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.
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Behavioral health
- Behavioral health and substance use services
- Walk-in services to help with behavioral health medication
- Counselors available for behavioral health interventions at some provider offices (Southern Nevada)
- Virtual visits for behavioral 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)
- Coming soon: Alcoholism and substance use treatment (Northern Nevada)
- Coming soon: Sobering living homes (Northern Nevada)
- 24/7 crisis intervention services
- Coordination of care from hospital to outpatient services (Southern Nevada)
- Peer-supported behavioral 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 behavioral 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 5 p.m. to help with benefits. Call us at 1-800-962-8074, TTY 711.
