PLAN HIGHLIGHTS

THE SELECT PLAN

Enroll With Senior Care Plus

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  • Prescription Drug Coverage

  • Over-the-Counter Benefit

  • Hearing Coverage

  • Fitness Benefit

  • Open Network Preventive & Comprehensive Dental

Select Plan

Available to residents of Washoe County and Carson City.

$180/mo

With a maximum out-of-pocket of just $2,500 per year, the Select Plan is a great choice for individuals who frequently access health care. The Select Plan also offers great value on its prescription drug coverage.

Benefits Include:

Primary Care Visit $0 / $10 per visit
Specialist Visit $25 per visit
Routine Lab Services $0 per visit
Urgent Care & DispatchHealth $20 / $45 per visit ($0 Teladoc)
Over-the-Counter Benefit $75 Quarterly
Dental Coverage Open Network Preventive and $2,000 Comprehensive

Amount you will pay is listed as “in-network / out-of-network”.

How to enroll
All Northern Nevada Plans
Doctors & Hospitals Amount You Will Pay
Maximum Out-of-Pocket $2,500 per year
Primary Care Office Visit $0 / 10 per visit
Specialist Office Visits $25 per visit
Urgent Care Visit $20 / $45 per visit ($0 Teladoc)
Routine Lab Services $0 per visit
Diagnostic and X-Ray $45 / $65 / $90 per visit
Emergency Room Care $120 per visit
Ambulance Services $250 per trip
Inpatient Hospital In-Network: $225 / 4 day per period; Out-of-Network: $440 / 5 days per period
Outpatient Hospital Services $225 / $440 per visit
Prescription Coverage Amount You Will Pay
Coverage in the Gap $0 / $0 / $0 (Tiers 1, 2, 6)
Rx Deductible No deductible
Preferred Generic (Tier 1) $0 (30-day)
Non-Preferred Generic (Tier 2) $0 (30-day)
Preferred Brand (Tier 3) $41 (30-day)
Non-Preferred Brand (Tier 4) $94 (30-day)
Specialty Drugs (Tier 5) 33% coinsurance
Select Drug (Tier 6) $0 (30-day)
90-day Retail / 90-day Mail Order 2.5 times 30-day / 2 times 30-day

Amount you will pay is listed as “in-network / out-of-network”.

Over-the-Counter (OTC) Benefit
Members on the Select Plan receive a $75 quarterly over-the-counter to use towards qualifying over-the-counter products like medications, health supplies and more.

View the OTC Catalog

Priority Access to Renown Health
Senior Care Plus members who select a Renown primary care provider get priority access to the Renown Health network and receive a Personal Assistant.

What is a Personal Assistant?

DispatchHealth
In Washoe County, members can call DispatchHealth to receive an in-home care for the same co-pay as a visit to Urgent Care.

Get care at home

Summary

The Select Plan has all of our extra benefits: preventive and comprehensive dental, over-the-counter (OTC) allowance, gym benefit, vision, and hearing with the lowest out-of-pocket maximum of any of our plans.  Plus, the Select Plan is the only plan that includes the new Senior Savings Program on select Insulins for the low copay of $35 for a 30 day supply.  Your select insulins will be covered all year at this copayment and will not increase in price.
The Select Plan includes our entire network of doctors and specialists including priority access to Renown Health providers and facilities. Personal Assistants, who can help schedule appointments and navigate the healthcare system are included when you select a Renown Primary Care Provider (PCP).

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.

Enroll With Senior Care Plus

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Senior Care Plus
A Medicare Advantage organization from Hometown Health