Below is information on the Health & Wellness benefits available to through your plan. You should also consult with your health plan administrator to learn more about what tests, procedures or resources are covered under your plan.
Consumer Driven Health Plan
Typically, wellness/preventive screening benefits are for well care only, meaning that any office visit, test, or procedure done that is related to a known or present medical condition may be considered as a regular medical claim and processed accordingly.
Your physician or other healthcare provider must submit a preventive/wellness screening diagnosis code as the primary diagnosis for the claim to be considered a wellness/preventive service.
If your healthcare provider does not submit the claim to HealthSCOPE Benefits with a preventive/wellness diagnosis as the primary reason for the visit or medical service, the claim may be subject to the annual deductible and coinsurance.
For more information about wellness/preventive benefits covered under the Consumer Driven Health Plan contact HealthSCOPE Benefits at 888-763-8232 or view the Master Plan Document here. Wellness/preventive services can be found on pages 43 and 44 as well as page 75 of the MPD.
Effective July 1, 2017: Enhanced HSA/HRA funding of $200 per primary participant will be provided to the individual participant (employee/retiree - not dependents) upon completion of: (1) a preventive annual medical exam, (2) preventive lab work order from the exam, (3) a preventive annual dental exam, and (4) the first dental cleaning (of the available four allowed per year). Click here for more information on this benefit.
Health Plan of Nevada
Your health plan covers preventive services like shots, screenings, counseling, and wellness visits to improve your health and avoid illness.
Complete your wellness visits and get labs every year:
Your plan covers preventive care screenings at no cost when you see a network provider. During your visit, your doctor will review your health history and may recommend preventive screenings, depending on your age and risk factors.
If you're pregnant, schedule your prenatal visits and post-delivery visits right away. You'll also want to schedule a well-child visit with your baby’s pediatrician/doctor within two weeks of the birth. If you would like to add your newborn to your current insurance, click here for more infomation.
Be proactive about your health:
Whether you want to eat right, exercise more, stop smoking, or just relax, you have a number of resources to help you. As a Health Plan of Nevada member, you have access to health education classes, webisodes, and reading materials. To get started, call 1-800-720-7253 (TTY 711).
Increase your chances of staying healthy:
Take your health risk assessment every year and schedule a consultation with a health coach to discuss ways you can improve your health.
Take charge of your health with the support of a registered nurse:
Our Disease Management Program is available to eligible members (adults and children) living with asthma and/or diabetes. Participants learn how to manage their health and track key health information. They also receive invitations to health education classes.
You can also review the preventive care guidelines at myhpnstateofnevada.com to learn more.
Health Education Programs:
Education is an important part of preventive health. Health Plan of Nevada provides the following programs dedicated to lifelong wellness:
- Asthma programs for children and adults
- Cancer nutrition
- Chronic Obstructive Pulmonary Disease (COPD)
- Pre-Diabetes and Diabetes Programs
- Understanding Insulin
- Heart failure
- Healthier living
- Heart health
- Pregnancy and lactation
- medical nutrition therapy
- Sports nutrition
- Senior health
- Stop smoking/tobacco cessation
- Weight management - adult
- Weight management support group
For more information, view the Health Education Programs brochure.
Get Moving With Rally Mobile:
As part of your benefits package, Rally shows you how to make simple changes to your daily routine, set smart goals, and stay on target. You'll get personalized recommendations on how to move more, eat better and feel happier.
For more information, refer to the following flyers:
For more information about HPN's health and wellness programs, call 702-242-7300 or 800-777-1840.
Hometown Health offers a number of wellness/preventive care services, including:
- Periodic physical examinations and routine immunizations
- Routine gynecologic examination (one per plan year), including annual cytologic screening test (Pap smear) for women 18 years of age or older, pelvic examination, urinalysis, and breast examination
- Screening mammograms including an initial baseline mammogram for female members 35-39 and annually for women 40 years of age or older
- Well-baby care, including immunizations in accordance with the American Academy of Pediatrics and other federal agencies
- Prostate and colorectal cancer screening in accordance with the guidelines concerning such screening that are published by the American Cancer Society or other guidelines or reports concerning such screening that are published by nationally recognized professional organizations and that include current or prevailing supporting scientific data
- Influenza, pneumovax, haemophilus influenza, haemophilus influenza B, hepatitis A, hepatitis B, hepatitis C, rubella, and tetanus immunizations
- Hearing and vision screening for children through age 17 to determine the need for hearing and vision correction
- Evidence-based items or services that have an "A" or "B" Recommendation of the United States Preventive Services Task Force, provided that the recommendation does not conflict with a more recent "A" or "B" Recommendation of the United States Preventive Services Task Force
- Immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved
- With respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in comprehensive guidelines supported by the Health Resources and Services Administration of the U.S. Department of Health and Human Services
- With respect to women, such additional preventive care and screenings not described under this section as provided for in comprehensive guidelines supported by the Health Resources and Services Administration of the U.S. Department of Health and Human Services
For more information, contact Hometown Health Plan at 775-982-3232 or 800-336-0123.