through EyeMed
- $0 routine dental exam, cleaning and x-ray through Argus Dental
- $0 virtual doctor visits (for some plans, deductible must be met first)
- Patient Assurance Program ($25 preferred insulin before deductible)
- Momentum healthy rewards program
- Superior, local service
Individual and Family Service Area
Network Health’s Prestige plans for individuals and families are available in nine counties.
- Northeast Counties
- Calumet
- Outagamie
- Winnebago
- Waupaca
- Waushara
- Southeast Counties
- Kenosha
- Milwaukee
- Ozaukee
- Racine
- Washington
- Waukesha
For 2022 coverage, open enrollment runs from November 1, 2021 through January 15, 2022.
View our 2022 plan options below.
Prestige Bronze Essential + Dental + Vision + Fitness + 3 Free PCP Visits
This plan offers a low monthly premium and great coverage. Your first three primary care doctor visits are $0 and then just $55 per visit after that. The coinsurance is 50 percent.
- $7,750 Individual/ $15,500 Family Deductible
- $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Bronze 20 HDHP + Dental + Vision
In addition to a low monthly premium and quality coverage, this plan offers 20 percent coinsurance. This plan, as displayed here, may be combined with a health savings account (HSA).
- $6,500 Individual/ $13,000 Family Deductible
- $7,050 Individual/ $14,100 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Bronze 0 + Dental + Vision
You’ll pay $0 for most medical services once you meet your deductible. There are separate copayments and coinsurance for prescription drugs.
- $8,700 Individual/ $17,400 Family Deductible
- $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Signature Prestige Bronze Copay + Dental + Vision + Fitness
This plan has no deductibles and reasonable copayments for common medical services.
- $0 Individual/ $0 Family Deductible
- $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Silver Essential + Dental + Vision + Fitness + 3 Free PCP Visits
This plan has a reasonable deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $25 per visit after that.
- $4,000 Individual/ $8,000 Family Deductible
- $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Silver 20 HDHP + Dental + Vision
This plan offers a deductible and coinsurance midway between the Bronze and Gold HDHP plans. This plan is HSA qualified when a government cost-sharing subsidy is not applied.
- $3,500 Individual/ $7,000 Family Deductible
- $7,050 Individual/ $14,100 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Gold Essential + Dental + Vision + Fitness + 3 Free PCP Visits
This plan offers a low deductible and low copayments for common medical services. Your first three primary care doctor visits are $0 and then just $20 per visit after that.
- $1,750 Individual/ $3,500 Family Deductible
- $8,700 Individual/ $17,400 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Gold 50 + Dental + Vision
This plan offers broad coverage with the lowest deductible of all our plans. It also has the lowest out-of-pocket maximum.
- $1,000 Individual/ $2,000 Family Deductible
- $4,300 Individual/ $8,600 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
Prestige Gold 0 HDHP + Dental + Vision
This is Network Health’s gold-level HSA qualified plan. After you meet your deductible, you’ll pay $0 for most medical services. There are separate copayments and coinsurance for prescription drugs. This plan, as displayed here, may be combined with a health savings account (HSA).
- $2,800 Individual/ $5,600 Family Deductible
- $5,000 Individual/ $10,000 Family Maximum Out-of-Pocket
- Prescription Drug Coverage
