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Meet Your Health Care Concierge
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If you have any questions about your plan, call your health care concierge or our customer service department at 800-378-5234 (TTY 800-947-3529). We're available Monday through Friday, 8 a.m. to 5 p.m.
Tired of Too Much Mail? Sign Up to Go Paperless
You can get your Annual Notice of Change materials by email or CD next year by signing up at the link below. This process takes less than 5 minutes. The portal is secure, and you’ll get your paperless materials in late September.
Need to Change Your Plan?
You can change your plan at certain times of the year, like during the annual enrollment period from October 15 to December 7.
Fitness Reimbursement Form - Use this form to get reimbursement for your health club membership fees.
Appointment of Representative Form - You can use this form to name a relative, friend, advocate, doctor or someone else to act on your behalf for an appeal or complaint. To name a representative to act for you, complete this form (sign it and have the representative you're naming sign it) and send it to Network Health Insurance Corporation, Attn: Medicare Advantage Plans, PO Box 120, Menasha, WI 54952.
Submit a Request for a Drug Coverage Determination - You have the right to request coverage for a particular prescription drug.
Redetermination Request Form - You have the right to ask us to reconsider a coverage decision made for a particular prescription drug.
Prescription Drug Claim Form - If you need to get reimbursed for a self-administered drug, use this form.
Clinical and Preventive Guidelines - Visit this page for our clinical practice guidelines that include U.S. Preventive Services Task Force recommendations for preventive care, like certain screening, shots and vaccines that can help you stay healthy and avoid getting sick.
Your 2014 Plan Policy, Called Your Evidence of Coverage
Annual Notice of Changes for 2014
If you're currently enrolled, this booklet explains the changes to your plan for 2014.
Find the dates, times and locations of upcoming member events, self-management workshops and more.
Find news, healthy tips and feature stories in our member newsletter, Concierge.