Definitions
…be accepted as payment for the service(s) rendered. The allowed amount for non-contracted providers is determined by CMS. Appeal – An appeal is a special kind of complaint you make…
Current Member Frequently Asked Questions
…facility directly to schedule your appointment. If you are in southern Nevada, make sure the doctor you wish to see is in-network. Call that facility directly to schedule your appointment….
Notice of Privacy Practices
…in effect. Information about our members In the course of providing healthcare benefits, we may receive the following information about you: Information provided by you on applications, forms, surveys and…
Pharamcy FAQ
…a medication will apply to my pharmacy benefit? The formulary applies only to outpatient drugs provided to members, and does not apply to medications used in inpatient settings. If an…
Interoperability
…Services Interoperability and Patient Access Final Rule (CMS-9115-F). The Patient Access API will allow developers to retrieve, with the approval and at the direction of an applicable Hometown Health member…
Member Privacy Rights
…about you: Information provided by you on applications, forms, surveys and our Web site, such as your name, address, date of birth, Social Security number, gender, marital status and dependents….
Coverage Determinations & Appeal Rights
…for you and whether you satisfy any applicable coverage rules. (For example, when your drug is on the plan’s List of Covered Drugs but we require you to get approval…
Teladoc
…the fastest support, members are encouraged to contact Teladoc by mobile app or web. You can download the app on the App Store or Google Play. Before your first virtual…
Your Membership Card
…myHometown Health mobile app. When first using the app, your login ID will be your member number and a personal identification number (PIN) will be your four-digit birth year. Northern…
International Travel
…for Medical Necessity Travel Benefit, the following must apply: 1. The member and/or their treating physician has requested a referral for a service that is not available within the primary…
Forms and Documents
…it to Senior Care Plus. Following this link will take you out of the www.SeniorCarePlus.com website. Updated 08/01/18 English Appointment of Representative Form Spanish Appointment of Representative Form Residence Verification…
Website Disclaimer
…the appropriateness or risks of a medical procedure for any patient. While we strive to keep our Web site current, medical practices may change quickly. We will do our best…
Referral Process
…specialist’s office receives the referral, they will review it and may call you to schedule the appointment. If you have not heard from the specialist office to schedule the appointment…
Organization Determinations
…for covered services. Organization determinations can also be called “coverage decisions.” The process for coverage decisions and making appeals deals with problems related to your benefits and coverage for medical…
MyChart
…in English Ver en Español Ver en Español Learn More About What MyChart Can Do From scheduling appointment to preventative care reminders, MyChart helps you manage your health benefits in…
Medicare Best Available Evidence
…if necessary, must submit a request to CMS so that, for the deemed population, the agency’s systems can be updated as well. These requirements apply to all beneficiaries who are…
Member Grievance Procedure
Appeal & Grievance Procedures At Senior Care Plus, we place a high value on meeting the needs of our members. To help us continue providing the benefits and services you…
Prospective Member Frequently Asked Questions
…I apply for help for my prescription drugs? You will need to apply for the low income subsidy through Social Security. Can I enroll in Senior Care Plus if I…
Statement of Nondiscrimination
Statement of Nondiscrimination Discrimination is against the law. Notice of Non-Discrimination – English Discrimination is Against the Law. Hometown Health complies with applicable Federal civil rights laws and does not…
Enroll
…paid for under Medicaid or by a third party If you meet these criteria, complete an enrollment application. You have three options to enroll — online, by phone, or submitting…
Locations
…to discuss your healthcare needs without an appointment. We look forward to speaking with you in-person! Stop By For A Chat At These Locations Enrollment Specialists for Senior Care Plus…
Comprehensive Health Assessment
Comprehensive Health Assessment Call us and say “I’m with Senior Care Plus and I want to schedule my Comprehensive Health Assessment!” Schedule an Appointment Have you completed your annual Comprehensive…
Contact
…10315 Professional Circle – Reno, NV 89521 Directions Monday – Friday: 8 a.m. to 5 p.m No Appointment Necessary Mailing Address 10315 Professional Circle – Reno, NV 89521 TTY Call…
Member Rights & Responsibilities
…health specialist (such as a gynecologist) without a referral and still pay the in-network cost-sharing amount. As a plan member, you have the right to get appointments and covered services…
TeleHealth
…TeleHealth options that include primary care, specialty care and urgent care. Standard co-pays apply to Renown Health TeleHealth Virtual Visits. RENOWN TELEHEALTH VIRTUAL VISITS Teledoc Virtual Visits Plus, all Senior…
Events
…seminar offers a FREE monthly virtual and in-person educational session for those approaching Medicare age or considering retirement. Led by our experts, it’s purely informative and not a sales event….
Hearing
…0% APR, no money down VISIT NATIONSHEARING TO SEARCH PROVIDERS HERE *Not applicable to the purchase of rechargeable hearing aid models. **Deductibles may apply Hearing Aid Options NationsHearing® has relationships…
Medication Therapy Management
…participating locations at: https://apps2.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1. Community take-back sites are the preferred method of disposing of unused controlled substances. Additional drug disposal information can be found on the DEA website at: dea.gov/takebackday…
Transition to OptumRx
…for medications that require those? No, Senior Care Plus will continue to manage our clinical programs as we do today. Previously approved prior authorizations and member status in step therapy…
Preventive Screenings
…among people with diabetes. This screening should be completed every two years unless you test positive, then you will be screened annually. Call 775-982-5000 to schedule an appointment with your…