Available to residents in Washoe County and Carson City with Medicare and Medicaid.
If you reside in Washoe County or Carson City and have Medicare AND Medicaid, the Extensive Duals Plan is outstanding, benefit-rich option you should consider. Extensive Duals Plan members enjoy priority access to Renown and in many cases, Medicaid covers the premium and copay amounts.
Benefits Included | Pricing |
---|---|
PRIMARY CARE VISIT | $0 per visit |
SPECIALIST VISIT | $0 per visit |
ROUTINE LAB SERVICES | $0 per visit |
URGENTLY NEEDED CARE | $0 per visit |
OVER-THE-COUNTER BENEFIT | $205 Quarter |
DENTAL COVERAGE | $2,500 Comprehensive Included |
Doctors & Hospitals | Amount You Will Pay |
---|---|
Maximum Out-of-Pocket | $0 per year |
Primary Care Office Visit | $0 per visit |
Specialist Office Visits | $0 per visit |
Urgently Needed Care | $0 per visit |
Routine Lab Services | $0 per visit |
Diagnostic Tests (X-ray, CT, MRI) | $0 per test |
Emergency Room Care | $0 per visit |
Ambulance Services | $0 per trip |
Inpatient Hospital | $0 per stay |
Outpatient Hospital Services | $0 per visit |
Prescription Coverage | Amount You Will Pay for Preferred Medications |
---|---|
Coverage in the Gap | N/A |
Rx Deductible | $0 Deductible per year |
Preferred Generic (Tier 1) | Generic $0 - $4.90 |
Non-Preferred Generic (Tier 2) | Generic $0 - $4.90 |
Preferred Brand (Tier 3) | Brand $0 - $12.15 |
Non-Preferred Brand (Tier 4) | Brand $0 - $12.15 |
Specialty Drugs (Tier 5) | 33% coinsurance |
Select Drug (Tier 6) | Not Covered |
90-day Retail / 90-day Mail Order | N/A |
The Enriched Duals Plan offers individuals that have Medicare Part A and Part B and also qualify for Medicaid in the state of Nevada additional benefits that are not covered on their existing programs. Senior Care Plus works with the Nevada Medicaid program to ensure coordination of member’s benefits. The plan’s premium is covered by Medicaid for most members, as well as many of the other out-of-pocket costs. The Enriched Duals Plan has a hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $200 quarterly Over-the-Counter benefit with free two-day shipping. The Enriched Duals Plan has also a $2,000 first dollar comprehensive dental benefit from Liberty Dental. The prescription drug coverage included in the Enriched Duals Plan is comprehensive.
Above is a partial list of benefits and should not be construed as a complete list. Please refer to the Evidence of Coverage in the plan documents section above complete plan details. Out-Of-Network Providers: If you use an out-of-network provider, your share of the costs for your covered services may be higher. Out-of-network providers are under no obligation to treat members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
Lobby Hours: Monday – Friday, 8 a.m. to 5 p.m.
10315 Professional Circle, Reno, NV 89521
Monday – Friday, 7 a.m. to 8 p.m.
Saturday – Sunday, 8 a.m. to 8 p.m.
Reno: 775-982-3112
Toll Free: 888-775-7003
Assistance:Local: 775-982-3112
Toll Free: 888-775-7003
Información en español 775-982-3112
TTY Relay Service 711
Senior Care Plus is a Medicare Advantage organization and a stand-alone Prescription Drug Plan with a Medicare contract. Enrollment in Senior Care Plus depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and premiums and or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary. Other providers are available in our network. A salesperson will be present with information and applications. For accommodation of persons with special needs at sales meetings call 775-982-3158 and 711 for TTY.
This information is available for free in other languages. Please call our customer service number at Senior Care Plus Customer Service at 775-982-3112 toll-free at 888-775-7003. TTY users should call the State Relay Service at 711.
Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de servicio al cliente al Servicio al Cliente Senior Care Plus al 775-982-3112 sin cargo al 888-775-7003. Los usuarios de TTY deben llamar al Servicio de Retransmisión del Estado al 711.