Definitions
…services to members of our Plan. Our Plan pays network providers based on the agreements it has with the providers or if the providers agree to provide you with plan-covered…
Member Disenrollment Rights
…do not stay continuously enrolled in Medicare Part A and Part B. If you move out of our service area. If you are away from our service area for more…
Service Area
Service Area Senior Care Plus Service Area Senior Care Plus, a product of Hometown Health Plan, Inc., is a Medicare Advantage organization with a Medicare contract. learn More Our Service…
Organization Determinations
…(PPO) Chapter 9 Sections 4 & 5 Out-of-Network / Non-Plan Providers “Non-plan providers” are providers that are not part of Senior Care Plus. If you use non-plan providers, you…
Accessing Care
…are within the service area, or to the nearest hospital Emergency Room if you are outside the service area. Please pay your applicable co-payment, deductible, or coinsurance at the time…
Notice of Privacy Practices
…We may use and disclose your medical information during the provision, coordination, or management of healthcare and related services among healthcare providers, consultation between healthcare providers regarding your care, or…
Member Rights & Responsibilities
…to get full information from your doctors and other health care providers when you go for medical care. Your providers must explain your medical condition and your treatment choices in…
Prospective Member Frequently Asked Questions
…onto this insurance as well. Some common examples of special elections include: new to Medicare, new to the service area, low income subsidy, retiring and losing group health coverage. An…
Service Area
Senior Care Plus Service Area Senior Care Plus, a product of Hometown Health Plan, Inc., is a Medicare Advantage organization with a Medicare contract. View Plans Senior Care Plus is…
Essential Plan
…priority access to Renown Health providers and facilities. NEW THIS YEAR – PREFERRED ACCESS TO CARSON TAHOE HEALTH PROVIDERS AND FACILITIES – PREFERRED ACCESS MEANS LOWER COPAYS! The Essential Plan…
Member Privacy Rights
…claims history. We need this record to provide you with quality healthcare benefits and to comply with certain legal requirements. Hospitals, physicians and other healthcare providers providing healthcare services to…
International Travel
…receiving emergency care. However, if you are admitted to a hospital, you do need to notify Senior Care Plus as soon as possible to obtain appropriate authorizations. Providers in many…
Getting Care During a Disaster
…in your geographic area, you are still entitled to care from your plan. Please visit the website(s) below for information on how to obtain needed care during a disaster: Federal…
Complete Plan
…low out-of-pocket maximum. The Complete Plan has a wide selection of community providers as well as a Dental, Vision and Hearing aid coverage. The plan also offers Silver Sneaker fitness…
Select Plan
…to Renown Health providers and facilities. Supplement Benefit Providers Liberty Dental First-Dollar Dental Coverage NationsHearing Hearing Aid and Hearing Exam Benefits EyeMed Vision Benefits including Eye Exams, Glasses, and Contact…
Renown Preferred Plan
…care providers and is available to Washoe County, Storey County and Carson City residents. Renown Preferred Plan members will enjoy a $0 premium and a low calendar year out-of-pocket max….
Hearing
Understanding Your Hearing Aid Benefit Available for Senior Care Plus members. Your Hearing Benefits Include: Annual hearing test with no out-of-pocket cost Access to a nationwide network of 8,000+ providers…
Website Disclaimer
…You to Our Website When you visit certain areas of our Web site, we may ask you to supply us with your name, e-mail address, birth date, gender, social security…
Southern Nevada Plans
…Enrollment in Medicare & Medicaid Medicaid Covers Premium & Most Copays Clark County Only View Plan Our Service Areas Senior Care Plus is a Medicare Advantage plan for Nevada residents…
CMS Star Ratings
…on our medical or our prescription drug services. Some of the areas Medicare reviews for these ratings include: How our members rate our plan’s services and care; How well our…
Plan Information
…PCP Visits View Plan Extensive Duals Plan Requires Dual Enrollment in Medicare & Medicaid Medicaid Covers Premium & Most Copays View Plan Our Service Areas Senior Care Plus is a…
Durable Medical Equipment
…variety of Durable Medical Equipment providers to give members the selection they want and the convenience they need. View our entire list of contracted Durable Medical Equipment providers here. Medical…
Interoperability
…applications. The provider directory API enables members to access their providers’ data when they need to ensure consistency of treatment and care coordination. Finally, the Payer to Payer API will…
Enriched Duals Plan
…member’s benefits. Extensive Duals Plan members enjoy priority access to Renown and in many cases, Medicaid covers the premium and copay amounts. Supplement Benefit Providers Liberty Dental First-Dollar Dental Coverage…
Patriot Plan
…benefits and services beyond those provided by the VA – with less wait times. Supplement Benefit Providers Liberty Dental First-Dollar Dental Coverage NationsHearing Hearing Aid and Hearing Exam Benefits EyeMed…
New To Senior Care Plus? Let’s Get Started
…listed in the Online Provider Directory. search for providers – see the ONLINE PROVIDER DIRECTORY 3. Review Prescription Medications The Drug Formulary (Preferred Medication List) is a listing of preferred,…
Extensive Duals Plan
…Providers Liberty Dental First-Dollar Dental Coverage NationsHearing Hearing Aid and Hearing Exam Benefits EyeMed Vision Benefits including Eye Exams, Glasses, and Contact Lenses NationsBenefits Over-The-Counter Benefit More Benefits from the…
Directories
…Plan & Enriched Duals) Durable Medical Equipment Providers – Statewide DURABLE MEDICAL EQUIPMENT Liberty Dental Network LIBERTY DENTAL PROVIDER NETWORK Document Request Form To request Senior Care Plus documents be…
Providers
Provider Partners Quality Care Plus Senior Care Plus rewards its primary care providers for providing exceptional care to our members. With appropriate documentation, ensuring members get the screenings they need,…
Transition to OptumRx
…integrated pharmacy and medical benefit management Senior Care Plus will work to create a seamless experience for our customers, members, and healthcare providers during this transition. Is there a website…
