PLAN HIGHLIGHTS

THE RENOWN PREFERRED PLAN

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Questions?  Call us at 775-982-3158

See The Provider Directory Here
See The Formulary & Pharmacy benefits here
  • $1,250 first dollar dental coverage 

  • $50 Quarterly Over-the-Counter (OTC) Benefit 

  • $0 Hearing Exams & Vision Exams 

  • $0 Teladoc and low-cost DispatchHealth home visits 

  • Fitness Benefit with select gyms 

  • Fitness Benefit with select gyms 

renown preferred plan logo

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.  You will need to select a Renown Health Primary Care Provider to enjoy the money-saving healthcare benefits the Renown Preferred Plan has to offer.

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 $1,250 Comprehensive 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 $3,225 per year
Primary Care Office Visit $0 per visit
Specialist Office Visits $45 per visit
Urgently Needed Care $35 / $65 per visit ($0 Teladoc)
Routine Lab Services $0 per visit
Diagnostic Tests (X-ray, CT, MRI) $70 / $100 / $135 per visit
Emergency Room Care $125 per visit
Ambulance Services $325 per trip
Inpatient Hospital Preferred: $300 / 5 days per period
Non-Preferred: $440 / 5 days per period
Outpatient Hospital Services Preferred: $300 per visit
Non-Preferred: $440 per visit
Prescription Coverage Amount You Will Pay for Preferred Medications
Coverage in the Gap Preferred $2.50 (Tier 6) Non-preferred $8.50 (Tier 6)
Rx Deductible No deductible
Preferred Generic (Tier 1) Preferred $5 Non-Preferred $11
Non-Preferred Generic (Tier 2) Preferred $12 Non-preferred $20
Preferred Brand (Tier 3) Preferred $41 Non-preferred $47 Senior Savings $35
Non-Preferred Brand (Tier 4) Preferred $94 Non-preferred $100
Specialty Drugs (Tier 5) 33% coinsurance
Select Drug (Tier 6) Preferred $2.50 Non-preferred $8.50
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”.

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

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

Priority Access to Renown Health 

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

Personal Assistant Program

Summary

For residents of Washoe County or Carson City who utilize Renown Health providers and services, there is no better Medicare Advantage plan then Renown Preferred Plan.  This $0 premium plan has no copay when visiting a Renown Health primary care provider and an out-of-pocket maximum of just $3,225 per calendar year.  

The plan features a $1,250 per dental benefit from Liberty Dental that offers first dollar coverage – meaning you don’t pay a thing until you reach that that amount. 

The Renown Preferred 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 $50 quarterly Over-the-Counter benefit with free two-day shipping. 

The prescription drug coverage included in the Renown Preferred Plan is extensive, and includes select insulins at the $35 Senior Savings Program cost. 

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

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. 

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:  November 4 2022