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Your UnitedHeathcare 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

Med Adv-0010

Med Adv-0010

H5253-004

H5253-004

Southeastern

Southeastern

Premium

$29

$34

Primary Doctor

$0

$0

Specialist

$35

$35

Physical Therapy

$20

$25

Urgent Care

$40

$65

Hospital

$285 days 1-6

$275 days 1-6

MOOP Cap

$3,800

$3,800

Outpatient Surgery

$285 / $235 ASC

$275 / $175 ASC

Ambulance

$275

$275

Emergency

$135

$140

Lab Services

$0

$0

X-Rays

$15

$15

Complex Diagnostic

$115

$150

DME

20%

20%

Chemo/Part B

20%

20%

Part D

$0 / $10 / $47 / $100

$0 / $5 / $47 / $100

90-100 Day- Mailorder

$0 / $0 / $131 / $290

$0 /$0 / $131 / NA

Part D Deductible

$0

$340

(applies to tiers 3,4,5)

Skilled Nursing

$0 days 1-20
$203 days 21-100

$0 days 1-20
$203 days 21-100

Hearing Aid

$99 – $1,249

$99 – $1,249

OTC

$50 / quarter

$50 / quarter

Gym Membership

uhcrenewactive.com

uhcrenewactive.com

Dental

$1,500

$1,500

Dental Network

Any / UHC

Any / UHC

Vision

$250 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$

$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$

Dental Rider

NA

Your UnitedHeathcare 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

Med Adv-0010

Med Adv-0010

H5253-004

H5253-004

Southeastern

Southeastern

Premium

$29

$34

Primary Doctor

$0

$0

Specialist

$35

$35

Physical Therapy

$20

$25

Urgent Care

$40

$65

Hospital

$285
days 1-6

$275
days 1-6

MOOP Cap

$3,800

$3,800

Outpatient Surgery

$285 / $235 ASC

$275 / $175 ASC

Ambulance

$275

$275

Emergency

$135

$140

Lab Services

$0

$0

X-Rays

$15

$15

Complex Diagnostic

$115

$150

DME

20%

20%

Chemo/Part B

20%

20%

Part D

$0 / $10 / $47 / $100

$0 / $5 / $47 / $100

90-100 Day- Mailorder

$0 /$0 / $131 / $290

$0 / $0 / $131 / NA

Part D Deductible

$0

$340

(applies to tiers 3,4,5)

Skilled Nursing

$0 days 1-20
$203 days 21-100

$0 days 1-20
$203 days 21-100

Hearing Aid

$99 – $1,249

$99 – $1,249

OTC

$50 / quarter

$50 / quarter

Gym Membership

uhc renew active

uhc renew active

Dental

$1,500

$1,500

Dental Network

Any / UHC

Any / UHC

Vision

$250 Eyewear credit
Bi/Trifocals, standard
Progressive lens – 0$

$300 credit / 2 years
Bi/Trifocals, standard
Progressive lens – 0$

Dental Rider

NA

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:

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