Enriched Duals Plan 2025

The Extensive 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 Extensive Duals Plan has a hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $205 quarterly Over-the-Counter benefit with free two-day shipping. The Extensive Duals Plan has also a $2,500 first dollar comprehensive dental benefit from Liberty Dental. And once you enroll, you will have access to a Personal Assistant, who can help schedule appointments and navigate the healthcare system when you select a Renown Primary Care Provider (PCP). The prescription drug coverage included in the Extensive 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.