Southern Nevada

Senior Care Plus in Clark and Nye Counties.

Your Medicare Advantage Plan with Partners

Senior Care Plus has partnered with P3 Health Partners to give you quick access to primary care as well as Teladoc, which offers $0 virtual visits by phone or video and covers you nationwide.

Talk to a Medicare Specialist Today
775-982-3158 (TTY 711)

Enroll in the 2020 Value Rx Complete

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P3 Health Partners
Teladoc
EyeMed
TruHearing
Delta Dental
MedImpct
Silver & Fit
Over-the-Counter Benefit

Value Rx Complete HMO

$0/mo

Powered by P3 Health Partners

Enchanced Coverage Option

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Maximum Out-of-Pocket:	$3,400
Inpatient Hospital:	$300 / 6 days per period
Part B Premium:	$20 Rebate
Rx Deductible:	Not Covered

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Toll Free: 888-775-7003

How to enroll

P3 Health Partner

Senior Care Plus Plan for Southern Nevada

Medical
Prescriptions
Documents

Doctors & Hospitals	Amount You Will Pay
PCP Office Visits	$0
Specialist Office Visits	$0
Emergency Room Care	$120 per visit
Inpatient Hospital	$0 per day
Outpatient Hospital Services	$0 per visit
Routine Lab Services	$0
Diagnostic and X-Ray	$0 / $50

Prescription Coverage	Amount You Will Pay
Coverage in the Gap	$2 / $8 / $0 (Tiers 1, 2, 6)
Preferred Generic-Tier 1	$2 (30-day) [$0 mail]
Non-Preferred Generic-Tier 2	$8 (30-day)
Preferred Brand-Tier 3	$47 (30-day
Non-Preferred Brand-Tier 4	$100 (30-day)
Specialty Drugs-Tier 5	33% coinsurance
90-Day Supply Retail	2.5 times 30-day

Maximum Out-of-Pocket: $1,900 Inpatient Hospital: $0 per day Part B Premium: No Rebate Rx Deductible: No Deductible

Out-Of-Network Providers In most cases, care you receive from an out-of-network provider (a provider who is not part of our plan’s network) will not be covered. 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.

Coverage Determinations & Appeal Information Coverage Determination & Appeal Information page to learn more coverage determinations and appeals.

Low Income Subsidy – Extra Help For Information regarding Low Income Subsidy, please visit our Extra Help page.

This is a partial list of benefits and should not be construed as a complete list. Please refer to the Evidence of Coverage on the Plan Downloads page for complete plan details.

Plan highlights

Rx Coverage in the Gap
Rx Coverage in the Gap for Generic Drugs only: $2/$8/$0 (Tiers 1, 2, 6).

Teladoc Virtual Visits
24/7 access to Teladoc’s board-certified doctors by phone or video in all 50 states for a $0 copay.

Over-the-Counter Benefit
Receive a $50 quarterly over-the-counter benefit at the pharmacy.

Rx 90-day Mail
Receive a 90-day refill for 2 times the price of a 30-day supply per tier.

Hearing & Vision
$0 annual hearing exam and two hearing aids per year; $299 / $599. Routine vision coverage of $0 per exam – $150 allowance.

Fitness Benefit
Year-long gym membership at one of the participating fitness facilities.

Senior Care Plus
A Medicare Advantage organization from Hometown Health