Available to residents of Washoe County, Storey County, and Carson City.
The Select Plan has a maximum out-of-pocket of just $1,450 per year, making it a great choice for individuals who frequently access health care. The Select Plan has $0 Primary Care office visits and Specialist office visits for just $5. While not for everyone because of the $180 monthly premium, the Select Plan can be a real money saver for certain Medicare beneficiaries.
Benefits Included | Pricing |
---|---|
PRIMARY CARE VISIT | $0 Per visit (preferred PCP) $10 per visit (non preferred PCP) |
SPECIALIST VISIT | $5 per visit |
ROUTINE LAB SERVICES | $0 per visit |
URGENTLY NEEDED CARE | $20 / $45 per visit ($0 Teladoc) |
OVER-THE-COUNTER BENEFIT | $140 Quarterly |
DENTAL COVERAGE | $1,500 Comprehensive first-dollar coverage |
Doctors & Hospitals | Amount You Will Pay |
---|---|
Maximum Out-of-Pocket | $1,450 per year |
Primary Care Office Visit | $0 Per visit (preferred PCP) $10 per visit (non preferred PCP) |
Specialist Office Visits | $5 per visit |
Urgently Needed Care | $20 / $45 per visit ($0 Teladoc) |
Routine Lab Services | $0 per visit |
Diagnostic Tests (X-ray, CT, MRI) | $45 / $65 / $90 per visit |
Emergency Room Care | $140 per visit |
Ambulance Services | $250 per trip |
Inpatient Hospital | Preferred: $175 (1-2days) Non-Preferred: $440 (1-5 days) |
Outpatient Hospital Services | Preferred: $175 per visit Non-Preferred: $440 per visit |
Prescription Coverage | Amount You Will Pay for Preferred Medications |
---|---|
Coverage in the Gap | N/A |
Rx Deductible | N/A |
Preferred Generic (Tier 1) | $0 Per Prescription |
Non-Preferred Generic (Tier 2) | $0 Per Prescription |
Preferred Brand (Tier 3) | $47 Per Prescription $35 each covered insulin product |
Non-Preferred Brand (Tier 4) | 50% Coinsurance |
Specialty Drugs (Tier 5) | 33% coinsurance |
Select Drug (Tier 6) | $0 Per Prescription |
90-day Retail / 90-day Mail Order | 2.5 times 30-day / 2 times 30-day |
The Select Plan is Senior Care Plus’s most benefit-rich plans with the lowest out-of-pocket maximum of any of our plans. With $0 Primary Care visits and $5 Specialist visits, the Select Plan offers great value for Medicare beneficiaries with high healthcare utilization. The Select Plan has $1,500 first-dollar comprehensive dental benefit from Liberty Dental and a $140 quarterly Over-the-Counter benefit with free two-day shipping. And once you enroll, you will have access to a Personal Assistant, who can help schedule appointments and navigate the healthcare system if you select a Renown Primary Care Provider (PCP). The prescription drug coverage included in the Select Plan is extensive, and includes select insulins at $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.
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.