Coverage and Benefits

WHEN YOU NEED CARE

Get care when you need it with:

• Unlimited primary care doctor visits
• Well-child visits/Early Periodic Screening and Diagnostic Treatment (EPSDT)
• Immunizations/shots
• Specialty care
• Personal care services
• ABA services for autism treatment
• Maternity care and breast pumps
• Family planning
• Inpatient hospital services
• Outpatient hospital services
• Urgent care
• Emergency care
• Podiatry services
• Eye exams, glasses, and contact lens yearly
• Sports physicals for children yearly
• Circumcisions for newborns
• Medical supplies and equipment
• Emergency transportation
• Physical, occupational and speech therapy
• Home health care
• Private duty nursing
• Mobile medical center with two exam rooms
• 24/7 video chat with a provider using NowClinic®
• Nursing and social worker case management
• Health education and wellness classes
• Stop smoking program and medications
• Diabetes management programs/classes
• Asthma management with peak flow meter
• Home and environmental assessments
• 24/7 advice nurse
• Weight loss surgery
• Chiropratic (under age 21)
• Orthodics & Prostetics
• Skilled-Nursing home services
• Gendering affirming care
• Clinical coordinators and Community health workers (CHW) to assist in coordination with community resources to access food, jobs, clothing, transportation, housing and rental assistance

8 HOSPITALS IN NORTHERN NEVADA

HPN has the largest provider network in Nevada and is contracted with 8 hospitals in Northern Nevada.

• Renown Regional Medical Center
• Renown South Meadows
• St. Mary’s Regional Medical Center
• Northern Nevada Sierra Medical Center
• Northern Nevada Medical Center
• Incline Village Community Hospital
• Reno Behavioral Health Hospital
• Northern Nevada Adult Mental Health Services

NO COST EXTRA BENEFITS

HELPING YOU SAVE MONEY:

• FREE SAM’S CLUB^TM membership*
• FREE Rides to medical and behavioral health appointments, pharmacy and social services*
• FREE haircuts and bus passes*
• FREE Gym Membership including:*
  • Anytime Fitness, Planet Fitness, Club Pilates, virtual classes, and more!
• FREE $25 Healthy food card*
• FREE WW^® WeightWatchers Membership*
• FREE Home delivered meals for diabetic management*
• FREE cell phone with unlimited talk, text and data*

SPECIALTY ITEMS FOR FAMILIES:

• FREE VISA^® gift cards for certain wellness visits and immunizations*
  • $25 Childhood vaccines
  • $15 Annual well-visits for children
  • $15 Immunizations for adolescents
  • $25 Well-visits for adolescents
  • $15 Breast cancer screening
  • $15 Diabetes testing
  • $15 Diabetes eye exam
  • $15 Covid 19 vaccine
• FREE VISA^® gift cards for healthy pregnancy rewards*
  • $30 Prenatal care visit
  • $30 Postpartum doctor visit
• FREE Essentials for baby. New moms eligible for a baby bundle including: *
  • Portable crib w/detachable bassinet
  • Car seat
  • Diapers and wipes
  • Bathtub and toiletry kit including: baby wash, baby lotion, and diaper cream
  • Bottles and pacifiers
  • Clothing and accessories
  • Receiving blankets and burp cloths
  • Front carrier
  • Play mat
  • Formula and food
• FREE Electric breast pump
• FREE Boys & Girls Club membership for kids ages 5-18
• FREE Healthy Food Boxes*

EXTRA SUPPORT WHEN YOU NEED IT:

• FREE Nevada high school test preparation class and exam
• FREE Nevada ID card or birth certificate assistance
• FREE UniteUs (referrals for social needs)
• FREE Support Center staffed to assist members. Provides meals, computer lab, clothing, help with resumes, offer vouchers for community resources, peer support services and community health workers.

HOUSING ASSISTANCE:

• Transitional Housing*
• Re-entry Housing*
• Medical respite beds*
• Long-term supportive housing*
• Housing for human trafficking victims

*Applies to qualified individuals

PREGNANCY SERVICES:

• Direct access to a large network of obstetrical (OB) providers
• FREE VISA^® gift cards for healthy pregnancy rewards program for members who qualify*
  • $30 Prenatal care visit
  • $30 Postpartum doctor visit
• Pregnant members in the third trimester may receive care from their current OB provider even if the provider is not listed in the provider directory
• Specialized team of nurse case managers and social workers provide instruction and guidance during pregnancy and postpartum, early childhood needs
• Pregnancy education and breastfeeding instruction with a certified lactation consultant
• Tummy2Toddler app- Pregnancy and up to 2 yr old support helps you stay healthy during every step of your pregnancy
• Count the Kicks app helps parents monitor their baby’s well-being in the third trimester

ADDITIONAL BENEFITS:

• FREE VISA^® gift cards for certain wellness visits and immunizations*
  • $25 Childhood vaccines
  • $15 Annual well-visits for children
  • $15 Immunizations for adolescents
  • $25 Well-visits for adolescents
  • $15 Breast cancer screening
  • $15 Diabetes testing
  • $15 Diabetes eye exam
  • $15 Covid 19 vaccine
• FREE Essentials for baby. New moms pick up a baby bundle including: *
  • Portable crib w/ detachable bassinet
  • Car seat
  • Diapers and wipes
  • Bathtub and toiletry kit including: baby wash, baby lotion, and diaper cream
  • Bottles and pacifiers
  • Clothing and accessories
  • Receiving blankets and burp cloths
  • Front carrier
  • Play mat
  • Formula and food
• FREE Electric breast pump

MEDICATIONS

Prescription and over- the-counter drugs are 100% covered with a prescription.

Contracted pharmacies:

• Walmart/Sam’s Club
• Walgreens
• CVS (also inside Target)
• Raley’s
• Safeway
• Smith’s
• Save Mart
• Other independent pharmacies
• Home delivery of specialty drugs

UNLIMITED URGENT CARE VISITS

• Renown Health Urgent Care

  • 975 Ryland St.
  • Reno, NV 89502
  • 775-982-5000

• Renown Health Urgent Care

  • 1343 W. Newlands Dr.
  • Fernley, NV 89408
  • 775-982-5000

• Renown Health Urgent Care

  • 560 E. Williams Ave.
  • Fallon, NV 89406
  • 775-982-5000

• Saint Mary’s Medical Group

  • 18653 Wedge Pkwy., #110
  • Reno, NV 89511
  • 775-770-7210

• Saint Mary’s Medical Group

  • 5070 Ion Dr., #100
  • Sparks, NV 89436
  • 775-770-7727

• Saint Mary’s Medical Group

  • 6255 Sharlands Ave.
  • Reno, NV 89523
  • 775-770-7580

• Saint Mary’s Medical Group

  • 280 Vista Knoll Pkwy., Ste. 106
  • Reno, NV 89506
  • 775-770-7580

• 24/7 video chat with a provider using NowClinic^®
• Urgent care that comes to you with at-home urgent care services using Ready Responders

INPATIENT BEHAVIORAL HEALTH SERVICES

• Inpatient psychiatric care
• Inpatient alcohol and substance use care including detox
• Residential treatment center (under 21)
• Coordination of care from hospital to outpatient services
• Mobile response team to evaluate members in the ER

OUTPATIENT SERVICES

• Psychiatric care (same day appointments)
• No referral needed for mental health appointments
• Walk-in clinics
• Counseling
• Individual, family and group therapy
• Medication management
• Alcohol and substance use treatment
• Medication assisted treatment (MAT)
• Sober living homes*
• 24/7 Crisis stabilization services
• Online visits through NowClinic
• In-person and telephonic case management
• Partial hospitalization program (PHP)
• Intensive outpatient program (IOP)
• Peer support recovery services
• Neuropsychological services
• Basic skills training (BST)
• Psychosocial rehabilitation (PSR)

*Applies to qualified individuals

Special programs provided by Human Behavior Institute (HBI) - Staffed to assist members. Provides daily meals, immediate transportation, temporary housing, primary and behavioral care, adult clubhouse, telehealth services and peer support.

WHEN YOU NEED CARE

Get care when you need it with:

• Unlimited primary care doctor visits
• Contracted with all local hospitals
• Nevada’s only plan with access to Southwest Medical Associates
• Well-child visits/Early Periodic Screening and Diagnostic Treatment (EPSDT)
• Immunizations/shots
• Specialty care
• Personal care services
• ABA services for autism treatment
• Maternity care and breast pumps
• Family planning
• Inpatient hospital services
• Outpatient hospital services
• Urgent care
• Emergency care
• Podiatry services
• Eye exams, glasses, and contact lens yearly
• Sports physicals for children yearly
• Circumcisions for newborns
• Medical supplies and equipment
• Emergency transportation
• Physical, occupational and speech therapy
• Home health care
• Private duty nursing
• Mobile medical center with two exam rooms
• 24/7 video chat with a provider using NowClinic^®
• Nursing and social worker case management
• Health education and wellness classes
• Stop smoking program and medications
• Diabetes management programs/classes
• Asthma management with peak flow meter
• Home and environmental assessments
• 24/7 advice nurse
• Weight loss surgery
• Chiropratic (under age 21)
• Orthodics & Prostetics
• Skilled-Nursing home services
• Gendering affirming care
• Clinical coordinators and Community health workers (CHW) to assist in coordination with community resources to access food, jobs, clothing, transportation, housing and rental assistance

20 HOSPITALS IN SOUTHERN NEVADA

HPN has the largest provider network in Nevada and is contracted with 20 hospitals in Southern Nevada.

• Sunrise Hospital
• Sunrise Children’s Hospital
• University Medical Center
• Valley Hospital Medical Center
• MountainView Hospital
• Centennial Hills Hospital
• Desert Springs Hospital
• Henderson Hospital
• North Vista Hospital
• Spring Valley Hospital
• Summerlin Hospital Medical Center
• Southern Hills Hospital
• St. Rose Dominican Rose de Lima
• St. Rose Dominican San Martin
• St. Rose Dominican Siena
• Seven Hills Hospital
• Spring Mountain Sahara
• Spring Mountain Treatment Center
• Desert Parkway Behavioral Healthcare Hospital
• Southern Nevada Adult Mental Health Services

NO COST EXTRA BENEFITS

HELPING YOU SAVE MONEY:

• FREE SAM’S CLUB^TM membership*
• FREE Rides to medical and behavioral health appointments, pharmacy and social services*
• FREE haircuts and bus passes*
• FREE Gym Membership including:*
  • YMCA, LVAC, Planet Fitness, EOS, virtual classes, and more!
• FREE $25 Healthy food card*
• FREE WW^® WeightWatchers Membership*
• FREE Home delivered meals for diabetic management*
• FREE cell phone with unlimited talk, text and data*
• FREE Medication delivery service with Nowclinic virtual visits

SPECIALTY ITEMS FOR FAMILIES:

• FREE VISA^® gift cards for certain wellness visits and immunizations*
  • $25 Childhood vaccines
  • $15 Annual well-visits for children
  • $15 Immunizations for adolescents
  • $25 Well-visits for adolescents
  • $15 Breast cancer screening
  • $15 Diabetes testing
  • $15 Diabetes eye exam
  • $15 Covid 19 vaccine
• FREE VISA^® gift cards for healthy pregnancy rewards*
  • $30 Prenatal care visit
  • $30 Postpartum doctor visit
• FREE Essentials for baby. New moms eligible for a baby bundle including: *
  • Portable crib w/detachable bassinet
  • Car seat
  • Diapers and wipes
  • Bathtub and toiletry kit including: baby wash, baby lotion, and diaper cream
  • Bottles and pacifiers
  • Clothing and accessories
  • Receiving blankets and burp cloths
  • Front carrier
  • Play mat
  • Formula and food
• FREE Electric breast pump
• FREE Boys & Girls Club membership for kids ages 5-18
• FREE Healthy Food Boxes*

EXTRA SUPPORT WHEN YOU NEED IT:

• FREE Nevada high school test preparation class and exam
• FREE Nevada ID card or birth certificate assistance
• FREE UniteUs (referrals for social needs)
• FREE Support Center staffed to assist members. Provides meals, showers, laundry, NA/AA meetings, employment services, peer services and integrated primary and behavioral care.

HOUSING ASSISTANCE:

• Transitional Housing*
• Re-entry Housing*
• Medical respite beds*
• Long-term supportive housing*
• Housing for human trafficking victims

In person/local member concierge services

*Applies to qualified individuals

PREGNANCY SERVICES:

• Direct access to a large network of obstetrical (OB) providers
• FREE VISA^® gift cards for healthy pregnancy rewards program for members who qualify
  • $30 Prenatal care visit
  • $30 Postpartum doctor visit
• Exclusive access to Southwest Medical OB doctors
• Access to Women’s Health Associates of Southern Nevada’s Quick Care at 517 Rose St., Las Vegas, NV 89106
• Pregnant members in the third trimester may receive care from their current OB provider even if the provider is not listed in the provider directory
• Doula/Birthing Program
• Specialized team of nurse case managers and social workers provide instruction and guidance during pregnancy and postpartum, early childhood needs
• Pregnancy education and breastfeeding instruction with a certified lactation consultant
• Tummy2Toddler app- Pregnancy and up to 2 yr old support mobile app helps you stay healthy during every step of your pregnancy
• Count the Kicks app helps parents monitor their baby’s well-being in the third trimester

ADDITIONAL BENEFITS:

• FREE VISA^® gift cards for certain wellness visits and immunizations*
  • $25 Childhood vaccines
  • $15 Annual well-visits for children
  • $15 Immunizations for adolescents
  • $25 Well-visits for adolescents
  • $15 Breast cancer screening
  • $15 Diabetes testing
  • $15 Diabetes eye exam
  • $15 Covid 19 vaccine
• FREE Essentials for baby. New moms pick up a baby bundle including: *
  • Portable crib w/ detachable bassinet
  • Car seat
  • Diapers and wipes
  • Bathtub and toiletry kit including: baby wash, baby lotion, and diaper cream
  • Bottles and pacifiers
  • Clothing and accessories
  • Receiving blankets and burp cloths
  • Front carrier
  • Play mat
  • Formula and food
• FREE Electric breast pump

MEDICATIONS

Prescription and over- the-counter drugs are 100% covered with a prescription.

Contracted pharmacies:

• Walmart/Sam’s Club
• Walgreens
• CVS (also inside Target)
• Albertson’s
• Smith’s
• Vons
• Other independent pharmacies
• Home delivery of specialty drugs

FREE same-day medication delivery when using the NowClinic virtual visit app.

UNLIMITED URGENT CARE VISITS INCLUDING ACCESS TO SOUTHWEST MEDICAL’S 24/7 URGENT CARE CENTER

• 2 Children's Urgent Care and Pediatric Centers with locations in: 89014 and 89129
• Goodnight Pediatrics of Nevada
  • 2651 N. Green Valley
  • Pkwy, #101D
  • Henderson, NV 89014
• 6 Southwest Medical Urgent Care with locations in: 89106, 89119, 89128, 89052, 89149, and 89030
• Southwest Medical offers extended evening and weekend hours at some of its locations; same day appointments available
• 9 UMC Quick Care with locations in: 89139, 89149, 89106, 89128, 89103, 89130, 89117, 89110, and 89014
• 3 Intermountain Healthcare Urgent Care with locations in: 89103, 89117, and 89048
• 17 CareNow Urgent Care with locations in: 89117, 89142, 89032, 89139, 89015, 89130, 89147, 89183, 89103, 89129, 89014, 89141, 89113, (2) 89031, 89052, and 89102

• 24/7 video chat with a provider using NowClinic^®
• Urgent care that comes to you with at-home urgent care services using Ready Responders

INPATIENT BEHAVIORAL HEALTH SERVICES

• Inpatient psychiatric care
• Inpatient alcohol and substance use care including detox
• Residential treatment center (under 21)
• Coordination of care from hospital to outpatient services
• Mobile response team to evaluate members in the ER

OUTPATIENT SERVICES

• Psychiatric care (same day appointments)
• No referral needed for mental health appointments
• Walk-in clinics
• Counseling
• Individual, family and group therapy
• Medication management
• Alcohol and substance use treatment
• Medication assisted treatment (MAT)
• Sober living homes*
• 24/7 Crisis stabilization services
• Online visits through NowClinic
• In-person and telephonic case management
• Partial hospitalization program (PHP)
• Intensive outpatient program (IOP)
• Peer support recovery services
• Neuropsychological services
• Basic skills training (BST)
• Psychosocial rehabilitation (PSR)
• Long-term injectable clinic providing medication to members 5 days a week
• Parenting classes and support groups
• Teen Talk Classes

*Applies to qualified individuals

Special programs provided by Human Behavior Institute (HBI) - Staffed to assist members. Provides daily meals, immediate transportation, temporary housing, primary and behavioral care, adult clubhouse, telehealth services and peer support.