A non-government entity
Prominence Veteran (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Prominence Veteran (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Prominence Veteran (HMO) in 2026, please refer to our full plan details page.
Prominence Veteran (HMO) is a HMO plan offered by Universal Health Services, Inc. available for enrollment in 2025 to people living in Nevada. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Prominence Veteran (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Prominence Veteran (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 Prominence Veteran (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. Additionally, this plan comes with a Part B Premium reduction of $140.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6500.00 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:
Sign up for Prominence Veteran (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
Prescription drugs are not covered by Prominence Veteran (HMO).
Additional Benefits
The Prominence Veteran (HMO) plan offers comprehensive coverage for essential medical needs, featuring no copays for primary care visits, telehealth, and home health services. Specialist visits are affordable with copays ranging from no copay to $45, while emergency care requires a $130 copay and urgent care is $30. For hospital stays, members pay a copay for the first few days of inpatient care ($350 daily for days 1 to 6) or outpatient services ($25 to $350) with no coinsurance. Ancillary benefits include dental coverage up to a $3,000 annual limit with no copay for preventive care and 10% to 50% coinsurance for comprehensive services. Vision benefits feature a $30 routine exam copay and up to $200 for eyewear with no copay, while routine hearing exams require a $10 copay. Additionally, the plan covers medical equipment and dialysis with a 20% coinsurance and no copay, alongside up to 24 free health-related one-way transportation trips per year.
Inpatient Hospital See details
Inpatient hospital services are covered by Prominence Veteran (HMO) with no coinsurance, requiring a $350 copay for days 1 through 6 of acute stays and a $330 copay for days 1 through 5 of psychiatric stays, followed by no copay for remaining days. Prior authorization is required, and additional days, upgrades, or non-Medicare-covered stays are not covered.
Outpatient Services See details
Prominence Veteran (HMO) covers outpatient services with no coinsurance, featuring a $25 to $350 copay for outpatient hospital services, a $295 copay per stay for observation services, and a $25 copay for ambulatory surgical center services. Outpatient substance abuse sessions require a $10 copay with no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Prominence Veteran (HMO) plan with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Prominence Veteran (HMO) covers Medicare-approved ground and air ambulance services with a $300 copay and no coinsurance, with the copay waived if you are admitted to the hospital. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Prominence Veteran (HMO) covers emergency services with a $130 copay and urgently needed services with a $30 copay, both with no coinsurance. Worldwide emergency and urgent services are partially covered up to a $25,000 maximum benefit with no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Prominence Veteran (HMO) covers primary care and telehealth services with no copay and no coinsurance, while specialists and other healthcare professionals range from a $0 to $45 copay with no coinsurance. Physical therapy, mental health, and podiatry services require copays between $5 and $20 with no coinsurance, though chiropractic services are only partially covered because other chiropractic services are not covered.
Preventive Services See details
Prominence Veteran (HMO) offers partially covered preventive services with no copay and no coinsurance for annual physical exams, kidney disease education, and other screenings. However, several supplemental preventive services are not covered, including health education, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional or dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, home or bathroom safety modifications, and counseling.
Hearing Services See details
Prominence Veteran (HMO) covers annual routine hearing exams and fittings with a $10 copay, no coinsurance, and no deductible. Prescription hearing aids are partially covered with no coinsurance and copays ranging from no copay to $1,725 up to a $600 annual maximum per ear, though inner ear, outer ear, over-the-ear, and over-the-counter (OTC) hearing aids are not covered.
Vision Services See details
Prominence Veteran (HMO) partially covers vision services, offering one routine eye exam per year with a $30 copay and no coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay and no coinsurance up to a $200 annual maximum for contact lenses, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Prominence Veteran (HMO) partially covers dental services up to a $3,000 annual maximum, offering preventive and diagnostic care with no copay and no coinsurance. Other covered comprehensive services require no copay and 10% to 50% coinsurance, but maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Prominence Veteran (HMO) covers home infusion bundled services with no copay, although prior authorization is required. Associated Medicare Part B insulin drugs carry a $35 copay and a coinsurance ranging from no coinsurance to 20%, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by Prominence Veteran (HMO) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Prominence Veteran (HMO) covers medical equipment with no copay and a 20% coinsurance, subject to prior authorization. This benefit is partially covered, as durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts are covered, while diabetic supplies are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by Prominence Veteran (HMO) with prior authorization, excluding diagnostic procedures, lab services, and outpatient X-rays. Covered diagnostic services require no copay and no coinsurance, while diagnostic radiological services carry a minimum $60 copay with no coinsurance, and therapeutic radiological services require a copay and 20% minimum coinsurance.
Home Health Services See details
Home Health Services are covered by Prominence Veteran (HMO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Prominence Veteran (HMO) with no coinsurance and prior authorization, but some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered and carry a $10 copayment.
Skilled Nursing Facility (SNF) See details
Prominence Veteran (HMO) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring a $10 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and while a three-day prior hospital stay is not necessary for admission, additional days beyond the standard 100-day Medicare benefit period are not covered.
Other Services See details
Prominence Veteran (HMO) offers partial coverage for other services, which includes a chronic illness meal benefit with no copay and no coinsurance, subject to prior authorization. Acupuncture and over-the-counter (OTC) items are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved