Network Health Prime (MSA) – H1181-001-0
Coverage, cost, and availability details for Network Health Medicare Advantage Plans’s H1181-001-0 Medicare Advantage plan are presented here for 2025.
Health Plan Costs
💰 Monthly Premium, Deductible, Max Out-of-Pocket & Giveback
Monthly Premium: The total monthly premium is $0.00, including drug coverage. You must also pay your standard Medicare Part B premium.
Health Plan Deductible: Some health plans have a deductible (amount you pay before cost-sharing begins). This plan's deductible is $0.00.
Maximum Out-of-Pocket: All Medicare Advantage plans have an annual maximum out-of-pocket (MOOP) limit. This is the most you will pay for standard health services in a year before that plan begins paying all costs. This plan's MOOP is $Not Applicable for in-network services, excluding the cost of your Part D medications.
Part B Giveback: This plan offers a Part B premium giveback of $0.00.
Health Plan Out-of-Pocket Costs
🩺 Doctor’s Office Visits
- Primary: Not Covered
- Specialist: Not Covered
- NOTE: Certain preventive services are covered 100% by the plan as a Part B benefit.
🏥 Emergency, Urgent, and Inpatient Hospital Coverage
- Emergency room care: Not Covered
- Urgent care: Not Covered
- Ground ambulance: Not Covered
- Inpatient hospital care:
- Skilled Nursing Facility:
🦶 Foot Care
- Foot Exams and Treatments (Medicare-covered): Not Covered
- Routine Foot Care: Not Covered
💆 Chiropractic Care
- Medicare-covered chiropractic: Not Covered
- Routine chiropractic: Not Covered
🧠 Mental Health Services
- Outpatient individual therapy: Not Covered
- Outpatient group therapy: Not Covered
- Inpatient psychiatric hospital care:
🏋️ Rehabilitation Services
- Physical therapy and speech and language therapy: Not Covered
- Occupational therapy: Not Covered
🧰 Medical Equipment and Supplies
- Diabetes supplies: Not Covered
- Durable medical equipment: Not Covered
- Prosthetics: Not Covered
🔬 Diagnostics, Lab Services, and Imaging
- Diagnostic radiology services: Not Covered
- Lab services: Not Covered
- Outpatient x-rays: Not Covered
- Diagnostic tests and procedures: Not Covered
💉 Medicare Part B Drugs
- Chemotherapy: Not Covered
- Other Part B drugs (Medicare-covered): Not Covered
Supplemental Benefits
🦷 Dental Services
- Medicare Covered Preventive Dental: Not Covered
- Oral exam: Not Covered
- Dental x-rays: Not Covered
- Cleaning: Not Covered
- Periodontics: Not Covered
- Endodontics: Not Covered
- Restorative Services: Not Covered
👂 Hearing Aids and Services
- Fitting/evaluation: Not Covered
- Hearing aids: Not Covered
- Hearing exam: Not Covered
👓 Vision Services
- Medicare-covered eye exam:
- Routine eye exam: Not Covered
- Eyewear benefits: None
Prescription Drug Costs & Benefits
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Rating Marks
Each year the Centers for Medicare & Medicaid Services (CMS) rates health plans (Part C) in five broad categories and drug plans (Part D) in four broad categories using a 5-star rating system. Here are the most recent CMS ratings for Network Health Prime .
Plan Availability
Network Health Prime (H1181-001-0) is available in the following locations (click to open):
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📄 View Plan Contact Information
| Website: | Network Health Medicare Advantage Plans Plan Page (opens in new tab) |
|---|---|
| Providers: | Network Health Medicare Advantage Plans Providers Page (opens in new tab) |
| New Member Health Plan Help: | (800)983-7587 |
| New Member TTY: | (800)947-3529 |
🔍 Why This Information Matters
Many Medicare websites only show you their own phone numbers and redirect you to their sales team. We believe you deserve full access to your plan resources — including direct links to the official Network Health Medicare Advantage Plans site, provider directories, and support contacts.
That’s why we include this information here, clearly and transparently — so you can research and enroll with confidence.
🛡️ Official Medicare Enrollment Resources
If you qualify for Medicare benefits but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Part C program on www.medicare.gov or call 1-800-MEDICARE.
Frequently Asked Questions
📘 What does Medicare plan code H1181 001 mean?
Network Health Prime is a Medicare Advantage plan by Network Health Medicare Advantage Plans. The code H1181 is the CMS contract ID, whereas 001 is its plan ID.
- Plan Name: Network Health Prime
- Plan Type: MSA
- Premium: $0.00/mo + your monthly Part B premium
- Out-of-Pocket Max: $Not Applicable (in-network)
- Drug Coverage: Does not include Medicare Part D prescription drug coverage.
- CMS Star Rating: 0.0 out of 5
- Contract Year: 2025
This information is based on official CMS data and is provided for educational purposes. Always review your plan’s official documents or contact the provider directly before making enrollment decisions.
📋 What type of plan is H1181 001?
This plan is a MSA — specifically, it's an MSA plan with a Medicare Advantage contract that's offered by Network Health Medicare Advantage Plans. It comes with defined provider network rules you should be aware of.
- Plan Marketing Name: Network Health Prime
- Network Type: Medical Savings Account plan with high-deductible structure and savings deposit
- Referral Requirement: This plan does not use a referral system. Benefits are based on account balances and deductible status.
- Prescription Coverage: Does not include Medicare Part D prescription drug coverage.
Plan types like HMOs and PPOs determine whether you can go out-of-network or need referrals to see specialists.
📦 What benefits are included in H1181 001?
This plan covers all Medicare Part A and Part B services. Depending on the plan, it may also include valuable extras like dental, vision, and hearing benefits.
- Medical Services: Hospital, doctor visits, preventive care
- Prescription Drugs: Not Included
- Dental: No — this plan does not include dental benefits.
- Vision: No — this plan does not include vision benefits.
- Hearing: No — this plan does not include hearing benefits.
Benefit availability may vary by location and plan version. Confirm specific details in your plan's Evidence of Coverage (EOC).