Network Health Prime (MSA)

Network Health Prime (MSA) is a MSA plan offered by Network Health Insurance Corporation available for the 2026 plan year to people living in Wisconsin. CMS star rating not available for 2026.

It's important to know that Network Health Prime (MSA) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Network Health Prime (MSA).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

Prescription drugs are not covered by Network Health Prime (MSA).

Additional Benefits

The Network Health Prime (MSA) plan offers extremely limited coverage, with nearly all standard medical and routine services excluded from the plan. Notably, there is no coverage for inpatient or outpatient hospital stays, emergency services, primary care, preventive care, dental, or hearing services. The only category with any coverage is vision services, though specific benefits are limited and routine eye exams and eyewear are not covered. Because the vast majority of services are excluded, members will be responsible for the full cost of almost all healthcare needs, including ambulance services, durable medical equipment, and diagnostic testing. While insulin is covered, other Medicare Part B drugs, home health care, and skilled nursing facility stays are not covered. Prospective members should expect to pay out-of-pocket for nearly all medical care under this plan.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.