2020 NetworkPrime (MSA) H1181-1-0 in WI from Network Health | HealthPocket

NetworkPrime (MSA)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderNetwork Health
Plan IDH1181-1-0
Plan Year2020
CMS RatingNot Rated
Plan TypeMSA
Annual Deductible$0.00
Out-of-Pocket Maximum0

What To Know About This Plan
  • This is a health coverage only plan with no drug coverage

Why We Like This Plan
  • has no additional premium costs outside of your Medicare Part B premium

Overview

Premium
Total monthly premium$0.00
Health plan premium$0.00
Standard Part B premium$135.50
Part B premium reductionNo
Deductible
Health plan deductible$5,100 annual deductible
Estimated yearly costs
Estimated total yearly costs for care$6,594.00
Out-of-pocket max
Out-of-pocket maxNot Applicable

Benefits & costs

Doctor services
Primary doctor visit$0 copay after you pay your deductible
Specialist visit$0 copay after you pay your deductible
Tests, labs, & imaging
Diagnostic tests & procedures$0 copay after you pay your deductible
Lab services$0 copay after you pay your deductible
Diagnostic radiology services (like MRI)$0 copay after you pay your deductible
Outpatient x-rays$0 copay after you pay your deductible
Emergency care$0 copay after you pay your deductible
Urgent care$0 copay after you pay your deductible
Hospital services
Inpatient hospital coverage$0 copay after you pay your deductible
Outpatient hospital coverage$0 copay after you pay your deductible
Skilled nursing facility
Skilled nursing facility$0 copay after you pay your deductible
Preventive services
Preventive services$0 copay
Ambulance
Ground ambulance$0 copay after you pay your deductible
Therapy services
Occupational therapy visit$0 copay after you pay your deductible
Physical therapy & speech & language therapy visit$0 copay after you pay your deductible
Mental health services
Outpatient group therapy with a psychiatrist$0 copay after you pay your deductible
Outpatient individual therapy with a psychiatrist$0 copay after you pay your deductible
Outpatient group therapy visit$0 copay after you pay your deductible
Outpatient individual therapy visit$0 copay after you pay your deductible
Opioid treatment services
Opioid treatment servicesCovered
Other services
Durable medical equipment (like wheelchairs & oxygen)$0 copay after you pay your deductible
Prosthetics (like braces, artificial limbs)$0 copay after you pay your deductible
Diabetes supplies$0 copay after you pay your deductible

Extra benefits & costs

Hearing
Hearing exam$0 copay after you pay your deductible
Fitting/evaluationNot covered
Hearing aids - Inner earNot covered
Hearing aids - Outer earNot covered
Hearing aids - Over the earNot covered
Preventive dental
Oral examNot covered
CleaningNot covered
Fluoride treatmentNot covered
Dental x-raysNot covered
Comprehensive dental
Non-routine servicesNot covered
Diagnostic servicesNot covered
Restorative servicesNot covered
EndodonticsNot covered
PeriodonticsNot covered
ExtractionsNot covered
Prosthodontics, other oral/maxillofacial surgery, other servicesNot covered
Vision
Routine eye examNot covered
Contact lensesNot covered
Eyeglasses (frames & lenses)Not covered
Eyeglass frames (only)Not covered
Eyeglass lenses (only)Not covered
UpgradesNot covered

Drug coverage & costs

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

Coverage Area for NetworkPrime (MSA)

StateWisconsin
CountyMilwaukee

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care managementNot Rated
Care for older adults – medication reviewNot Rated
Care for older adults – functional status assessmentNot Rated
Care for older adults – Pain assessmentNot Rated
Osteoporosis management in women who had a fractureNot Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Rheumatoid arthritis managementNot Rated
Reducing the risk of falling
Improving bladder control
Medication reconciliation post-discharge
Plan all-cause readmissions
Statin Therapy for Patients with Cardiovascular DiseaseNot Rated

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Rating of health care quality
Rating of health plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appealsNot Rated
Reviewing appeals decisionsNot Rated
Call center – foreign language interpreter and TTY/TDD availability - MedicalNot Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY availabilityNot Rated
Appeals auto-forwardNot Rated
Appeals upheldNot Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug planNot Rated
Members choosing to leave the drug planNot Rated
Drug plan quality improvementNot Rated

Member Experience with Drug Plan

Rating of drug planNot Rated
Getting needed prescription drugsNot Rated

Drug Pricing and Patient Safety

MPF Price AccuracyNot Rated
Medication adherence for diabetes medicationsNot Rated
Medication adherence for hypertension - RAS antagonistsNot Rated
Medication adherence for cholesterol - StatinsNot Rated
MTM program completion rate for CMRNot Rated
Statin use in persons with diabetes - SUPDNot Rated

Physicians that accept NetworkPrime (MSA) for Wisconsin

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Nancy, Nguyen
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Sahibzada, Latif
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Tyler, Steward
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Joshua, Neubauer
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Michael, Lischak
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Christopher, Adams
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Anwer, Dhala
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Jasbir, Sra
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Steven, Murphy
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Jessica, Kuester
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Moitreyee, Reddy
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Hany, Nosir
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Yogendra, Bharat
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Thomas, Stauss
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Donald, Harvey
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Scott, Aschenbrener
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Denise, Sadler
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Marco, Araujo
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Gregg, Gaylord
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Jeremy, Scarlett
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Maher, Fattouh
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Carol, Wood
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Jacqueline, Gerhart
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Margaret, Barron
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Nancy Nguyen, M.D.
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  • Phone Number
    (414) 672-1353
  • Office Locations
    2906 S 20th St
    Milwaukee, WI 53215
2906 S 20th St Milwaukee WI, 53215

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).