Available to residents of Washoe County, Storey County, and Carson City.
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 $65 Medicare Part B rebate each month you are on the plan! Plus, the Patriot Plan’s maximum out-of-pocket amount is just $2,750 per calendar year. The Patriot Plan is available in Washoe County, Storey County, and Carson City.
| Benefits Included | Pricing |
|---|---|
| PRIMARY CARE VISIT | $0 Per visit (preferred PCP) / $10 per visit (non preferred PCP) |
| SPECIALIST VISIT | $45 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 first-dollar coverage |
| Doctors & Hospitals | Amount You Will Pay |
|---|---|
| Maximum Out-of-Pocket | $2,750 per year |
| Primary Care Office Visit | $0 Per visit (preferred PCP) / $10 per visit (non preferred PCP) |
| Specialist Office Visits | $45 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 | $140 per visit |
| Ambulance Services | $250 per trip |
| Inpatient Hospital | Preferred: $350 Copay per day for days 1-4 / Non-Preferred: $440 Copay per day for days 1-5 |
| Outpatient Hospital Services | Preferred: $325 per visit / Non-Preferred: $440 per visit |
| Prescription Coverage | Amount You Will Pay for Preferred Medications |
|---|---|
| Coverage in the Gap | Not Covered |
| Rx Deductible | 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 |
This is an exceptional plan for veterans. Enjoy everything Senior Care Plus has to offer; low copays, gym benefit, $25 over-the-counter (OTC) allowance, comprehensive dental, , vision, and hearing aid coverage. The Patriot Plan also includes priority access to Renown Health and Senior Care Plus’ 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 $65 rebate as there is no drug coverage included on this plan. Personal Assistants, who can help schedule appointments and navigate the healthcare system are included when you select a Renown Primary Care Provider (PCP).
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.
