Complete Plan

Available to residents of Clark and Nye Counties.

$0/mo

Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium.

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	$85 Quarterly
Dental Coverage	$1,250 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	$1,500 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	$125 per visit
Ambulance Services	$275 ground / $325 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)	Preferred $2 /Non-preferred $8 (30-day)
Non-Preferred Generic (Tier 2)	Preferred $8 /Non-preferred $16 (30-day)
Preferred Brand (Tier 3)	Preferred $41 /Non-preferred $47 (30-day) Senior Savings $35
Non-Preferred Brand (Tier 4)	Preferred $94 /Non-preferred $100 (30-day)
Specialty Drugs (Tier 5)	33% coinsurance
Select Drug (Tier 6)	Preferred $0/ Non-preferred $6 (30 day)
90-day Retail / 90-day Mail Order	2.5 times 30-day / 2 times 30-day

Evidence of Coverage Updated 03/21/23
Evidence of Coverage (Spanish) Updated 03/24/23
Summary of Benefits Updated 09/30/22
Annual Notice of Change Updated 09/30/22
2023 Benefits Brochure Updated 09/30/22
Liberty Dental Provider Directory Updated 09/30/22
Over-the-Counter Catalog Updated 09/30/22

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

Healthy Me 2023 Benefits Brochure

See all the new 2023 benefits in the Healthy Me 2023 Benefits Brochure – includes OTC Catalog and Dental Directory

2023 Benefits Brochure

Priority Access to P3 Health Partners

Members who choose the Complete Plan enjoy preferred access to P3 Health Partners providers and facilities.

P3 Health Partners

Virtual Visits

Senior Care Plus members have two options when accessing virtual care: Renown Health virtual visits (for urgent, primary and specialty care) and Teladoc (for urgent care and dermatology).

Virtual Visit Options

Summary

Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium.

The Complete Plan has also been enhanced in 2023 with an updated hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $85 quarterly Over-the-Counter benefit with free two-day shipping. The Complete Plan has also added $1,200 first dollar comprehensive dental benefit from Liberty Dental.

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 Comprehensive Plan is extensive, and includes select insulins at the $35 Senior Savings Program cost.

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: March 24 2023