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Senior Care Plus

Plan ID: H2960-23-0

Renown Preferred Plan by Senior Care Plus (HMO)

2024 Renown Preferred Plan by Senior Care Plus (HMO) H29600230 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2024.

Learn more about Renown Preferred Plan by Senior Care Plus (HMO) H2960 - 023 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

3.5 / 5 stars for 2024

$0 /mo

Monthly premium

$0

Health deductible

$0

Drug deductible

$3125.00

Out-of-pocket maximum

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Call to enroll

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1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week!

Overview Icon

Plan Overview

2024 Renown Preferred Plan by Senior Care Plus (HMO) H29600230 is a Local HMO offered in Washoe, Carson City, Storey Counties, NV by Senior Care Plus. It has a monthly premium of $0.00.

Premium Breakdown

Standard Part B Premium

$174.80

Part B premium reduction

$0

Part C Premium

$0

Part D Basic Premium

$0

Part D Supplemental Premium

$0

Part D Total

$0.00

Monthly Premium (Parts C & D)

$0.00

Total Premium (Parts B, C, & D)

$164.90

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Special needs plan type

No

Out-of-pocket maximum

$3125.00

Plan Organization:

Senior Care Plus

Plan Type:

Local HMO

Location:

Washoe, Carson City, Storey Counties, NV

Drugs Covered:

Yes

Drug Formulary:

Pharmacies:

Doctor Choice:

Plan Doctors for Most Services

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Health deductible

$0

Drug deductible

$0

Sign up for Renown Preferred Plan by Senior Care Plus (HMO)

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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 Icon

Drug Coverage

Renown Preferred Plan by Senior Care Plus (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Enhanced

Prescription drug deductible

$0

Increased initial coverage limit

No

Additional gap coverage

Yes

Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D

LIS 25%

LIS 50%

LIS 75%

LIS Full

$0.00

$0.00

$0.00

$0.00

$0.00

Initial Coverage Phase

After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.

30 Days
60 Days
90 Days

Tier

Preferred Pharmacy

Standard Pharmacy

Preferred Mail

Standard Mail

1. Preferred Generic

-

$5.00 copay

-

-

2. Standard Generic

-

$12.00 copay

-

-

3. Preferred Brand

-

$47.00 copay

-

-

4. Non-Preferred Drug

-

$100.00 copay

-

-

5. Specialty Tier

-

33%

-

-

Gap Coverage Phase

After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00.

30 Days
60 Days
90 Days

Tier

Preffered Pharmacy

Standard Pharmacy

Preffered Mail

Standard Mail

Preferred Generic

-

$5.00 copay

-

-

Select Care Drugs

-

$0.00 copay

-

-

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

Generic Drugs

$4.15 copay or 5% (whichever costs more)

Brand-name

$10.35 copay or 5% (whichever costs more)

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Additional Benefits

Renown Preferred Plan by Senior Care Plus (HMO) also provides the following benefits.

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Comprehensive dental

Non-routine services
Not covered
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Diagnostic services
0% coinsurance
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Restorative services
0% coinsurance
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Endodontics
0% coinsurance
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Periodontics
0% coinsurance
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Extractions
0% coinsurance
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Prosthodontics, other oral/maxillofacial surgery, other services
0% coinsurance
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Preventive dental

Oral exam
$0 copay
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Cleaning
$0 copay
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Fluoride treatment
Not covered
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Dental x-ray(s)
$0 copay
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Diagnostic procedures/lab services/imaging

Diagnostic tests and procedures
$0-275 copay
Lab services
$0-120 copay
Diagnostic radiology services (eg, MRI)
$0-135 copay
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Outpatient x-rays
$70 copay
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Doctor visits

Primary
$0 copay
Specialist
$35 copay per visit
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Additional Coverage Icon

Emergency care/Urgent care

Emergency
$135 copay per visit (always covered)
Urgent care
$20-65 copay per visit (always covered)
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Foot care (podiatry services)

Foot exams and treatment
$35 copay
Routine foot care
Not covered
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Ground ambulance

Service
$325 copay
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Hearing

Hearing exam
$45 copay
Fitting/evaluation
$0 copay
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Hearing aids
$495-1,970 copay
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Inpatient hospital coverage

Service
Tier 1 $300 per day for days 1 through 4 $0 per day for days 5 through 90 Tier 2 $440 per day for days 1 through 5 $0 per day for days 6 through 90
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Outpatient hospital coverage

Service
$0-440 copay per visit
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Outpatient prescription drugs

Renown Preferred Plan by Senior Care Plus (HMO) does not provide this type of benefit.

Additional Coverage Icon

Optional benefits

Renown Preferred Plan by Senior Care Plus (HMO) does not provide this type of benefit.

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Medical equipment/supplies

Durable medical equipment (eg, wheelchairs, oxygen)
20% coinsurance per item
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Prosthetics (eg, braces, artificial limbs)
20% coinsurance per item
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Diabetes supplies
0-20% coinsurance per item
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Medicare Part B drugs

Chemotherapy
0-20% coinsurance
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Other Part B drugs
0-20% coinsurance
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Part B Insulin drugs
$35 copay
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Mental health services

Inpatient hospital - psychiatric
Tier 1 $300 per day for days 1 through 4 $0 per day for days 5 through 90 Tier 2 $440 per day for days 1 through 5 $0 per day for days 6 through 90
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Outpatient group therapy visit with a psychiatrist
$35 copay
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Outpatient individual therapy visit with a psychiatrist
$35 copay
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Outpatient group therapy visit
$35 copay
Outpatient individual therapy visit
$35 copay
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Preventive care

Service
$0 copay
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Rehabilitation services

Occupational therapy visit
$25 copay
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Physical therapy and speech and language therapy visit
$25 copay
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Additional Coverage Icon

Skilled Nursing Facility

Service
$20 per day for days 1 through 20 $150 per day for days 21 through 34 $0 per day for days 35 through 100
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Transportation

Service
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Vision

Routine eye exam
$0 copay
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Other
Not covered
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Contact lenses
$0 copay
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Eyeglasses (frames and lenses)
$0 copay
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Eyeglass frames
$0 copay
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Eyeglass lenses
$0 copay
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Upgrades
$0 copay
Limit Icon
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Wellness programs (eg, fitness, nursing hotline)

Service
Covered
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