Low Income Subsidy
Extra Help

 
Monthly Plan Premium and Prescription Drug Co-payments for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs.
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium and prescription drug co-payments may be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium and prescription drug co-payments as a member of our Plan. Please see the charts below for a description of what your monthly plan premium and prescription drug coverage will be if you get extra help:
Premiums
G – Generic/Preferred Multi-Source Drug; PG – Preferred Generic; B – Other; OOP – Above Out-of-Pocket Threshold
If you qualify for extra help with your Medicare prescription drug plan costs, Medicare or Social Security will periodically review your eligibility to make sure that you still qualify. If you are not getting extra help, you can see if you qualify by calling: 1-800-MEDICARE (TTY users call 877-486-2048 (24 hours a day/7 days a week); or call your State Medicaid Office; or the Social Security Administration at 1-800-772-1213 (TTY users should call 1-800-325-0778 from 7 a.m. to 7:00 p.m. Monday-Friday.) If you have any questions for Senior Care Plus, please call Customer Services at 775-982-3112 or 888-775-7003 (TTY users should call the State Relay Service number at 711) from 7 a.m. to 8 p.m. PST Monday – Sunday.
Your Level of Extra Help 100% 75% 50% 25% NV SENIORRX No Subsidy
Value Rx (HMO) $0* $0* $0* $0* $0* $0*
Value Rx Enhanced (HMO) $19.70* $26.00* $32.30* $38.70* $17.92* $45.00*
Value Rx Select (HMO) $154.70* $161.00* $167.30* $173.70* $152.92* $180.00*
Freedom Rx (PPO) $29.70* $36.00* $42.30* $48.70* $27.92* $55.00*
Freedom Rx Enhanced (PPO) $104.70* $111.00* $117.30* $123.70* $102.92* $130.00*
Freedom Rx Select (PPO) $194.70* $201.00* $207.30* $213.70* $192.92* $220.00*

* This does not include any Medicare Part B premium that you may still need to pay. The plan premium you pay has been calculated based on the Plan’s premium and the amount of extra help you get. Your Level of Extra Help – Cost Sharing

Your Level of Extra Help 100% -Up to or at 100% FPL 100% -Over 100% FPL 75% 50% 25% NV SeniorRx
Value Rx (HMO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820
Value Rx Enhanced (HMO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820
Value Rx Select (HMO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820
Freedom Rx (PPO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820
Freedom Rx Enhanced (PPO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820
Freedom Rx Select (PPO) OOP-$0G-$1.25B-$3.40 OOP-$0G-$3.40B-$8.50 15% 15% 15% $0 after$3820

Customer Service

Contact Us

Call Center

775-982-3242

(Información en español)

Toll free: 800-336-0123
 

TTY Relay Service 711

Hours
Monday - Friday, 7 a.m. to 8 p.m.
Email us
customer_service@hometownhealth.com
In Person
Monday - Friday, 8:00 a.m. to 5:00 p.m.

Senior Care Plus
A Medicare Advantage organization from Hometown Health