Select Plan 2025

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Senior Care Plus Insured Woman
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Select Plan

Available to residents of Washoe County, Storey County, and Carson City.

$180/mo

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.

Questions?  Call us at 775-982-3158

Benefits IncludedPricing
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
Co-payments listed are for preferred facilities.

Plan Information

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 HospitalPreferred: $175 (1-2days) Non-Preferred: $440 (1-5 days)
Outpatient Hospital ServicesPreferred: $175 per visit Non-Preferred: $440 per visit
Prescription CoverageAmount You Will Pay for Preferred Medications
Coverage in the Gap N/A
Rx DeductibleN/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 Order2.5 times 30-day / 2 times 30-day
Summary of Benefits Updated (09/24/24)
Annual Notice of Change Updated (09/24/24)
Over-the-Counter Catalog Updated (10/08/24)
Benefits at a Glance Updated (09/24/24)
Dental Benefits at a Glance Updated (09/30/24)
Evidence of Coverage Updated (10/04/24)
Amount you will pay is listed as “in-network / out-of-network”.

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Summary

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.

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Enroll Today