Renown Preferred Plan

Available to residents of Washoe County and Carson City.

$0/mo

The Renown Preferred Plan provides access to all that Renown Health has to offer and thousands of dollars in extra benefits like dental, vision and hearing for a $0 premium.

Benefits Include:

Primary Care Visit	$0 per visit
Specialist Visit	$45 per visit
Routine Lab Services	$0 per visit
Urgently Needed Care	$30 / $65 per visit ($0 Teladoc)
Over-the-Counter Benefit	$50 Quarterly
Dental Coverage	$2,000 Comprehensive Included

Co-payments 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	$3,400 per year
Primary Care Office Visit	$0 per visit
Specialist Office Visits	$45 per visit
Urgently Needed Care	$30 / $65 per visit ($0 Teladoc)
Routine Lab Services	$0 per visit
Diagnostic Tests (X-ray, CT, MRI)	$60 / $90 / $125 per visit
Emergency Room Care	$120 per visit
Ambulance Services	$250 per trip
Inpatient Hospital	Preferred Facility: $300 / 5 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 for Preferred Medications
Coverage in the Gap	$2.50 (Tier 6)
Rx Deductible	No deductible
Preferred Generic (Tier 1)	$5 (30-day)
Non-Preferred Generic (Tier 2)	$12 (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)	$2.50 (30-day)
90-day Retail / 90-day Mail Order	2.5 times 30-day / 2 times 30-day

Evidence of Coverage Updated 09/30/21
Evidence of Coverage (Spanish) Updated 09/30/21
Summary of Benefits Updated 09/30/21
Annual Notice of Change Updated 09/30/21
Benefits at a Glance Updated 09/30/21
Benefits at a Glance (Spanish) Updated 09/30/21

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

Priority Access to Renown Health
Renown Preferred Plan members receive priority access to Renown Health including a Personal Assistant to help with healthcare questions.

What's a personal assistant?

Virtual Visits
Senior Care Plus members have two options when accessing virtual care: Renown Health virtual visits (for urgent, primary and specialty care) and Teladoc (for urgent care and dermatology).

Virtual Visit Options

Over-the-Counter (OTC) Benefit
Complete Plan members receive a $50 quarterly over-the-counter benefit

View the OTC Catalog - Updated 01/01/22

Summary

The Renown Preferred Plan provides priority access to all that Renown Health has to offer and thousands of dollars in extra benefits like Dental, Vision, and Hearing for a $0 premium. With a $2,000 dental benefit and low to no co-pays when accessing Renown Health providers and facilities, this is the plan Medicare beneficiaries in northern Nevada have been waiting for.

The Renown Preferred Plan also 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.

You can avoid the ever-increasing premiums associated with Medicare Supplement plans and Prescription Drug plan deductibles when you put the Renown Preferred Plan to work for you.

Personal Assistants, who can help schedule appointments and navigate the healthcare system, are included with the Renown Preferred Plan.

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.

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Senior Care Plus
A Medicare Advantage organization from Hometown Health

Material ID: H2960_2023_SCPWebsite1_M (CMS Accepted)

Last updated: September 26 2022