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Renown Preferred Plan by Senior Care Plus (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Renown Preferred Plan by Senior Care Plus (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Renown Preferred Plan by Senior Care Plus (HMO) in 2026, please refer to our full plan details page.
Renown Preferred Plan by Senior Care Plus (HMO) is a HMO plan offered by Kaiser Foundation Health Plan, Inc. available for enrollment in 2025 to people living in Washoe, Carson City, Storey Counties, NV. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Renown Preferred Plan by Senior Care Plus (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Renown Preferred Plan by Senior Care Plus (HMO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Renown Preferred Plan by Senior Care Plus (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2700.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Renown Preferred Plan by Senior Care Plus (HMO) features a $0 drug deductible, meaning your prescription drug coverage begins immediately. Under this plan, Select Care Drugs in Tier 6 have no copay for up to a three-month supply at standard pharmacies or through standard mail order. For Tier 1 preferred generics and Tier 2 generics, standard pharmacy copays start at $5 and $12 respectively for a one-month supply. For higher-tier medications, Tier 3 preferred brands require a $47 copay for a one-month standard pharmacy supply. Tier 4 non-preferred drugs carry a 50% coinsurance, while Tier 5 specialty drugs require a 33% coinsurance for a one-month supply. Standard mail order options are also available for several tiers, providing convenient multi-month supply choices to help manage your healthcare costs.
Additional Benefits
The Renown Preferred Plan by Senior Care Plus (HMO) offers robust coverage for essential medical services, featuring no copay and no coinsurance for primary care, telehealth, and routine preventive visits. For inpatient hospital stays, members pay a daily copay of $220 for the first four days and no copay for subsequent days, while emergency room visits incur a $140 copay with no coinsurance. Outpatient services and specialist visits are also highly accessible, with specialist copays ranging from $25 to $50 and outpatient hospital copays capped at $440 with no coinsurance. This plan also includes valuable supplemental benefits, such as preventive and comprehensive dental care with no copay up to a $500 annual limit, and routine eye exams with no copay alongside a $250 annual eyewear allowance. Members can also take advantage of quarterly over-the-counter item benefits up to $50 with no copay, while durable medical equipment and dialysis services are covered with a standard 20% coinsurance and no copay. Routine hearing exams are available with a $45 copay, helping to ensure comprehensive healthcare coverage that keeps out-of-pocket costs predictable.
Inpatient Hospital See details
Renown Preferred Plan by Senior Care Plus (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $220 daily copay for days 1 through 4 and no copay for days 5 and beyond. This partially covered benefit requires referrals and prior authorization, and it does not cover upgrades or non-Medicare-covered stays.
Outpatient Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $440, and ambulatory surgical center services with no copay or coinsurance. Outpatient substance abuse services require a $45 copay with no coinsurance, while outpatient blood services feature no copay and a 20% coinsurance.
Partial Hospitalization See details
The Renown Preferred Plan by Senior Care Plus (HMO) covers partial hospitalization services with no coinsurance, requiring either a $75 copay with prior authorization or a $100 copay with a referral.
Ambulance and Transportation Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers ground and air ambulance services with a $325 copay and no coinsurance. Transportation services are partially covered with no copay or coinsurance up to a $1,250 annual limit for plan-approved locations, while transportation to any other health-related location is not covered.
Emergency Services See details
Emergency services are covered by the Renown Preferred Plan by Senior Care Plus (HMO) with a $140 copay and no coinsurance, while urgently needed services carry a $20 to $65 copay and no coinsurance. Worldwide emergency and urgent care are partially covered up to a $10,000 limit with no coinsurance and copays of $140 and $65 respectively, though worldwide emergency transportation is not covered.
Primary Care See details
Renown Preferred Plan by Senior Care Plus (HMO) offers primary care and telehealth services with no copay and no coinsurance, while specialist visits, therapy, and mental health services require copays from $25 to $50 with no coinsurance. Chiropractic services are partially covered with a $20 copay and no coinsurance, excluding routine and other chiropractic care, while podiatry services are not covered.
Preventive Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers preventive services with no copay and no coinsurance, including annual physicals, kidney disease education, and wellness screenings. Additional preventive benefits are partially covered, but do not include personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, enhanced disease management, or counseling.
Hearing Services See details
Hearing services are partially covered by the Renown Preferred Plan by Senior Care Plus (HMO), requiring a $45 copay and no coinsurance or deductible for annual routine exams and fitting evaluations. While up to two prescription hearing aids are covered annually with no coinsurance and copays between $495 and $1,970, inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers routine eye exams annually with no copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay up to a $250 annual limit, with contact lenses requiring a 20% coinsurance and eyeglasses requiring no coinsurance.
Dental Services See details
Dental Services are partially covered by the Renown Preferred Plan by Senior Care Plus (HMO), with Medicare-covered dental requiring a $35 copay and no coinsurance. Preventive and comprehensive services like exams, cleanings, x-rays, restorative care, endodontics, periodontics, removable dentures, and oral surgery are covered with no copay and no coinsurance up to a $500 annual limit, while fluoride, implants, fixed prosthodontics, orthodontics, adjunctive general, maxillofacial prosthetics, and other diagnostic or preventive services are not covered.
Home Infusion bundled Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers Home Infusion bundled Services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B chemotherapy, radiation, and other Part B drugs require no copay and a 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered under the Renown Preferred Plan by Senior Care Plus (HMO) with no copay and a 20% coinsurance.
Medical Equipment See details
Renown Preferred Plan by Senior Care Plus (HMO) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance. Diabetic equipment is also covered with no copay, carrying a 20% coinsurance for therapeutic shoes and inserts, and no coinsurance to 20% coinsurance for diabetic supplies.
Diagnostic and Radiological Services See details
Renown Preferred Plan by Senior Care Plus (HMO) covers diagnostic and radiological services with no coinsurance, though radiological services require a referral. Lab services have no copay, outpatient X-rays have a $35 copay, diagnostic tests range from a $0 to $275 copay, and radiological services carry copays starting at $0 for diagnostic and $50 for therapeutic treatments.
Home Health Services See details
Home Health Services are covered under the Renown Preferred Plan by Senior Care Plus (HMO) with no copay and no coinsurance, though a referral is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Renown Preferred Plan by Senior Care Plus (HMO) with no coinsurance, although only some services are covered. Specifically, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) are not covered, carrying copays of $15, $10, $20, and $20 respectively.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Renown Preferred Plan by Senior Care Plus (HMO) with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. Stays require a $20 copayment for days 1 to 20, a $200 copayment for days 21 to 34, and no copayment for days 35 to 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by the Renown Preferred Plan by Senior Care Plus (HMO), which offers over-the-counter (OTC) items with no copay and no coinsurance up to a maximum benefit of $50 every three months. Acupuncture, meal benefits, nicotine replacement therapy, and naloxone are not covered under this benefit.
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