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 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…
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…
Website Disclaimer
…provided herein under any theory of liability or indemnity. Physicians and other healthcare professionals providing information shall not be held responsible for providing such information under any theory of liability…
Member Privacy Policy
…health care provider. Review Your Protected Health Information You have a right to inspect and obtain a copy of your Protected Health Information. Important: If you feel your Protected Health…
Pharamcy FAQ
…pharmacy to contact your provider to change the prescription to a covered formulary alternative. If your provider believes the non-covered product is “medically necessary” for your condition, your provider may…
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…
Current Member Frequently Asked Questions
…physicians. In addition to the Renown network, we are contracted with many facilities in the community. Make sure the provider you wish to see is listed in the provider directory….
Your Membership Card
…up for a Primary Care Provider, Senior Care Plus would auto-assign a provider for the member. This practice caused problems for members in location and preference of provider. To eliminate…
Medication Therapy Management
…take their medications correctly Improving medication adherence Detecting potentially harmful medication uses or combinations of medications Educating members and healthcare providers Our programs are evidence-based and can integrate both pharmacy…
Annual Wellness Visit
…also the opportunity for your provider to discuss each of your chronic health problems and if they are well controlled or out of control. “As a provider, these visits give…
International Travel
…tertiary care cannot be provided in the primary network. 3. Utilization Management has approved the tertiary care at a medical facility capable of providing the medically necessary level of care….
MyChart
…Pharmacy Renown Health pharmacies offer convenient locations to pick up your prescriptions and sign up for mail order. Renown Pharmacy Learn About MyChart Proxy Access What is Proxy Access? Proxy…
Medicare Best Available Evidence
…is also a process for assisting individuals who claim to be subsidy eligible based on being full or partial dual eligibles but who cannot provide the documentation described above. As…
Interoperability
…a doctor or other medical professional to access them. There are three API’s which will be available to Hometown Health members: The Patient Access API, the Network Provider API, and…
Prospective Member Frequently Asked Questions
…cost of a Part D plan, times the number of uncovered months. Where can I find the Senior Care Plus provider directory? You can find the Provider Directory on the…
Member Rights & Responsibilities
…problem with wheelchair access, Customer Service can help. You have the right to choose a provider for your care. You have the right to choose a provider in the plan’s…
Forms and Documents
…Care – Utilization Managment Form (Members) Provider Claim & Authorization Reconsideration Form Form used by a provider for authorization reconsideration. Updated 01/01/20 Provider Claim & Authorization Reconsideration Form Request a…
Resources
…Payment Click Here Members Resources Health Library Gym Benefit Rewards Program Member Rights and Responsibilities New Members Newsletter Membership Perks Membership Card Member Grievance Procedure Quality Improvement Program Change Your…
Del Monte Senior Seminar Series
…See Program Details and RSVP Here Advanced Care Planning Seminar – Thursday, June 11 at 11 a.m. to 1:30 p.m. – See Program Details and RSVP Here July, 2026 Advanced…
Directories
…used provider directories. They are automatically updated on a monthly basis. Please visit our Online Provider Directory for the most up-to-date provider information. Northern Nevada Directories SCP RENOWN NETWORK (Renown…
Providers
…Care Plus Provider Incentive Program, please email us at Quality@HometownHealth.com These are some resources to help ensure your success with the Quality Care Plus Provider Incentive Program. Exclusion Criteria: Frailty…
Member Grievance Procedure
…Email: appeals@hometownhealth.com Senior Care Plus has established a grievance procedure designed to provide a prompt, meaningful and confidential response to your issues. Please seek immediate assistance from your Primary Care…
Statement of Nondiscrimination
…national origin, age, disability, or sex (including pregnancy, sexual orientation, and gender identity). Hometown Health: Provides people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate…
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…
Essential Plan
…Provider while still enjoying priority access to Renown Health providers and facilities. NEW THIS YEAR – PREFERRED ACCESS TO CARSON TAHOE HEALTH PROVIDERS AND FACILITIES – PREFERRED ACCESS MEANS LOWER…
Referral Process
Understanding the Referral Process As a member of Senior Care Plus, you are enrolled in an HMO Medicare Advantage Plan. That means that your Primary Care Physician (PCP) acts as…
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…
Important Notice NationsBenefits
Important Notice Regarding an incident involving NationsBenefits NationsBenefits Holding, LLC, and its affiliates and subsidiaries provides benefits administration services to Hometown Health. Hometown Health was notified of this incident on…
COVID-19
…What Do I Need to Know? Transition Forward from the COVID-19 Public Health Emergency FAQs on CMS Waivers, Flexibilities, and the End of the COVID-19 PHE Vaccines Provide Protection Against…