PLAN HIGHLIGHTS

THE PATRIOT PLAN

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Questions? Call us at 775-982-3158

See The Provider Directory Here

View Dental summary of benefits here

$1,500 first dollar dental coverage
$75 monthly Part B rebate
$0 Premium & $0 Preferred PCP visits
$25 Quarterly Over-the-Counter (OTC) Benefit
$0 Hearing Exams & Vision Exams
Fitness Benefit with select gyms

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 $75 Medicare Part B rebate each month you are on the plan! Plus, the Patriot Plan’s maximum out-of-pocket amount is just $2,500 per calendar year.

Benefits Include:

Primary Care Visit	$0 Per visit (preferred PCP) $10 per visit (non preferred PCP)
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	$1,500 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	$2,500 per year
Primary Care Office Visit	$0 Per visit (preferred PCP) $10 per visit (non preferred PCP)
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	$125 per visit
Ambulance Services	$250 per trip
Inpatient Hospital	Preferred: $250 / 6 days per period Non-Preferred: $440 / 5 days per period
Outpatient Hospital Services	Preferred: $275 per visit Non-Preferred: $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

Evidence of Coverage Updated 03/21/23
Evidence of Coverage (Spanish) Updated 03/24/23
Summary of Benefits Updated 09/30/22
Annual Notice of Change Updated 09/30/22
2023 Benefits Brochure Updated 09/30/22
Liberty Dental Provider Directory Updated 09/30/22
Over-the-Counter Catalog Updated 09/30/22

Healthy Me 2023 Benefits Brochure

See all the new 2023 benefits in the Healthy Me 2023 Benefits Brochure – includes OTC Catalog and Dental Directory

2023 Benefits Brochure

Priority Access to Renown Health

Patriot Plan members can choose to see any community provider including priority access to Renown Health providers and facilities.

Provider Directories

Priority Access to Renown Health

Patriot Plan members can choose to see any community provider including priority access to Renown Health providers and facilities.

Virtual Visits

Summary

The Patriot Plan is an exceptional plan for veterans. Enjoy everything Senior Care Plus has to offer as a supplement to your existing VA benefits.

The Patriot Plan has been enhanced in 2023 with an updated hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $25 quarterly Over-the-Counter benefit with free two-day shipping.

The Patriot Plan has also added $1,500 first dollar comprehensive dental benefit from Liberty Dental. And once you enroll, you will have access to a Personal Assistant, who can help schedule appointments and navigate the healthcare system if you select a Renown Primary Care Provider (PCP).

The Patriot Plan also includes priority access to Renown Health and Senior Care Plus’s 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 $75 rebate as there is no drug coverage included on this 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 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: March 24 2023