Renown Preferred Plan 2024

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Renown Preferred Plan insured senior woman

Renown Preferred Plan

Available to residents of Washoe County and Carson City.

$0/mo

The Renown Preferred Plan provides access to all that Renown Health has to offer and thousands of dollars in extra benefits like dental, vision and hearing for a $0. You will need to select a Renown Health Primary Care Provider to enjoy the money-saving healthcare benefits the Renown Preferred Plan has to offer.

Questions?  Call us at 775-982-3158

Benefits IncludedPricing
PRIMARY CARE VISIT$0 per visit – Renown PCP required
SPECIALIST VISIT $35 per visit
ROUTINE LAB SERVICES $0 per visit
URGENTLY NEEDED CARE $20 / $65 per visit ($0 Teladoc)
OVER-THE-COUNTER BENEFIT $50 Quarterly
DENTAL COVERAGE $1,250 Comprehensive Included
Co-payments listed are for preferred facilities.

Plan Information

Doctors & Hospitals Amount You Will Pay
Maximum Out-of-Pocket$3,125 per year
Primary Care Office Visit$0 per visit – Renown PCP required
Specialist Office Visits $35 per visit
Urgently Needed Care $20 / $65 per visit ($0 Teladoc)
Routine Lab Services$0 per visit
Diagnostic Tests (X-ray, CT, MRI) $70 / $100 / $135 per visit
Emergency Room Care$135 per visit
Ambulance Services$325 per trip
Inpatient HospitalPreferred: $300 1 - 4 days per period Non-Preferred: $440 1 - 5 days per period
Outpatient Hospital ServicesPreferred: $300 per visit Non-Preferred: $440 per visit
Prescription CoverageAmount You Will Pay for Preferred Medications
Coverage in the Gap Tier1 $5 Tier6 $0
Rx DeductibleN/A
Preferred Generic (Tier 1)$5 Per Prescription
Non-Preferred Generic (Tier 2)$12 Per Prescription
Preferred Brand (Tier 3)$47 Per Prescription
Non-Preferred Brand (Tier 4)$100 Per Prescription
Specialty Drugs (Tier 5)33% coinsurance
Select Drug (Tier 6)$0 Per Prescription
90-day Retail / 90-day Mail Order2.5 times 30-day / 2 times 30 day
Summary of Benefits Updated (12/13/23)
Evidence of Coverage Updated (11/22/23)
Annual Notice of Change Updated (09/29/23)
Over-the-Counter Catalog Updated (09/29/23)
Amount you will pay is listed as “in-network / out-of-network”.
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Summary

For residents of Washoe County, Storey County, or Carson City who utilize Renown Health providers and services, there is no better Medicare Advantage plan then Renown Preferred Plan. This $0 premium plan has no copay when visiting a Renown Health primary care provider and an out-of-pocket maximum of just $3,125 per calendar year. The plan features a $1,250 per dental benefit from Liberty Dental that offers first dollar coverage – meaning you don’t pay a thing until you reach that that amount. The Renown Preferred Plan has been enhanced in 2023 with an updated hearing benefit from NationsHearing® that includes a $0 hearing exam and a generous hearing aid benefit. NationsOTC® provides a $50 quarterly Over-the-Counter benefit with free two-day shipping. The prescription drug coverage included in the Renown Preferred Plan is extensive, and includes select insulins at just $35. Personal Assistants, who can help schedule appointments and navigate the healthcare system, are included with the Renown Preferred Plan. You can avoid the ever-increasing premiums associated with Medicare Supplement plans and Prescription Drug plan deductibles when you put the Renown Preferred Plan to work for you. Above is a partial list of benefits and should not be construed as a complete list. Please refer to the Evidence of Coverage in the plan documents section above for a complete list of benefits. Out-Of-Network Providers: If you use an out-of-network provider, your share of the costs for your covered services may be higher. Out-of-network providers are under no obligation to treat members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

Enroll Today

Enroll Today