Network Health Prime (MSA) Medicare Advantage Plan H1181-001 • 2026
Network Health Prime is a Medicare Advantage MSA plan offered by Network Health Medicare Advantage Plans for the 2026 plan year. It uses a Medicare Savings Account (MSA) provider network and comes without prescription drug coverage. CMS Plan ID H1181-001 identifies this plan.
Network Health Prime Overview
Plan Overview for
H1181-001-0
|
|
|---|---|
| CMS Plan ID: |
H1181-001-0
|
| Plan Type: | MSA |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $4,000 |
| Maximum Out-of-Pocket: | $Not Applicable (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | See List |
| Enrollment (Nationwide): | 1,208 beneficiaries |
| Provided By: | Network Health Medicare Advantage Plans |
Plan Availability
Network Health Prime (H1181-001-0) is available in the following locations (click to open):
Why Choose Network Health Prime?
Network Health Prime is a Medicare Savings Account (MSA) plan designed for individuals with Medicare Part A and Part B benefits. This plan offers you the freedom to choose any Medicare-approved doctors, hospitals, and other healthcare providers, without being limited to a network. The plan comes with a high-deductible health insurance component, which means you'll pay for your healthcare services out-of-pocket until you meet the annual deductible of {ma_deductible_detail}. Once the deductible is met, the plan covers your Medicare-approved healthcare costs.
The unique aspect of the Network Health Prime plan is the medical savings account component. Each year, Medicare deposits {msa_annual_amount} into your MSA savings account, which you can use to pay for your healthcare costs before meeting the deductible. Please note that Network Health Prime does not include prescription drug coverage (no Part D), so if you need drug coverage, you'll need to explore standalone Medicare drug plans. Additionally, this plan does not offer extra benefits like vision, dental, or hearing coverage.
Cost Sharing Expenses
Network Health Prime has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H1181-001.
This section outlines in-network costs for primary care and specialist office visits, along with related preventive services.
| Covered Service | In-Network Cost |
|---|---|
| Primary: | $0 copay |
| Specialist: | $0 copay |
This section outlines in-network costs for preventive and wellness services included in the plan.
| Covered Service | In-Network Cost |
|---|---|
| Annual wellness exam: | Coming soon |
| Telehealth benefit: | Coming soon |
| Routine chiropractic: | Not covered |
| Fitness benefits: | Coming soon |
| Health education: | Coming soon |
| Counseling services: | Coming soon |
| Over-the-counter drug benefits: | Coming soon |
| Health transportation (non-emergency): | Coming soon |
This section outlines in-network costs for diagnostic services, lab tests, x-rays, and other imaging services.
| Covered Service | In-Network Cost |
|---|---|
| Diagnostic radiology services: | $0 copay |
| Lab services: | $0 copay |
| Outpatient x-rays: | $0 copay |
| Diagnostic tests and procedures: | $0 copay |
This section outlines in-network costs for emergency services, urgent care, ambulance transportation, inpatient hospital stays, and skilled nursing facility care.
| Covered Service | In-Network Cost |
|---|---|
| Emergency room care: | $0 copay |
| Worldwide emergency care: | Coming soon |
| Urgent care: | $0 copay |
| Inpatient hospital care: | $0 per stay |
| Skilled Nursing Facility: | $0 per stay |
| Ground ambulance: | $0 copay |
This section outlines in-network costs for mental health services, including outpatient therapy and inpatient psychiatric care.
| Covered Service | In-Network Cost |
|---|---|
| Outpatient individual therapy: | $0 copay |
| Outpatient group therapy: | $0 copay |
| Inpatient psychiatric hospital care: | $0 per stay |
This section outlines in-network costs for rehabilitation services, including physical therapy, speech and language therapy, and occupational therapy.
| Covered Service | In-Network Cost |
|---|---|
| Physical therapy and speech and language therapy: | $0 copay |
| Occupational therapy: | $0 copay |
This section outlines in-network costs for medical equipment and supplies, including diabetes supplies, durable medical equipment, and prosthetics.
| Covered Service | In-Network Cost |
|---|---|
| Diabetes supplies: | $0 copay |
| Durable medical equipment: | $0 copay |
| Prosthetics: | $0 copay |
This section outlines in-network cost sharing for chemotherapy and other Medicare Part B-covered drugs.
| Covered Service | In-Network Cost |
|---|---|
| Chemotherapy: | $0 copay |
| Other Part B drugs (Medicare-covered): | $0 copay |
This section outlines in-network cost sharing for dental services, including preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.
| Covered Service | In-Network Cost |
|---|---|
| Oral exam: | Not covered |
| Dental x-rays: | Not covered |
| Cleaning: | Not covered |
| Periodontics: | Not covered |
| Endodontics: | Not covered |
| Restorative services: | Not covered |
| Implant services: | Not covered |
| Orthodontics: | Not covered |
| Oral/Maxillofacial surgery: | Not covered |
This section outlines in-network cost sharing for vision services, including eye exams, eyeglasses, and contact lenses.
| Covered Service | In-Network Cost |
|---|---|
| Routine eye exam: | Not covered |
| Contact lenses: | Not covered |
| Eyeglass frames only: | Not covered |
| Eyeglass lenses only: | Not covered |
| Eyeglasses (frames & lenses): | Not covered |
| Upgrades: | Not covered |
This section outlines in-network cost sharing for hearing-related services, including exams, fittings, and hearing aids.
| Covered Service | In-Network Cost |
|---|---|
| Hearing exam: | Not covered |
| Fitting/evaluation: | Not covered |
| Prescription hearing aids: | Not covered |
| OTC hearing aids: | Not covered |
This section outlines in-network cost sharing for additional and special needs services that may be included in the plan.
| Covered Service | In-Network Cost |
|---|---|
| Adult day health services: | Coming soon |
| Home-based palliative care: | Coming soon |
| Personal emergency response system: | Coming soon |
| Weight management programs: | Coming soon |
| Wigs for chemotherapy-related hair loss: | Coming soon |
| Alternative therapies: | Not covered |
| Massage therapy: | Not covered |
| Home/bathroom safety devices: | Coming soon |
Certain preventive services are covered 100% by Network Health Prime as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS Star Ratings
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | Plan not required to report measure |
| Complaints and Changes in the Drug Plan | Plan not required to report measure |
| Member Experience with the Drug Plan | Plan not required to report measure |
| Drug Safety and Accuracy of Drug Pricing | Plan not required to report measure |
How much does plan H1181-001 cost per month?
The plan’s monthly premium is $0.00 for 2026. The Part B premium is not included.
What is the MOOP for Network Health Prime in 2026?
The 2026 in-network MOOP is $Not Applicable. Once this limit is reached, covered in-network costs are fully covered.
How many beneficiaries are enrolled in this plan?
CMS reports 1,208 beneficiaries enrolled in this plan.
What is the prescription drug deductible for 2026?
For 2026, the prescription drug deductible is $0.00.
Contact Information for Network Health Medicare Advantage Plans
| Contact Type | Details |
|---|---|
| Website: | Network Health Medicare Advantage Plans Plan Page |
| New Members: | 1-800-983-7587 |
| Existing Members: | 1-800-378-5234 |
| Plan Address: | 1570 Midway Place | P.O. Box 120 | Menasha, WI 54952 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Network Health Medicare Advantage Plans (official source) | https://networkhealth.com/ | October 13, 2025 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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