PLAN HIGHLIGHTS

THE SELECT PLAN

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Questions?  Call us at 775-982-3158

See The Provider Directory Here
See The Formulary & Pharmacy benefits here
  • Out-of-pocket max of just $2,500 

  • $1,500 first dollar dental coverage 

  • $160 Quarterly Over-the-Counter (OTC) Benefit 

  • $0 Premium & $0 Preferred PCP visits 

  • $0 Hearing Exams & Vision Exams 

  • Fitness Benefit with select gyms 

Select Plan

Available to residents of Washoe County and Carson City.

$180/mo

The Select Plan has a maximum out-of-pocket of just $1,550 per year, making it a great choice for individuals who frequently access health care. The Select Plan also offers great value on its prescription drug coverage options.  While not for everyone, the Select Plan can be a real money saver for certain Medicare beneficiaries 

Benefits Include:

Primary Care Visit $0 Per visit (preferred PCP) $10 per visit (non preferred PCP)
Specialist Visit $15 per visit
Routine Lab Services $0 per visit
Urgently Needed Care $20 / $45 per visit ($0 Teladoc)
Over-the-Counter Benefit $160 Quarterly
Dental Coverage $1,500 Comprehensive Included

Copayments listed are for preferred facilities.

How to enroll
All Northern Nevada Plans
Doctors & Hospitals Amount You Will Pay
Maximum Out-of-Pocket $1,550 per year
Primary Care Office Visit $0 Per visit (preferred PCP) $10 per visit (non preferred PCP)
Specialist Office Visits $15 per visit
Urgently Needed Care $20 / $45 per visit ($0 Teladoc)
Routine Lab Services $0 per visit
Diagnostic Tests (X-ray, CT, MRI) $45 / $65 / $90 per visit
Emergency Room Care $125 per visit
Ambulance Services $250 per trip
Inpatient Hospital “Preferred: $175 / 3 days per period
Non-Preferred: $440 / 5 days per period”
Outpatient Hospital Services “Preferred: $225 per visit
Non-Preferred: $440 per visit”
Prescription Coverage Amount You Will Pay for Preferred Medications
Coverage in the Gap $0 / $0 / $0 (Tiers 1, 2, 6)
Rx Deductible N/A
Preferred Generic (Tier 1) Preferred $0 Non-preferred $6
Non-Preferred Generic (Tier 2) Preferred $0 Non-preferred $8
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 $0 Non-preferred $6
90-day Retail / 90-day Mail Order 2.5 times 30-day / 2 times 30-day

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 

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

Provider Directories

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

Summary

The Select Plan is Senior Care Plus’s most benefit-rich plans with the lowest out-of-pocket maximum of any of our plans.   

The Select 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 $160 quarterly Over-the-Counter benefit with free two-day shipping.   

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

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