Network Health Prime (MSA)
Available to residents of Marinette 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.
Plan details
| Monthly premium (Part C + D) | $0.00 |
|---|---|
| — medical (Part C) part | $0.00 |
| — drug (Part D) part | — |
| Drug deductible | this plan has no drug coverage |
| Plan type | MSA |
| Contract / plan | H1181-001-0 |
| Offered by | Network Health Medicare Advantage Plans |
| Parent organization | Network Health, Inc. |
| Member services | (800)983-7587TTY 711 |
| CMS-accepted enrolment cap | 3,408 |
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.
Star rating measures
| Measure | 2027 | 2026 |
|---|---|---|
| Staying Healthy: Screenings, Tests and Vaccines | ||
| Breast Cancer Screening · C01 | 1 out of 5 stars for Breast Cancer Screening | 1 out of 5 stars for Breast Cancer Screening |
| Colorectal Cancer Screening · C02 | 1 out of 5 stars for Colorectal Cancer Screening | 2 out of 5 stars for Colorectal Cancer Screening |
| Annual Flu Vaccine · C03 | 1 out of 5 stars for Annual Flu Vaccine | 1 out of 5 stars for Annual Flu Vaccine |
| Improving or Maintaining Physical Health · C04 | 3 out of 5 stars for Improving or Maintaining Physical Health | 4 out of 5 stars for Improving or Maintaining Physical Health |
| Improving or Maintaining Mental Health · C05 | 5 out of 5 stars for Improving or Maintaining Mental Health | 5 out of 5 stars for Improving or Maintaining Mental Health |
| Monitoring Physical Activity · C06 | 1 out of 5 stars for Monitoring Physical Activity | 1 out of 5 stars for Monitoring Physical Activity |
| Managing Chronic (Long Term) Conditions | ||
| Diabetes Care – Eye Exam · C11 | no data | 2 out of 5 stars for Diabetes Care – Eye Exam |
| Diabetes Care – Blood Sugar Controlled · C12 | 4 out of 5 stars for Diabetes Care – Blood Sugar Controlled | 4 out of 5 stars for Diabetes Care – Blood Sugar Controlled |
| Kidney Health Evaluation for Patients with Diabetes · C13 | 2 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes | 3 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes |
| Controlling High Blood Pressure · C14 | 3 out of 5 stars for Controlling High Blood Pressure | 3 out of 5 stars for Controlling High Blood Pressure |
| Transitions of Care · C19 | 5 out of 5 stars for Transitions of Care | 5 out of 5 stars for Transitions of Care |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions · C20 | no data | 4 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 · C21 | 5 out of 5 stars for Getting Needed Care | 4 out of 5 stars for Getting Needed Care |
| Getting Appointments and Care Quickly · C22 | 5 out of 5 stars for Getting Appointments and Care Quickly | 5 out of 5 stars for Getting Appointments and Care Quickly |
| Customer Service · C23 | 4 out of 5 stars for Customer Service | 5 out of 5 stars for Customer Service |
| Rating of Health Care Quality · C24 | 3 out of 5 stars for Rating of Health Care Quality | 2 out of 5 stars for Rating of Health Care Quality |
| Rating of Health Plan · C25 | 3 out of 5 stars for Rating of Health Plan | 2 out of 5 stars for Rating of Health Plan |
| Care Coordination · C26 | 4 out of 5 stars for Care Coordination | 5 out of 5 stars for Care Coordination |
| Member Complaints and Changes in the Health Plan's Performance | ||
| Complaints about the Health Plan · C27 | 4 out of 5 stars for Complaints about the Health Plan | 5 out of 5 stars for Complaints about the Health Plan |
| Members Choosing to Leave the Plan · C28 | 5 out of 5 stars for Members Choosing to Leave the Plan | 4 out of 5 stars for Members Choosing to Leave the Plan |
| Health Plan Quality Improvement · C29 | 4 out of 5 stars for Health Plan Quality Improvement | 3 out of 5 stars for Health Plan Quality Improvement |
| Health Plan Customer Service | ||
| Plan Makes Timely Decisions about Appeals · C30 | not enough data | 5 out of 5 stars for Plan Makes Timely Decisions about Appeals |
| Reviewing Appeals Decisions · C31 | not enough data | 2 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
- Adams
- Ashland
- Barron
- Bayfield
- Brown
- Buffalo
- Burnett
- Calumet
- Chippewa
- Clark
- Columbia
- Crawford
- Dane
- Dodge
- Door
- Douglas
- Dunn
- Eau Claire
- Florence
- Fond du Lac
- Forest
- Grant
- Green
- Green Lake
- Iowa
- Iron
- Jackson
- Jefferson
- Juneau
- Kenosha
- Kewaunee
- La Crosse
- Lafayette
- Langlade
- Lincoln
- Manitowoc
- Marathon
- Marquette
- Menominee
- Milwaukee
- Monroe
- Oconto
- Oneida
- Outagamie
- Ozaukee
- Pepin
- Pierce
- Polk
- Portage
- Price
- Racine
- Richland
- Rock
- Rusk
- St. Croix
- Sauk
- Sawyer
- Shawano
- Sheboygan
- Taylor
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.