Member Privacy Rights

…the right to inspect and copy medical information that may be used to make decisions about your healthcare benefits. Usually, this includes benefits, eligibility and claims records, but may not…

Notice of Privacy Practices

…that may be used to make decisions about your healthcare benefits. Usually, this includes benefits, eligibility and claims records, but may not include some mental health information. To inspect and…

Definitions

…not covered by Medicare Part A or Part B. “Medigap” (Medicare Supplement Insurance) Policy – Medicare supplement insurance sold by private insurance companies to fill “gaps” in the Original Medicare…

Annual Wellness Visit

…R. “It’s the opportunity for your provider to talk with you about your lifestyle, tobacco use, exercise and alcohol use, all which make a difference on your future longevity.” The…

Resources

…explore more. To View your Claims and Explanation of Benefits (EOB’): 1. Open MyChart from the “MyChart: button below: 2. From “Your Menu”, scroll to “Insurance” and select ‘Claims’. 3….

Website Disclaimer

…from any and all Claims arising from your use of this Web site. This obligation shall extend to any and all claims that may be alleged, including, but not limited…

Pharamcy FAQ

…links for signing up for service. Mail Order Information – Senior Care Plus Prescription Co-Payment/Co-Insurance FAQs What is a prescription co-payment and/or co-insurance? A prescription co-payment and/or co-insurance is the…

Member Privacy Policy

…and to make the revised terms effective for all Protected Health Information that it maintains. If Senior Care Plus revises this notice, we will make the revised notice available within…

Transition to OptumRx

…Manager (PBM) is a third-party administrator of prescription drug programs for insurance carriers. Senior Care Plus has contracted with Optum RX to manage our Medicare prescription drug program. How does…

Member Disenrollment Rights

…coverage and make a decision about your coverage for the upcoming year. This happens from October 15 to December 7. During this time, you can review your health coverage and…

International Travel

…as full payment for the services, this additional amount is your responsibility. Travel insurance typically covers this difference. If you have travel insurance, Senior Care Plus will pay secondary to…

Forms and Documents

Form Use this form for reimbursement out-of-pocket claims expense. Download the form, read the instructions and then complete the front side of the form. You will need to have the…

MyChart

Senior Care Plus Insured Man fishing

insurance benefit information. Through MyChart, members can: View benefit and coverage information View referrals, authorization and claims View member ID card Securely message Renown care teams Review prescriptions and request…

Current Member Frequently Asked Questions

Current Member Frequently Asked Questions We want to make it easy for you to find the answers you need. Scroll down to view frequently asked questions or download the PDF…

Careers with Senior Care Plus

…external site, Renown.org. View Careers At Renown Health Hometown Health was established in 1988 and is the insurance division of Renown Health. We are Nevada’s largest, locally-owned, not-for-profit insurance company…

Referral Process

…This makes the role of your PCP coordinating your care especially important because they are able to make sure you are referred to a contracted (In-Network) specialist. We do not…

Organization Determinations

Organization Determinations An “Organization Determination” is when Senior Care Plus, or one of its providers, makes a decision about whether services are covered or how much you have to pay…

Sterling Silver Club

…discounts, health insights and tips. This club is a place for you and your life to shine. Benefits include: Event and luncheon discounts 20% discounts at Renown Health retailers Renown…

Member Perks

Membership Perks Members resources to stay healthy and active. From gym memberships to walking clubs, explore our membership perks. Sterling Silver Live your best life today as a Sterling Silver…

Gym Benefit

…$30 per month. Senior Care Plus promotes living a healthy lifestyle and encourages our members to stay active and fit! View Gyms Choose a Location Northern Nevada All Senior Care…

Preventive Screenings

life by discovering and removing precancerous polyps before they even turn into cancer? Be sure to follow your provider’s recommendations for timing for your next colonoscopy. Talk to your provider…

Fall Free

Fall Prevention Life’s A Treat. Stay On Your Feet! Falls are preventable and your independence is worth protecting. Senior Care Plus wants to help you protect yourself from falls. Please…

Help Center

…portal that allows members to access and manage their health insurance benefit information. You will have 24/7 access to claims, referrals, and plan benefit documents. MyChart Portal Frequently Asked Questions…

Chat with Us

…Benefits Coverage is a secure online portal that allows members to access and manage their health insurance benefit information. You will have 24/7 access to claims, referrals, and plan benefit…

Make a Payment

Making A Payment Make a Premium Payment By Phone Senior Care Plus members can make a one-time payment by credit card or eCheck over the phone by calling 775-982-3112. Make

Member Rights & Responsibilities

…you from discrimination or unfair treatment. We do not discriminate based on a person’s race, ethnicity, national origin, religion, gender, age, mental or physical disability, health status, claims experience, medical…

Interoperability

…or their personal representative, certain data, as applicable, concerning adjudicated claims, encounter data from capitated providers, formulary data, and certain clinical data, if it is maintained by Hometown Health. The…

Coverage Determinations & Appeal Rights

…are examples of coverage decisions you can ask us to make about your Part D drugs: You can ask us to make an exception, including: Asking us to cover a…