Complete Plan 2024

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Senior Care Plus Insured man hiking

Complete Plan

Available to residents of Clark and Nye Counties.

$0/mo

Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium.

Questions?  Call us at 775-982-3158

Benefits IncludedPricing
PRIMARY CARE VISIT$0 per visit
SPECIALIST VISIT $0 per visit
ROUTINE LAB SERVICES $0 per visit
URGENTLY NEEDED CARE $10 / $40 per visit
OVER-THE-COUNTER BENEFIT $100 per quarter
DENTAL COVERAGE $1,250 Comprehensive Included
Co-payments listed are for preferred facilities.

Plan Information

Doctors & Hospitals Amount You Will Pay
Maximum Out-of-Pocket$1,000 per year
Primary Care Office Visit$0 per visit
Specialist Office Visits $0 per visit
Urgently Needed Care $10 / $40 per visit
Routine Lab Services$0 per visit
Diagnostic Tests (X-ray, CT, MRI) $0 / $50 / $150 per visit
Emergency Room Care$135 per visit
Ambulance Services$275 ground / $325 air
Inpatient Hospital$0 per day
Outpatient Hospital Services$0 per visit
Prescription CoverageAmount You Will Pay for Preferred Medications
Coverage in the Gap $2 / $8 / $0 (Tiers 1, 2, 6)
Rx DeductibleNo deductible
Preferred Generic (Tier 1) $2 Per Prescription
Non-Preferred Generic (Tier 2) $8 Per Prescription
Preferred Brand (Tier 3) $47 Per Prescription
Non-Preferred Brand (Tier 4) $100 Per Prescription
Specialty Drugs (Tier 5)33% coinsurance
Select Drug (Tier 6)$0 Per Prescription
90-day Retail / 90-day Mail Order2.5 times 30-day / 2 times 30-day
Summary of Benefits Updated (12/13/23)
Evidence of Coverage Updated (11/22/23)
Annual Notice of Change Updated (10/02/23)
Over-the-Counter Catalog Updated (09/29/23)
Amount you will pay is listed as “in-network / out-of-network”.
Healthy Me 2023 Benefits Brochure

See all the new 2023 benefits in the Healthy Me 2023 Benefits Brochure – includes OTC Catalog and Dental Directory

Priority access to P3 health partners

Members who choose the Complete Plan enjoy preferred access to P3 Health Partners providers and facilities.

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Summary

Senior Care Plus is pleased to partner with P3 Health Partners to bring the Complete Plan to residents of Clark County and Nye County. Choose the Complete Plan and enjoy preferred access to P3 Health Partner facilities and receive thousands of dollars in extra benefits for a $0 premium. The Complete Plan has also been enhanced in 2023 with an updated hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $100 quarterly Over-the-Counter benefit with free two-day shipping. The Complete Plan has also added $1,250 first dollar comprehensive dental benefit from Liberty Dental. The Gym Benefit is provided by Silver & Fit and members on the Complete Plan have 24/7/365 access to Teladoc, which offers $0 virtual visits by phone or video nationwide. The prescription drug coverage included in the Comprehensive Plan is extensive, and includes select insulins are just $35. 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 for a complete list of benefits. 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.

Enroll Today

Enroll Today