Hometown Health HMO

Please not this plan will no longer be available effective 7/1/18. The PEBP Premier (EPO) Plan will take its place. The Premier (EPO) Plan will most resemble the current Standard Hometown Health HMO plan.

For details on the new plan please review the Premier (EPO) Plan Master Plan Document here.

If you select the Hometown Health HMO for the remainder of this plan year and would like to keep similar benefits, you will be automatically enrolled in the Premier (EPO) Plan effective 7/1/18. If you would like to switch plans you will need to do so during Open Enrollment, May 1-May 31st and your changes will be effective 7/1.

STANDARD PLAN:

The Hometown Health (HTH) Standard Plan is offered to members residing in northern Nevada.  This plan covers those participants in all Nevada counties except for Nye, Esmeralda and Clark counties.

  • Open access (referrals not required to see an in-network specialist)
  • Hometown Health Network coverage in Northern Nevada and One-Health Network for Southern Nevada coverage. For emergency care outside of Nevada, members should utilize the PHCS/Multiplan network
  • No annual deductibles
  • No co-insurance
  • No pre-existing condition exclusions or limitations
  • Primary care physician selection required
  • 100% preventive care benefits
  • Free health and wellness educational programs
  • Health Management offers Diabetes, Heart, Lung, and Nutrition/ Weight Management programs
  • Community flu shots clinics
  • Health Hotline – 24/7 nurse triage service
  • HometownRx – pharmacy benefit management (PBM) services
  • Centralized scheduling for 60 medical providers
  • 15 locations including urgent care clinics, emergency, and pediatric emergency service

For detailed information regarding HTH’s plan design, view HTH’s Evidence of Coverage Certificate on their website.

ALTERNATE PLAN:

The Hometown Health (HTH) Alternate Plan is offered to members residing only in certain counties in northern Nevada.  This plan is offered only in Carson City, Churchill, Douglas, Lyon, Storey and Washoe counties.

  • Closed access (referrals required to see an in-network specialist)
  • Hometown Health Network coverage in Northern Nevada.  For emergency care, members should utilize the One-Health Network for in Southern Nevada and the PHCS/Multiplan network for coverage outside of Nevada.
  • No annual deductibles
  • No co-insurance
  • No pre-existing condition exclusions or limitations
  • Primary care physician selection required for those over 19 years old
  • 100% preventive care benefits
  • Free health and wellness educational programs
  • Health Management offers Diabetes, Heart, Lung, and Nutrition/ Weight Management programs
  • Community flu shots clinics
  • Health Hotline – 24/7 nurse triage service
  • HometownRx – pharmacy benefit management (PBM) services
  • Centralized scheduling for 60 medical providers
  • 15 locations including urgent care clinics, emergency, and pediatric emergency services

For detailed information regarding HTH’s plan design, view HTH’s Evidence of Coverage Certificate on their website.