Comprehensive Plan

Available to residents of Clark County

$0/mo

Senior Care Plus is pleased to partner with CareMore Care Centers to bring the Comprehensive Plan to residents of Clark County. This plan offers thousands of dollars in extra benefits and access to CareMore Care Centers’ wide range of health care services.

Benefits Include:

Primary Care Visit	$0 per visit
Specialist Visit	$0 per visit
Routine Lab Services	$0 per visit
Urgently Needed Care	$10 / $40 per visit ($0 Teladoc)
Over-the-Counter Benefit	$50 Quarterly
Dental Coverage	$2,000 Comprehensive Included

Copayments listed are for preferred facilities.

How to enroll

All Southern Nevada Plans

Medical
Prescriptions
Documents

Doctors & Hospitals	Amount You Will Pay
Maximum Out-of-Pocket	$1,900 per year
Primary Care Office Visit	$0 per visit
Specialist Office Visits	$0 per visit
Urgently Needed Care	$10 / $40 per visit ($0 Teladoc)
Routine Lab Services	$0 per visit
Diagnostic Tests (X-ray CT, MRI)	$0 / $50 / $200 per visit
Emergency Room Care	$120 per visit
Ambulance Services	$180 ground / $295 air
Inpatient Hospital	$0 per day
Outpatient Hospital Services	$0 per visit

Prescription Coverage	Amount You Will Pay for Preferred Medications
Rx Annual Deductible	No Deductible
Coverage in the Gap	$2 / $8 / $0 (Tiers 1, 2, 6)
Preferred Generic (Tier 1)	$2 (30-day)
Non-Preferred Generic (Tier 2)	$8 (30-day)
Preferred Brand (Tier 3)	$41 (30-day); Senior Savings: $35
Non-Preferred Brand (Tier 4)	$94 (30-day)
Specialty Drugs (Tier 5)	33% coinsurance
Select Drug (Tier 6)	$0 (30-day)
90-day Retail / 90-day Mail Order	2.5 times 30-day / 2 times 30-day

Evidence of Coverage Updated 09/30/22
Evidence of Coverage (Spanish) Updated 09/30/22
Summary of Benefits Updated 09/30/22
Annual Notice of Change Updated 09/30/22
Benefits at a Glance Updated 09/30/22
Benefits at a Glance (Spanish) Updated 09/30/22

Amount you will pay is listed as “in-network / out-of-network”.

Priority Access to CareMore Health
Senior Care Plus members receive priority access to CareMore Care Centers with their wide range of health care services.

caremore health

Over-the-Counter (OTC) Benefit
Members receive a $50 quarterly over-the-counter to use towards qualifying over-the-counter medications, health supplies and more.

View the OTC Catalog - Updated 01/01/22

Personalized Fitness Benefit
Senior Care Plus partners with Silver & Fit in Southern Nevada to offer a personalized fitness benefit to members.

Participating Gyms

Summary

Senior Care Plus is pleased to partner with CareMore Health to bring the Comprehensive Plan to residents of Clark County. The Comprehensive Plan offers thousands of dollars in extra benefits for a $0 premium. Members on the Comprehensive Plan have access to CareMore Care Centers and their wide range of health care services and a Care team ready to work together with your personal doctor to keep you feeling your best.

The Comprehensive Plan offers $0 Primary Care and Specialists visits, along with a $2,000 dental benefit. The Gym Benefit is provided by Silver & Fit and members on the Comprehensive Plan enjoy a $50 per quarter Over-the-Counter (OTC) benefit. Along with worldwide emergency coverage, Comprehensive Plan members also have 24/7/365 access to Teladoc, which offers $0 virtual visits by phone or video nationwide.

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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Senior Care Plus
A Medicare Advantage organization from Hometown Health

Material ID: H2960_2023_SCPWebsite1_M (CMS Accepted)

Last updated: June 28 2022