Complete Plan 2025

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Complete Plan

Available to residents of Clark and Nye Counties.

$0/mo

Senior Care Plus is pleased to offer the $0 premium Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy a Maximum Out-of-Pocket of just $850 per year and $0 copay for both primary care and specialists office visits. The Complete Plan also offers $2000 first-dollar comprehensive dental benefit and a $105 quarterly Over-the-Counter (OTC) benefit.

Questions?  Call us at 775-982-3158

Benefits IncludedPricing
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 $105 per quarter
DENTAL COVERAGE $2,000 Comprehensive Included
Co-payments listed are for preferred facilities.

Plan Information

Doctors & Hospitals Amount You Will Pay
Maximum Out-of-Pocket$850 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 / $100 per visit
Emergency Room Care$140per visit
Ambulance Services$175 ground / $225 air
Inpatient Hospital$0 per day
Outpatient Hospital Services$0 per visit
Prescription CoverageAmount You Will Pay for Preferred Medications
Coverage in the Gap $2 / $8 / $0 (Tiers 1, 2, 6)
Rx DeductibleNo 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)50% Coinsurance
Specialty Drugs (Tier 5)33% coinsurance
Select Drug (Tier 6)$0 Per Prescription
90-day Retail / 90-day Mail Order2.5 times 30-day / 2 times 30-day
Evidence of Coverage Updated (10/04/24)
Summary of Benefits Updated (09/30/24)
Annual Notice of Change Updated (09/30/24)
Benefits at a Glance Updated (09/30/24)
Dental Benefits at a Glance Updated (09/30/24)
Over-the-counter Catalog Updated (09/24/24)
Amount you will pay is listed as “in-network / out-of-network”.

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Summary

Senior Care Plus is pleased to bring the $0 premium Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy a maximum out-of-pocket of just $850 per year. With $0 Primary Care visits and $0 Specialist visits, the Conplete Plan offers amazing healthcare value for Medicare beneficiaries in southern Nevada. The Complete Plan has $2,000 first-dollar comprehensive dental benefit from Liberty Dental and a $105 quarterly Over-the-Counter benefit with free two-day shipping. NationsOTC®. 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 CompletePlan 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.

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Enroll Today