Coverage Determinations & Appeal Rights
…You may also fax completed requests to OptumRx at 1-844-403-1028. If you would like to print the forms yourself, please click the ‘Coverage Determination Request Form’. Please complete the form…
Medication Therapy Management
…healthcare provider. Comprehensive Medication Review (CMR) The Centers for Medicare & Medicaid Services (CMS) requires all Part D sponsors to offer an interactive, person-to-person comprehensive medication review (CMR) to all…
Enriched Duals Plan
…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 Enriched Duals…
Patriot Plan
…Hearing Exam Benefits EyeMed Vision Benefits including Eye Exams, Glasses, and Contact Lenses NationsBenefits Over-The-Counter Benefit More Benefits from the Patriot Plan The Patriot Plan also offers a variety of…
Renown Preferred Plan
…Hearing Exam Benefits EyeMed Vision Benefits including Eye Exams, Glasses, and Contact Lenses NationsBenefits Over-The-Counter Benefit More Benefits from the Renown Preferred Plan The Renown Preferred Plan also offers a…
Extensive Duals Plan
…copay amounts. 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 Lenses NationsBenefits Over-The-Counter Benefit…
Extra Help
…$0* Select Plan (HMO)$170.50 $180.00 Renown Preferred Plan$0* $0* Complete Plan HMO – Southern Nevada$0* $0* Extensive Duals Plan (DSNP)$0* $9.50 Enriched Duals Plan (DSNP)$0* $9.50 Your Level of Extra…
Directories
…Nevada Directories SCP SOUTHERN NEVADA NETWORK (Complete Plan & Enriched Duals Plan) SCP SOUTHERN NEVADA NETWORK – SPANISH (Complete Plan & Enriched Duals) Durable Medical Equipment Providers – Statewide DURABLE…
Member Meetings
…in-person meetings at various community locations for your convenience. RSVP for an In-Person Meeting at a community Location Virtual Meetings We also hold virtual meetings that you can attend from…
For the Healthiest Reasons
…We offer 24/7 visits through Teladoc and in-home urgent care from Doctoroo. Compare Our Northern Nevada Plans Plans have access to Renown Health, Teladoc, and Virtual Visits. Compare Northern Plans…
Annual Wellness Visit
…are annual exams so important? Because more information can mean better health. COMPLETE YOUR ANNUAL WELLNESS VISIT AND RECEIVE A $20 TARGET GIFTCARD! Learn More To claim your gift card,…
Mail Order Survey
Mail Order Survey Senior Care Plus is inviting all members who have used a mail order pharmacy service in the last 18 months to complete our Mail Order Pharmacy Experience…
Del Monte Senior Seminar Series
…Planning Seminar – Tuesday, April 7 at 11 a.m. to 1:30 p.m. – See Program Details and RSVP Here Community Advanced Care Planning & Estate Planning Workshop – Tuesday, April…
Member Rights & Responsibilities
Member Rights We are committed to offering quality health care coverage, as well as maintaining the dignity and integrity of our members. Discrimination Our plan must obey laws that protect…
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…
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…
Reporting to Government Entities
Reporting to Government Entities Some cases of non-compliance should also be reported to the corresponding federal or state entity. Medicare Fraud Hotline National Benefit Integrity Medicare Drug Integrity Contractor (NBI…
Current Member Frequently Asked Questions
…Do I need to call my current insurance company to let them know I enrolled in Senior Care Plus? If you have any auto-pays, or EFTs set up with your…
Prescriptions
…page LOG INTO OPTUM RX TO VIEW rX BENEFITS Pharmacy Resources Navigating the world of healthcare can be complex, but understanding your prescription benefits shouldn’t be. Senior Care Plus offers…
Vision Benefits By EyeMed
…Glasses.com Contactsdirect.com If you have questions regarding your EyeMed vision benefits, you can call EyeMed directly at 1-844-261-9033 or you can access information about their benefits through the Eye Med…
Documents
…a Glance Updated (09/25/25) Over-the-Counter Catalog Updated (09/25/25) Summary of Benefits Updated (09/25/25) Summary of Benefits – Spanish Updated (09/25/25) Complete Plan Evidence of Coverage Updated (10/13/25) Evidence of Coverage…
Enrollment Specialist Meetings
…Friday, 8 a.m. to 5 p.m. Attend a Free ABC’s of Medicare Webinar Learn about Medicare from the comfort of your couch. Webinars and Seminars Events Register for an upcoming…
Coverage Stages
…of $5,030. The important thing to remember is this phase of coverage includes what the member pays combined with what the Part D plan pays. When the annual total drug…
Northern Nevada Gym Benefit
…the City of Reno. Pools, fitness rooms, and community and recreation centers. For more information about City of Reno facilities call 775-334-2262 Evelyn Mount Northeast Community Center – 1301 Valley…
International Travel
…day following the scheduled service not to exceed $2,500 per episode of care. 3. The maximum travel reimbursement per calendar year is $10,000. 4. After approved travel, complete a Medical…
Southern Nevada Plans
…Nevada plans for Medicare beneficiaries residing in Clark or Nye County Complete Plan Benefit-Rich Plan $0 PCP & Specialist Visits Low Out-of-Pocket Max View Plan Enriched Duals Plan Requires Dual…
CMS Star Ratings
…a plan’s quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan’s performance…
Policies & Procedures
Policies & Procedures VIEW POLICIES & PROCEDURES Report a Compliance Concern Below Report by Phone 1-800-611-5097 Report Online Customer Service Contact Us Call Center 775-982-3112 (Información en español) Toll free:…
Providers
…and comprehensive medical management of our Senior Care Plus members, we ensure that they get the care that they deserve. For more information on how to participate in the Quality…
Request Information
…Care Plus by emailing us at scpsales@hometownhealth.com. The person whom you contact to discuss plan options is employed by Hometown Health, which is not an agency of the Federal government….