Extensive Duals Plan

Available to residents in Washoe County and Carson City with Medicare and Medicaid.

$0/mo

If you reside in Washoe County or Carson City and have Medicare and Medicaid, this is an outstanding option for Medicare Advantage. The Extensive Duals Plan is an HMO plan with priority access to all that Renown Health has to offer.

Benefits Include:

Primary Care Visit	$0 per visit
Specialist Visit	$0 per visit
Routine Lab Services	$0 per visit
Urgently Needed Care / Teladoc	$0 per visit
Over-the-Counter Benefit	$130 Quarterly
Dental COVERAGE	$2,500 Comprehensive Included

Copayments listed are for preferred facilities.

How to enroll

All Northern Nevada Plans

Medical
Prescriptions
Documents

Doctors & Hospitals	Amount You Will Pay
Maximum Out-of-Pocket	$7,550 per year
Primary Care Office Visit	20% per visit
Specialist Office Visits	20% per visit
Urgently Needed Care / Teladoc	20% per visit
Routine Lab Services	$0 per visit
Diagnostic Tests (X-ray, CT, MRI)	20% per test
Emergency Room Care	20% per visit
Ambulance Services	20% per trip
Inpatient Hospital	$1,484 Deductible, $0 days 1-60, $371 days 61-90
Outpatient Hospital Services	20% per visit

Prescription Coverage	Amount You Will Pay for Preferred Medications
Rx-Annual Deductible	$480 Deductible per year
Coverage in the Gap	N/A
Preferred Generic (Tier 1)	Generic $3.95
Non-Preferred Generic (Tier 2)	Generic $3.95
Preferred Brand (Tier 3)	Brand $9.85
Non-Preferred Brand (Tier 4)	Brand $9.85
Specialty Drugs (Tier 5)	33% coinsurance
Select Drug (Tier 6)	Generic $3.95 / $9.85

Evidence of Coverage Updated 09/30/22
Summary of Benefits Updated 09/30/22
Benefits at a Glance Updated 09/30/22
Benefits at a Glance (Spanish) Updated 09/30/22

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

Priority Access to Renown Health
Senior Care Plus offers members priority access to Renown Health providers and services.

Renown Health Services

Over-the-Counter (OTC) Benefit
Members enrolled in the Extensive Duals Plan receive a $130 quarterly over-the-counter benefit.

View the OTC Catalog - Updated 01/01/22

Renown Health Virtual Visits
See a doctor from the comfort of your own home by accessing Renown Health Virtual Visits through MyChart.

Virtual Visits

Summary

The Extensive Duals Plan offers individuals that have Medicare Part A and Part B and also qualify for Medicaid in the state of Nevada additional benefits that are not covered on their existing programs. Senior Care Plus works with the Nevada Medicaid program to ensure coordination of member’s benefits.

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Senior Care Plus
A Medicare Advantage organization from Hometown Health

Material ID: H2960_2023_SCPWebsite1_M (CMS Accepted)

Last updated: June 29 2022