Available to residents of Washoe County and Carson City.
The Patriot Plan is the perfect choice for veterans who want a local health care option alongside their VA benefits. Members enjoy health care benefits and services above and beyond those provided by the VA – with less wait times. Plus, you will receive a $75 Medicare Part B rebate each month you are on the plan! Plus, the Patriot Plan’s maximum out-of-pocket amount is just $2,500 per calendar year. The Patriot Plan is available in Washoe County, Storey County and Carson City.
| Benefits Included | Pricing |
|---|---|
| PRIMARY CARE VISIT | $0 Per visit (preferred PCP) / $10 per visit (non preferred PCP) |
| SPECIALIST VISIT | $40 per visit |
| ROUTINE LAB SERVICES | $0 per visit |
| URGENTLY NEEDED CARE | $30 / $65 per visit ($0 Teladoc) |
| OVER-THE-COUNTER BENEFIT | $25 Quarterly |
| DENTAL COVERAGE | $1,500 Comprehensive Included |
| Doctors & Hospitals | Amount You Will Pay |
|---|---|
| Maximum Out-of-Pocket | $2,500 per year |
| Primary Care Office Visit | $0 Per visit (preferred PCP) / $10 per visit (non preferred PCP) |
| Specialist Office Visits | $40 per visit |
| Urgently Needed Care | $30 / $65 per visit ($0 Teladoc) |
| Routine Lab Services | $0 per visit |
| Diagnostic Tests (X-ray, CT, MRI) | $60 / $95 / $130 per visit |
| Emergency Room Care | $135 per visit |
| Ambulance Services | $250 per trip |
| Inpatient Hospital | Preferred: $250 Copay per day for days 1-6 / Non-Preferred: $440 Copay per day for days 1-5 |
| Outpatient Hospital Services | Preferred: $275 per visit / Non-Preferred: $440 per visit |
| Prescription Coverage | Amount You Will Pay for Preferred Medications |
|---|---|
| Coverage in the Gap | Not Covered |
| Rx Deductible | Not Covered |
| Preferred Generic (Tier 1) | Not Covered |
| Non-Preferred Generic (Tier 2) | Not Covered |
| Preferred Brand (Tier 3) | Not Covered |
| Non-Preferred Brand (Tier 4) | Not Covered |
| Specialty Drugs (Tier 5) | Not Covered |
| Select Drug (Tier 6) | Not Covered |
| 90-day Retail / 90-day Mail Order | Not Covered |
This is an exceptional plan for veterans. Enjoy everything Senior Care Plus has to offer: gym benefit, $25 over-the-counter (OTC) allowance, preventative dental, periodontal maintenance, vision, and hearing aid coverage. The Patriot Plan also includes priority access to Renown Health and Senior Care Plus’ large network of doctors and specialists. This plan complements your VA or Tricare benefits. Members on this plan will be able to take advantage of the $75 rebate as there is no drug coverage included on this plan. Personal Assistants, who can help schedule appointments and navigate the healthcare system are included when you select a Renown Primary Care Provider (PCP). 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.
