Available to residents of Clark and Nye Counties.
Senior Care Plus is pleased to offer the $0 premium Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy a Maximum Out-of-Pocket of just $850 per year and $0 copay for both primary care and specialists office visits. The Complete Plan also offers $2000 first-dollar comprehensive dental benefit and a $105 quarterly Over-the-Counter (OTC) benefit.
| Benefits Included | Pricing |
|---|---|
| PRIMARY CARE VISIT | $0 per visit |
| SPECIALIST VISIT | $0 per visit |
| ROUTINE LAB SERVICES | $0 per visit |
| URGENTLY NEEDED CARE | $10 / $40 per visit |
| OVER-THE-COUNTER BENEFIT | $105 per quarter |
| DENTAL COVERAGE | $2,000 Comprehensive Included |
| Doctors & Hospitals | Amount You Will Pay |
|---|---|
| Maximum Out-of-Pocket | $850 per year |
| Primary Care Office Visit | $0 per visit |
| Specialist Office Visits | $0 per visit |
| Urgently Needed Care | $10 / $40 per visit |
| Routine Lab Services | $0 per visit |
| Diagnostic Tests (X-ray, CT, MRI) | $0 / $50 / $100 per visit |
| Emergency Room Care | $140per visit |
| Ambulance Services | $175 ground / $225 air |
| Inpatient Hospital | $0 per day |
| Outpatient Hospital Services | $0 per visit |
| Prescription Coverage | Amount You Will Pay for Preferred Medications |
|---|---|
| Coverage in the Gap | $2 / $8 / $0 (Tiers 1, 2, 6) |
| Rx Deductible | No deductible |
| Preferred Generic (Tier 1) | $2 Per Prescription |
| Non-Preferred Generic (Tier 2) | $8 Per Prescription |
| Preferred Brand (Tier 3) | $47 Per Prescription |
| Non-Preferred Brand (Tier 4) | 50% Coinsurance |
| Specialty Drugs (Tier 5) | 33% coinsurance |
| Select Drug (Tier 6) | $0 Per Prescription |
| 90-day Retail / 90-day Mail Order | 2.5 times 30-day / 2 times 30-day |
Senior Care Plus is pleased to bring the $0 premium Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy a maximum out-of-pocket of just $850 per year. With $0 Primary Care visits and $0 Specialist visits, the Conplete Plan offers amazing healthcare value for Medicare beneficiaries in southern Nevada. The Complete Plan has $2,000 first-dollar comprehensive dental benefit from Liberty Dental and a $105 quarterly Over-the-Counter benefit with free two-day shipping. NationsOTC®. The Gym Benefit is provided by Silver & Fit and members on the Complete Plan have 24/7/365 access to Teladoc, which offers $0 virtual visits by phone or video nationwide. The prescription drug coverage included in the CompletePlan is extensive, and includes select insulins are just $35.
Above is a partial list of benefits and should not be construed as a complete list. Please refer to the Evidence of Coverage in the plan documents section above for a complete list of benefits. Out-Of-Network Providers: If you use an out-of-network provider, your share of the costs for your covered services may be higher. Out-of-network providers are under no obligation to treat members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
