Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Network Health Zero is not offered under this ID in 2027
H5215Contract012Plan
PPO · served 9 counties in Wisconsin in 2026
Run by Network Health Insurance Corporation (contract H5215), sold as Network Health Medicare Advantage Plans, owned by Network Health, Inc.
CMS crosswalk: members move into H5215-008
Network Health Zero (H5215-012) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Network Health Select (H5215-008), which is sold in every county it served. 9,325 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Network Health Select?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Network Health Zero | Network Health Select | renamed |
| In-network out-of-pocket limit | $3,860 | $4,450 | ▲up $590 |
| Part B premium reduction, monthly | $2 | none | ▼dropped |
| Specialist visit | $55 copay | $60 copay | ▲up $5 |
| Medical deductible, in network | none | $200 | ▲added |
| Hospital stay, in network | $340 a day for days 1–7, then $0 a day for days 8–90 | $340 a day for days 1–6, then $0 a day for days 7–90 | changed |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–45, then $0 a day for days 46–100 | $0 a day for days 1–20, then $221 a day for days 21–45, then $0 a day for days 46–100 | ▲up $30for a 30-day stay |
| Hearing aids, yearly limit for both ears | not offered | $75 a year | ▲added |
| Counties served | 9 | 21 | ▲up 12 |
| Drug tier 4, non-preferred drug | 25% of the cost | 37% of the cost | ▲up 12 points |
| 12 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Drug deductible | $330 | $330 | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Emergency room | $130 copay | $130 copay | no change |
| Ground ambulance, in network | $300 copay | $300 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Drug tier 1, preferred generic | $8 | $8 | no change |
| Drug tier 2, generic | $17 | $17 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 29% of the cost | 29% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into Network Health Select on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Outagamie, WI | 3,359 | moves into H5215-008 |
| Winnebago, WI | 1,921 | moves into H5215-008 |
| Calumet, WI | 968 | moves into H5215-008 |
| Fond du Lac, WI | 922 | moves into H5215-008 |
| Waupaca, WI | 728 | moves into H5215-008 |
| Sheboygan, WI | 500 | moves into H5215-008 |
| Manitowoc, WI | 373 | moves into H5215-008 |
| Shawano, WI | 353 | moves into H5215-008 |
| Waushara, WI | 152 | moves into H5215-008 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Outagamie, WIThe plans you can join instead
- Network Health Medicare Advantage Plans plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans