Network Health Prime (MSA)
Wisconsin Medicare Advantage Plan (2025 Plan)
by Network Health Medicare Advantage Plans
Additional Coverage
Hearing
Overall Government Star Rating
3.5
out of 5 stars
Plan Name
Network Health Prime (MSA)
Insurance Carrier
Network Health Medicare Advantage Plans
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Network Health Prime (MSA) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Wisconsin and offered by the health insurance company Network Health Medicare Advantage Plans. This plan’s network type is MSA which determines in-network doctors who accept the health plan and whether a referral is needed.
Annual Deductible
$4,600 annual deductible
Max Out-of-Pocket
Not Applicable
Primary doctor visit
$0 copay after you pay your deductible
Specialist visit
$0 copay after you pay your deductible
ER visit
$0 copay after you pay your deductible
Ambulance
$0 copay after you pay your deductible
Network Health Prime (MSA) has a monthly premium cost of $0 per month, with an annual deductible of $4,600 annual deductible and a maximum out of pocket cost sharing of Not Applicable. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Network Health Prime (MSA) are defined below.
No
Part D Prescription Drug Coverage
Network Health Prime (MSA) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Network Health Prime (MSA) includes coverage for hearing.
Medicare Advantage health plans can offer even more additional benefits. Network Health Prime (MSA) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Network Health Prime (MSA) received an overall government quality rating of 3.5 stars out of 5 stars.
Network Health Prime (MSA) performed worse than Wisconsin’s State average overall quality score of 4.1 stars.
This Plan’s 5-star Gov’t Quality Score
Wisconsin State Average Score
Overall Government 5 Star Quality Rating
3.5
4.1
Summary rating of health plan quality
Staying healthy: screenings, tests, & vaccines
Managing chronic (long term) conditions
Member experience with health plan
Member complaints & changes in the health plan's performance
Health plan customer service
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Network Health Prime (MSA) received 3.5 stars for its health plan quality score which is worse than the Wisconsin State average health plan quality score of 4.0 stars.
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
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
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 services
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
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Chemotherapy drugs
$0 copay after you pay your deductible
Other Part B drugs
$0 copay after you pay your deductible
Hearing
Hearing exam
$0 copay after you pay your deductible
Hearing aids - Over the ear
Preventive Dental
Comprehensive dental
Prosthodontics, removable
Maxillofacial prosthetics
Oral and maxillofacial surgery
Adjunctive general services
Vision
Eyeglasses (frames & lenses)
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