PLAN HIGHLIGHTS

THE PATRIOT PLAN

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  • $50 Medicare Part B Rebate

  • Routine Vision Coverage

  • Hearing Coverage

  • Over-the-Counter Benefit

  • Preventive Dental

Patriot Plan

Available to residents of Washoe County and Carson City

$0/mo

The Patriot Plan is the perfect choice for veterans who want a local health care option alongside their VA benefits. Members enjoy health care benefits and services above and beyond those provided by the VA – with less wait times. Plus, you will receive a $50 Medicare Part B rebate each month you are on the plan! Join the Patriot Plan today, the plan that pays you!

Benefits Include:

Primary Care Visit $0 / $10 per visit
Specialist Visit $40 per visit
Routine Lab Services $0 per visit
Urgently Needed Care $30 / $65 per visit ($0 Teladoc)
Over-the-Counter Benefit $25 Quarterly
Dental Coverage Preventative Included

Co-payments listed are for preferred facilities.

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 $40 per visit
Urgently Needed Care $30 / $65 per visit ($0 Teladoc)
Routine Lab Services $0 per visit
Diagnostic Tests (X-ray, CT, MRI) $60 / $95 / $130 per visit
Emergency Room Care $120 per visit
Ambulance Services $250 per trip
Inpatient Hospital Preferred Facility: $250 / 6 days per period; Non-Preferred Facility: $440 / 5 days per period
Outpatient Hospital Services Preferred Facility: $275 per visit; Non-Preferred Facility: $440 per visit
Prescription Coverage Amount You Will Pay
Rx-Annual Deductible Not Covered
Coverage in the Gap Not Covered
Preferred Generic (Tier 1) Not Covered
Non-Preferred Generic (Tier 2) Not Covered
Preferred Brand (Tier 3) Not Covered
Non-Preferred Brand (Tier 4) Not Covered
Specialty Drugs (Tier 5) Not Covered
Select Drug (Tier 6) Not Covered
90-day Retail / 90-day Mail Order Not Covered

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.

Renown Health

Over-the-Counter (OTC) Benefit
Members on the Patriot Plan receive a $25 quarterly over-the-counter to use toward qualifying over-the-counter medications, health supplies and more.

View the OTC catalog

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

This is an exceptional plan for veterans. Enjoy everything Senior Care Plus has to offer; gym benefit, $25 over-the-counter (OTC) allowance, preventative dental, periodontal maintenance, vision, and hearing aid coverage.
The Patriot Plan also includes priority access to Renown Health and Senior Care Plus’ large network of doctors and specialists. This plan compliments your VA or Tricare benefits. Members on this plan will be able to take advantage of the $50 rebate as there is no drug coverage included on this plan.
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 complete plan details.

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.

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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 27 2022