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Questions? Need to Change Your Plan?
If you have any questions about your plan, call your health care concierge or customer service at 800-378-5234 (TTY 800-947-3529). We're available Monday through Friday, 8 a.m. to 8 p.m. From October 1 - February 14, we're here every day, 8 a.m to 8 p.m.
You can change your plan at certain times of the year, like during the annual enrollment period from October 15 to December 7.
Sign Up to Get Your Annual Materials by Email
The selection period is closed for this year's Annual Notice of Change mailing. However, make your selection now and you'll receive your materials by email next year. If you and your spouse are on the same plan, you can also choose to get one copy of materials instead of two (called householding). It takes less than 5 minutes to sign up.
NetworkPrime (MSA) Wellness Sign In
If you're a member of our NetworkPrime (MSA) plan, sign in to take your Health Questionnaire here. If you've purchased our Engage wellness program, this is where you can enter milestones and track activities to earn up to $75 in gift card rewards.
Advance Care Planning/Power of Attorney for Health Care Form - This form makes it possible for you to give someone permission to make health care decisions on your behalf, should you become unable to express your wishes.
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.
How to Make a Complaint or Appeal also see Change to Quality Improvement Organization Contact Information (effective August 1)
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 screenings, shots and vaccines that can help you stay healthy and avoid getting sick.
Your 2015 Plan Policy, Called Your Evidence of Coverage
Annual Notice of Changes for 2015
If you're currently enrolled, this document explains the changes to your plan for 2015.
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.