Available to residents of Clark and Nye Counties.
Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium.
| Benefits Included | Pricing |
|---|---|
| PRIMARY CARE VISIT | $0 per visit |
| SPECIALIST VISIT | $0 per visit |
| ROUTINE LAB SERVICES | $0 per visit |
| URGENTLY NEEDED CARE | $10 / $40 per visit |
| OVER-THE-COUNTER BENEFIT | $100 per quarter |
| DENTAL COVERAGE | $1,250 Comprehensive Included |
| Doctors & Hospitals | Amount You Will Pay |
|---|---|
| Maximum Out-of-Pocket | $1,000 per year |
| Primary Care Office Visit | $0 per visit |
| Specialist Office Visits | $0 per visit |
| Urgently Needed Care | $10 / $40 per visit |
| Routine Lab Services | $0 per visit |
| Diagnostic Tests (X-ray, CT, MRI) | $0 / $50 / $150 per visit |
| Emergency Room Care | $135 per visit |
| Ambulance Services | $275 ground / $325 air |
| Inpatient Hospital | $0 per day |
| Outpatient Hospital Services | $0 per visit |
| Prescription Coverage | Amount You Will Pay for Preferred Medications |
|---|---|
| Coverage in the Gap | $2 / $8 / $0 (Tiers 1, 2, 6) |
| Rx Deductible | No deductible |
| Preferred Generic (Tier 1) | $2 Per Prescription |
| Non-Preferred Generic (Tier 2) | $8 Per Prescription |
| Preferred Brand (Tier 3) | $47 Per Prescription |
| Non-Preferred Brand (Tier 4) | $100 Per Prescription |
| Specialty Drugs (Tier 5) | 33% coinsurance |
| Select Drug (Tier 6) | $0 Per Prescription |
| 90-day Retail / 90-day Mail Order | 2.5 times 30-day / 2 times 30-day |
See all the new 2023 benefits in the Healthy Me 2023 Benefits Brochure – includes OTC Catalog and Dental Directory
Members who choose the Complete Plan enjoy preferred access to P3 Health Partners providers and facilities.
Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium. The Complete Plan has also 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 $100 quarterly Over-the-Counter benefit with free two-day shipping. The Complete Plan has also added $1,250 first dollar comprehensive dental benefit from Liberty Dental. The Gym Benefit is provided by Silver & Fit and members on the Complete Plan have 24/7/365 access to Teladoc, which offers $0 virtual visits by phone or video nationwide. The prescription drug coverage included in the Comprehensive Plan is extensive, and includes select insulins are just $35. 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.
