MedicarePartD.guide

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Network Health Prime (MSA)

Available to residents of Clark County, WI for 2027. Contract H1181, plan 001, segment 0.

2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.

New for 2027. This plan has no 2026 predecessor in the CMS crosswalk. Every WI plan’s 2026–2027 changes →

Plan details

Monthly premium (Part C + D)$0.00
— medical (Part C) part$0.00
— drug (Part D) part—?
Drug deductiblethis plan has no drug coverage
Plan typeMSA?
Contract / planH1181-001-0
Offered byNetwork Health Medicare Advantage Plans
Parent organizationNetwork Health, Inc.
Member services(800)983-7587TTY 711
CMS-accepted enrolment cap3,408

CMS star ratings

Overall
—
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
—

Published per contract — every plan under contract H1181 shares this rating.

Plan health benefits

ServiceIn-network
Emergency and urgent care
Worldwide emergency coverageNot covered
Worldwide urgent careNot covered
Worldwide emergency transportationNot covered
Chiropractic, acupuncture and foot care
Routine chiropractic careNot covered
Dental?
Oral examsNot covered
CleaningsNot covered
Fluoride treatmentNot covered
Dental x-raysNot covered
Other diagnostic dental servicesNot covered
Other preventive dental servicesNot covered
Restorative services (fillings, crowns)Not covered
Endodontics (root canals)Not covered
Periodontics (gum disease)Not covered
Dentures and other removable prosthodonticsNot covered
Maxillofacial prostheticsNot covered
ImplantsNot covered
Bridges and other fixed prosthodonticsNot covered
Oral and maxillofacial surgeryNot covered
OrthodonticsNot covered
Adjunctive general servicesNot covered
Vision?
Routine eye examNot covered
Contact lensesNot covered
Eyeglasses (frames and lenses)Not covered
Eyeglass lensesNot covered
Eyeglass framesNot covered
Eyewear upgradesNot covered
Hearing?
Routine hearing examNot covered
Hearing aid fitting and evaluationNot covered
Hearing aids (all types)Not covered
Hearing aids, inner earNot covered
Hearing aids, outer earNot covered
Hearing aids, over the earNot covered
Other extra benefits?
Fitness benefitNot covered
Health educationNot covered
Nutritional / dietary benefitNot covered
Extra smoking and tobacco cessation counselingNot covered
Enhanced disease managementNot covered
TelemonitoringNot covered
Remote access technologies (web/phone, nurse line)Not covered
Home and bathroom safety devicesNot covered
Counseling servicesNot covered
In-home safety assessmentNot covered
Personal emergency response system (PERS)Not covered
Medical nutrition therapyNot covered
Post-discharge in-home medication reconciliationNot covered
Re-admission preventionNot covered
Wigs for hair loss from chemotherapyNot covered
Weight management programsNot covered
Alternative therapiesNot covered
Therapeutic massageNot covered
Adult day health servicesNot covered
Home-based palliative careNot covered
In-home support servicesNot covered
Support for caregiversNot covered

In-network cost-sharing as the plan filed it with CMS (CMS plan benefit package (PBP) files, CY2027). A range means the cost depends on the service or setting. Rows the filing does not state are left out rather than guessed. Contact the plan for the full Evidence of Coverage.

Star rating measures

Each CMS star measure for contract H1181, 2027 against 2026
Measure20272026
Staying Healthy: Screenings, Tests and Vaccines
Breast Cancer Screening · C011 out of 5 stars for Breast Cancer Screening1 out of 5 stars for Breast Cancer Screening
Colorectal Cancer Screening · C021 out of 5 stars for Colorectal Cancer Screening2 out of 5 stars for Colorectal Cancer Screening
Annual Flu Vaccine · C031 out of 5 stars for Annual Flu Vaccine1 out of 5 stars for Annual Flu Vaccine
Improving or Maintaining Physical Health · C043 out of 5 stars for Improving or Maintaining Physical Health4 out of 5 stars for Improving or Maintaining Physical Health
Improving or Maintaining Mental Health · C055 out of 5 stars for Improving or Maintaining Mental Health5 out of 5 stars for Improving or Maintaining Mental Health
Monitoring Physical Activity · C061 out of 5 stars for Monitoring Physical Activity1 out of 5 stars for Monitoring Physical Activity
Managing Chronic (Long Term) Conditions
Diabetes Care – Eye Exam · C11no data2 out of 5 stars for Diabetes Care – Eye Exam
Diabetes Care – Blood Sugar Controlled · C124 out of 5 stars for Diabetes Care – Blood Sugar Controlled4 out of 5 stars for Diabetes Care – Blood Sugar Controlled
Kidney Health Evaluation for Patients with Diabetes · C132 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes3 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes
Controlling High Blood Pressure · C143 out of 5 stars for Controlling High Blood Pressure3 out of 5 stars for Controlling High Blood Pressure
Transitions of Care · C195 out of 5 stars for Transitions of Care5 out of 5 stars for Transitions of Care
Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions · C20no data4 out of 5 stars for Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
Member Experience with Health Plan
Getting Needed Care · C215 out of 5 stars for Getting Needed Care4 out of 5 stars for Getting Needed Care
Getting Appointments and Care Quickly · C225 out of 5 stars for Getting Appointments and Care Quickly5 out of 5 stars for Getting Appointments and Care Quickly
Customer Service · C234 out of 5 stars for Customer Service5 out of 5 stars for Customer Service
Rating of Health Care Quality · C243 out of 5 stars for Rating of Health Care Quality2 out of 5 stars for Rating of Health Care Quality
Rating of Health Plan · C253 out of 5 stars for Rating of Health Plan2 out of 5 stars for Rating of Health Plan
Care Coordination · C264 out of 5 stars for Care Coordination5 out of 5 stars for Care Coordination
Member Complaints and Changes in the Health Plan's Performance
Complaints about the Health Plan · C274 out of 5 stars for Complaints about the Health Plan5 out of 5 stars for Complaints about the Health Plan
Members Choosing to Leave the Plan · C285 out of 5 stars for Members Choosing to Leave the Plan4 out of 5 stars for Members Choosing to Leave the Plan
Health Plan Quality Improvement · C294 out of 5 stars for Health Plan Quality Improvement3 out of 5 stars for Health Plan Quality Improvement
Health Plan Customer Service
Plan Makes Timely Decisions about Appeals · C30not enough data5 out of 5 stars for Plan Makes Timely Decisions about Appeals
Reviewing Appeals Decisions · C31not enough data2 out of 5 stars for Reviewing Appeals Decisions

Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under H1181 shares it.

Also available in 71 other WI counties

Benefits in plain text

Network Health Prime (MSA) (H1181-001-0) is a 2027 MSA Medicare Advantage health plan without drug coverage offered by Network Health Medicare Advantage Plans, available to residents of Clark County, WI.

The monthly premium is $0.00.

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Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.