Your Network Health Anywhere PPO Comparison
Customer Service: 800-378-5234
EyeMed link: EyeDocLocator.com
EyeMed Phone: 833-279-4359
Dental Network link: SayCheese
Dental Network Phone: 888-454-4127
TruHearing: 877-759-8131
Find A Doc: NetworkHealth.com
New Gym Membership Link: YourOnePass.com
Mail Order with Express Scripts: 800-316-3107
For a full listing of the Network Health Anywhere PPO, please click here.
2025
2026
Anywhere
H5215-010
Anywhere
H5215-010
Premium
$0
$0
Part B Giveback
$26
$21
Primary Doctor
$0
$0
Specialist
$35
$45
Physical Therapy
$35
$45
Urgent Care
$35
$45
Hospital
$275 days 1-6
$275 days 1-6
Maximum Out Of Pocket
$3,800
$4,500
Outpatient Surgery
$260 / $185 ASC
$260 / $185 ASC
Ambulance
$250
$250
Emergency
$125
$130
Lab Services
$0 – $40
$0 – $40
X-Rays
$90
$90
Complex Diagnostic
$310
$310
Durable Medical Equipment
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers 1-4)
$2 / $8 / 23% / 37%
$1 /$8 / 22% / 28%
90 Day Mail-Order
$0 / $0 / 23% / 37%
$0 / $0 / 22%/ 28%
Part D Deductible
$300
$320
(applies to tiers 2,3,4,5)
(applies to tiers 2,3,4,5)
Hearing Aid
$495 – $1,695
$495 – $1,695
OTC
N/A
$25/Qtr
Gym Membership
One Pass
One Pass
Dental
$2,000 (80% co-ins OON)
$2,000 (80% co-ins OON)
Dental Network
Say Cheese
Say Cheese
Vision
$350 (Eye Med)
$350 (Eye Med)
Your Network Health Anywhere PPO Comparison
2025
2026
Anywhere
Anywhere
H5215-010
H5215-010
Premium
$0
$0
Part B Giveback
$25
$21
Primary Doctor
$0
$0
Specialist
$35
$45
Physical Therapy
$35
$45
Urgent Care
$35
$45
Hospital
$275
days 1-6
$275
days 1-6
MOOP Cap
$3,800
$4,500
Outpatient Surg
$260 / $185 ASC
$260 / $185 ASC
Ambulance
$250
$250
Emergency
$125
$130
Lab Services
$0-$40
$0-$40
X-Rays
$90
$90
Complex Diag
$310
$310
DME
20%
20%
Chemo/Part B
20%
20%
Part D (Tiers 1-4)
$2 / $8 / 23% / 37%
$1 / $8 / 22% / 28%
90 Day- Mailorder
$0 / $0 / 23% /37%
$0 / $0 / 22% / 28%
Part D Ded
$300
$320
(applies to tiers 2,3,4,5)
| (applies to tiers 2,3,4,5) |
Hearing Aid
$495-$1,695
$495-$1,695
OTC
N/A
$25/Qtr
Gym Membership
One Pass
One Pass
Dental
$2,000 (80% co-ins OON)
$2,000 (80% co-ins OON)
Dental Network
Say Cheese
Say Cheese
Vision
$350
(Eye Med)
$350
(Eye Med)
Customer Service: 800-378-5234
EyeMed link: EyeDocLocator.com
EyeMed Phone: 833-279-4359
Dental Network link: SayCheese
Dental Network Phone: 888-454-4127
TruHearing: 877-759-8131
Find A Doc: NetworkHealth.com
New Gym Membership Link: YourOnePass.com
Mail Order with Express Scripts: 800-316-3107
For a full listing of the Network Health Anywhere PPO, please click here.