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Coverage and Benefits
Coverage You Need. Benefits You Deserve.
Get health care services at no cost to you. Your plan includes medical, vision, behavioral, pharmacy benefits and more. Plus, you may qualify for no-cost extra benefits like a gym membership, SAM'S CLUBTM Membership, $25 healthy food savings card and free cell phone. Find out if you are eligible.
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Mental health
- Mental health and substance use services
- Walk-in services to help with mental health medication
- Counselors available for mental health interventions at some provider offices (Southern Nevada)
- Virtual visits for mental health
- Support center (meals, showers, laundry, NA/AA meetings, therapy, medical services, employment services, recreation) (Southern Nevada)
- Coming soon: Support center (meals, showers, laundry, NA/AA meetings, therapy, medical services, employment services, recreation) (Northern Nevada)
- Mobile response team to evaluate members in the ER
- Crisis stabilization unit for members in need of a higher level of care
- Long-term injectable clinic providing medication to members 5 days a week (Southern Nevada)
- Alcoholism and substance use treatment, including detoxification, treatment and sober living homes (Southern Nevada)
- Alcoholism and substance use treatment (Northern Nevada)
- Sobering living homes (Northern Nevada)
- 24/7 crisis intervention services
- Coordination of care from hospital to outpatient services (Southern Nevada)
- Peer-supported mental health and substance use therapy (Southern Nevada)
- Individual, family and group therapy
- Partial hospitalization program
- Intensive outpatient program
- Medication management
- Neuropsychological services
- Basic skills training
- Psychosocial rehabilitation
- Psychiatric care (same day appointments in Southern Nevada)
- Day treatment
- Online mental health resources
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Emergency and hospital care
- 24/7 emergency services
- Hospital services
- Inpatient hospital services, including surgery, X-ray and lab services
- Outpatient hospital services, including surgery, X-ray and lab services
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Family services
- Family planning services and supplies
- Pregnancy and maternity services
- Newborn circumcisions
- Well-child visits
- Immunizations and shots
- Pregnancy and new baby support mobile app
- Nurse case managers and social workers provide instruction and guidance during pregnancy (Southern Nevada)
- Pregnancy and breastfeeding classes (Southern Nevada)
- Pregnancy education and breastfeeding instruction with a certified lactation counselor
- Sports physicals for children
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Providers
- Choice of family doctors and specialists.
- 7,000+ providers to choose from (Northern and Southern Nevada)
- Direct access to a large network of obstetrical (OB) providers
- Pregnant members in their third trimester may receive care from their current provider even if the provider isn’t listed in the provider directory
- Exclusive access to Southwest Medical OB doctors (Southern Nevada)
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Urgent care services
- 24/7 urgent care services (Southern Nevada)
- Unlimited urgent care visits including access to Southwest Medical’s 24/7 urgent care center (Southern Nevada)
- 21 urgent care centers in Southern Nevada
- 5 urgent care centers in Northern Nevada
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No cost extra benefits
- Boys & Girls Club memberships
- Rides to doctor appointments, pharmacy and social services
- Bus passes to get you to your appointments
- High school equivalency test program
- Nevada ID card assistance
- Cell phone with free minutes and unlimited texting from Lifeline®
- Community Health Workers to help with food, jobs, clothing, transportation, housing and rental assistance
- Parenting classes (Southern Nevada)
- Martial arts classes (Southern Nevada)
- Anti-bullying classes (Southern Nevada)
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Additional services
- Prescription and over-the-counter drugs
- Medical equipment and supplies
- Eye exams and eyeglasses
- Hearing tests and services
- Physical, occupational and speech therapy
- Dental services
- Lab and X-rays
- Podiatry services
- 24/7 telephone advice nurse
- 24/7 virtual visits to see a provider from your cell phone or computer
- Mobile medical center with two exam rooms, mammography and lab
- Nursing and social worker case management
- Weight loss surgery
- Specialty care
- Personal care services
- ABA services for autism treatment
- Immunizations and flu shots
We put our members first. Bilingual customer service assistants available Monday through Friday, 8 a.m. to 6 p.m. to help with benefits. Call us at 1-800-962-8074, TTY 711.
