Your Network Health Anywhere PPO Comparison
Thank you for being a valued Network Health Member. New in 2025 Medicare is changing how your prescription drugs are going to be covered. Next year Medicare is capping prescription drug costs at $2,000. Meaning no individual on Medicare can spend more than $2000 out of their pocket on medication costs. This is a wonderful change as many Americans will see their Rx costs significantly drop. With this benefit starting next year, all of the insurance companies have had to make adjustments to their plans to accommodate for this extra cost. Network Health is no different. Network Health’s goal was to keep the core benefits of your insurance policy as close to what they were in previous years. You are going to see very minimal changes in Copays with your plan. Where you will see changes are on the prescription drugs & extra benefits like dental and vision. As an Network Health member you will still have access to Ascension, Aurora, Froedtert, Pro Healthcare and nationwide in-network cost sharing the moment you cross Wisconsin border, your coverage will always cost the same as in-network nationwide as long as the provider accepts Medicare and is willing to bill the plan. If you are happy with your coverage, there is nothing you have to do. Your plan will automatically renew for next year. We have included some links below that we hope you will find useful. We have also attached a PDF of your insurance plan to review all of next years benefits’. We encourage you to review the chart and reach out to our office and your agent if you have any questions or would like to discuss other options. When you call our office you will get a real person, no voicemail jail. You will undoubtably receive solicitations in the mail and unwanted calls on your phone. Many of these mailers are illegal and misleading. It is also illegal for anyone to call you on your phone. No one from Medicare or Social Security will ever call you, these are scams. As a reminder, FHK Insurance and your agent represent all the insurance plans in the area and if you have any questions on anything, we look forward to hearing from you
EyeMed link: EyeDocLocator.com
EyeMed Phone: 833-279-4359
Dental Network link: SayCheeseMWP
Dental Network Phone: 888-454-4127
TruHearing: 877-759-8131
Find A Doc: NetworkHealth.com
New Gym Membership Link: YourOnePass.com
SOB link:
2024
2025
Anywhere
Anywhere
H5215-010
H5215-010
Southeastern
Southeastern
Premium
$0
$0
Part B Giveback
$25
$26
Primary Doctor
$0
$0
Specialist
$35
$35
Physical Therapy
$35
$35
Urgent Care
$45
$45
Hospital
$275 days 1-6
$275 days 1-6
OON
N/A
N/A
MOOP Cap
$3,800
$3,800
Outpatient Surg
$260 / $185 ASC
$260 / $185 ASC
Ambulance
$250
$250
Emergency
$110
$125
Lab Services
$0 – $40
$0 – $40
X-Rays
$90
$90
Complex Diag
$260
$310
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$2 / $8 / $42 / $95
$2 /$8 / 23% / 37%
90 Day- Mailorder
$0 / $0 / $105 / $237
$0 / $0 / $105 / $237
Part D Ded
$250
$300
(applies to tiers 4,5)
(applies to tiers 2,3,4,5)
Skilled Nursing
$0 days 1-20
$203 days 21-45
$0 days 1-20
$214 days 21-45
Hearing Aid
$495 – $1,695
$495 – $1,695
OTC
$75/Qtr
N/A
Gym Membership
SilverSneakers
One Pass
Dental
$3,000 (80% co-ins OON)
$2,000 (80% co-ins OON)
Dental Rider
N/A
N/A
Dental Network
ANY/Delta Dental MA
ANY/Delta Dental MA
Vision
$350 (Eye Med)
$350 (Eye Med)
Your Network Health Anywhere PPO Comparison
Thank you for being a valued Network Health Member. New in 2025 Medicare is changing how your prescription drugs are going to be covered. Next year Medicare is capping prescription drug costs at $2,000. Meaning no individual on Medicare can spend more than $2000 out of their pocket on medication costs. This is a wonderful change as many Americans will see their Rx costs significantly drop. With this benefit starting next year, all of the insurance companies have had to make adjustments to their plans to accommodate for this extra cost. Network Health is no different. Network Health’s goal was to keep the core benefits of your insurance policy as close to what they were in previous years. You are going to see very minimal changes in Copays with your plan. Where you will see changes are on the prescription drugs & extra benefits like dental and vision. As an Network Health member you will still have access to Ascension, Aurora, Froedtert, Pro Healthcare and nationwide in-network cost sharing the moment you cross Wisconsin border, your coverage will always cost the same as in-network nationwide as long as the provider accepts Medicare and is willing to bill the plan. If you are happy with your coverage, there is nothing you have to do. Your plan will automatically renew for next year. We have included some links below that we hope you will find useful. We have also attached a PDF of your insurance plan to review all of next years benefits’. We encourage you to review the chart and reach out to our office and your agent if you have any questions or would like to discuss other options. When you call our office you will get a real person, no voicemail jail. You will undoubtably receive solicitations in the mail and unwanted calls on your phone. Many of these mailers are illegal and misleading. It is also illegal for anyone to call you on your phone. No one from Medicare or Social Security will ever call you, these are scams. As a reminder, FHK Insurance and your agent represent all the insurance plans in the area and if you have any questions on anything, we look forward to hearing from you
2024
2025
Anywhere
Anywhere
H5215-010
H5215-010
Southeastern
Southeastern
Premium
$0
$0
Part B Giveback
$25
$26
Primary Doctor
$0
$0
Specialist
$35
$35
Physical Therapy
$35
$35
Urgent Care
$45
$45
Hospital
$275
days 1-6
$275
days 1-6
OON
N/A
N/A
MOOP Cap
$3,800
$3,800
Outpatient Surg
$260 / $185 ASC
$260 / $185 ASC
Ambulance
$250
$250
Emergency
$110
$125
Lab Services
$0-$40
$0-$40
X-Rays
$90
$90
Complex Diag
$260
$310
DME
20%
20%
Chemo/Part B
20%
20%
Part D
$2 / $8 / $42 / $95
$2 / $8 / 23% / 37%
90 Day- Mailorder
$0 / $0 / $105 / $237
$0 / $0 / $105 / $237
Part D Ded
$250
$300
(applies to tiers 4,5)
| (applies to tiers 2,3,4,5) |
Skilled Nursing
$0 days 1-20
$203 days 21-45
$0 days 1-20
$214 days 21-45
Hearing Aid
$495-$1,695
$495-$1,695
OTC
$75/Qtr
N/A
Gym Membership
SilverSneakers
One Pass
Dental
$3,000 (80% co-ins OON)
$2,000 (80% co-ins OON)
Dental Rider
N/A
N/A
Dental Network
ANY/Delta Dental MA
ANY/Delta Dental MA
Vision
$350
(Eye Med)
$350
(Eye Med)
EyeMed link: EyeDocLocator.com
EyeMed Phone: 833-279-4359
Dental Network link: SayCheeseMWP
Dental Network Phone: 888-454-4127
TruHearing: 877-759-8131
Find A Doc: NetworkHealth.com
New Gym Membership Link: YourOnePass.com
SOB link: