We offer three medical plans, one from Health Plan of Nevada (HPN) and two from Sierra Health & Life (SHL).
All plans offer excellent coverage but operate differently, so take some time to learn about the plans before enrolling.
A HMO plan gives you more predictable costs but less flexibility since all care must be received within the HPN network.
Here is a summary of the key plan features:
This PPO plan has contracts with the SHL network of physicians and other medical professionals from which you can select your provider.
Here is a summary of the key plan features:
You do not need to select a primary care physician.
You do not need referrals from a physician to see other providers in the network.
The plan offers in-network preventive care and virtual care through NowClinic® at no cost to you.
If you receive in-network care, you will only pay for copays, deductible, and/or coinsurance.
if you receive out-of-network care, you will pay a higher amount. In some cases, you will need to pay directly and file a claim to receive reimbursement.
This is a High Deductible Health Plan (HDHP) with in- and out-of-network coverage. There is one notable difference between the HDHP and a traditional PPO plan: the deductible is higher and you must pay the deductible before the plan pays benefits for most services.
Here is a summary of the key plan features:
Your payroll contributions are lower compared to the PPO medical plan.
The plan offers in-network preventive care and virtual care through NowClinic® at no cost to you.
You will have access to a Health Savings Account (HSA) and the option to contribute pre-tax funds to lower your taxable income and save for future
health expenses.
We contribute money to your HSA – up to$750 for individual coverage and up to $1,500 for teammate + dependent(s).The amount we contribute is pro-rated throughout the year based on your date of hire.
Policy/group #: 50501002
Call: (702) 242-7300
Website: myhpnonline.com
Policy/group #: 50501002
Call: (702) 242-7700
Website: myshlonline.com
HPN Solutions HMO
SHL Solutions PPO
SHL Solutions HSA PPO
In-network
In-network
In-network
HSA/HRA Funding
None
None
Yes; $750 for individual and
$1,500 for dependent coverage tiers to HSA
Annual Deductible
None
$1,500 individual*
$3,000 family*
$3,000 individual*
$6,000 family*
Annual Out-of-Pocket Maximum
$6,250 individual*
$12,500 family*
$5,000 individual*
$10,000 family*
$3,000 individual*
$6,000 family*
Outpatient Services
Preventive Care
No charge
No charge
No charge
Primary Care/Specialist Office Visits
Office Visit: $25 copay/visit
Specialist: $50 copay/visit
Office Visit: $25 copay/visit
Specialist: $40 copay/visit
$0 copay after deductible*
Virtual Visit
$0 copay/visit via NowClinic®
$0 copay/visit via NowClinic®
$0 copay/visit via NowClinic® after deductible
Urgent Care
$30 copay/visit
$25 copay/visit
$0 copay after deductible*
Emergency Room
$250 copay/visit + 20%*
$200 copay/visit + 20%*
$0 copay after deductible*
Diagnostic Lab and X-Ray
X-Ray $25 copay/service
Lab $15 copay/service
X-Ray $35 copay/service
Lab $15 copay/service
(deductible does not apply)
$0 copay after deductible is met
Outpatient Surgery
Hospital: $300 copay/surgery + $150 copay physician fee
Ambulatory Center: $150 copay/surgery + $75 copay physician fee
Physician/Facility: 20% after deductible*,**
$0 copay after deductible*,**
Inpatient Hospitalization
Physician: $150 copay/surgery; Facility: 20%*
Physician/Facility: 20% after deductible*,**
$0 copay after deductible*,**
Mental Health/Substance Abuse
Outpatient
$25 copay
$25 copay**
$0 copay after deductible*,**
Inpatient
20%*
$20 copay after deductible*,**
$0 copay after deductible*,**
* of EME (Eligible Medical Expense)
** 50% reduction if no prior authorization
Note: For out-of-network coverage details, email radiologypartners@alliant.com to request the plan SBC. See Prescription Drug coverage information.
NowClinic® offers access to virtual health care visits, which means you can sit back and talk to board-certified doctors anywhere you’re most comfortable. It’s perfect for those times when you’re too busy to get an appointment with your primary care doctor or they are simply too far away.
Nothing! We offer virtual care through NowClinic at no cost to you so you can reach physicians and get personalized care 24/7.
To learn more and get started, go to NowClinic.com or download the NowClinic® app on the App Store or Google Play.
Fever
Migraine
Cold and flu
Headaches
Sinus problem
Sore throat
Stomach ache
Bladder infection
Behavioral health therapy is available by appointment only. Call Behavioral Healthcare Options at (702) 364-1484 or toll-free (800) 873-2246, TTY 711, to arrange a convenient time.