Patriot Plan 2025

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Northern Nevada senior veteran on the Patriot Plan by Senior Care Plus

Patriot Plan

Available to residents of Washoe County, Storey County, and Carson City.

$0/mo

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.

Questions?  Call us at 775-982-3158

Benefits IncludedPricing
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
Co-payments listed are for preferred facilities.

Plan Information

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 HospitalPreferred: $350 Copay per day for days 1-4 / Non-Preferred: $440 Copay per day for days 1-5
Outpatient Hospital ServicesPreferred: $325 per visit / Non-Preferred: $440 per visit
Prescription CoverageAmount You Will Pay for Preferred Medications
Coverage in the Gap Not Covered
Rx DeductibleNot 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 OrderNot Covered
Evidence of Coverage Updated (10/04/24)
Summary of Benefits Updated (09/24/24)
Annual Notice of Change Updated (09/24/24)
Over-the-Counter Catalog Updated (09/24/24)
Benefits at a Glance Updated (09/24/24)
Dental Benefits at a Glance Updated (09/30/24)
Amount you will pay is listed as “in-network / out-of-network”.

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Summary

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.

Enroll Today

Enroll Today