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Meet Your Health Care Concierge

See and learn who you speak with over the phone.

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Discover Healthy Benefits

Gym membership reimbursement and preventive care.

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Get Member Discounts and Extras

Places you can get discounts and how we keep you involved.

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Take Charge of Health Conditions

Our condition and care management programs available to you at no cost.

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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.

Tired of Too Much Mail? Sign Up to Go Paperless

You can get your Annual Notice of Change materials by email this 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. Just make sure you sign up by September 1.

Sign Up Today

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.


Your Rights and Responsibilities

Assistance with Multiple Medications

How to Protect Yourself from Fraud

How to Make a Complaint or Appeal also see Change to Quality Improvement Organization Contact Information (effective August 1)

How Health Plans Make Their Decisions

See Quality and Member Satisfaction Ratings (HEDIS/CAHPS Performance Results)

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 2014 Plan Policy, Called Your Evidence of Coverage

Network PlatinumSelect (PPO)

Network PlatinumPlus (PPO)

Network PlatinumPlus Pharmacy (PPO)

Network PlatinumPremier (PPO)

Network PlatinumPremier Pharmacy (PPO)

NetworkCares (PPO SNP) 

Annual Notice of Changes for 2014

If you're currently enrolled, this booklet explains the changes to your plan for 2014.

Network PlatinumSelect (PPO)

Network PlatinumPlus (PPO)

Network PlatinumPlus Pharmacy (PPO)

Network PlatinumPremier (PPO)

Network PlatinumPremier Pharmacy (PPO)

NetworkCares (PPO SNP) 

Mark the Calendar

Find the dates, times and locations of upcoming member events, self-management workshops and more.

Read the Latest

Find news, healthy tips and feature stories in our member newsletter, Concierge.

Find a Doctor

Search for doctors near you

Research Rx

Visit our Research Rx Center to find local pharmacies where you can get prescriptions, what medications are covered, what they cost and more.

Search Pharmacies Look Up Medications Go to Research Rx Center