When selecting a Medicare plan, people have different priorities. Most consider the out-of-pocket costs associated with prescriptions, doctor visits, and hospital admissions. Others may select a plan that's simple to use with little or no paperwork. For some, staying with their doctor is a must. That's why Senior Dimensions (HMO/HMO-POS) offers Medicare Advantage benefits to help fit your health insurance needs.
Senior Dimensions Medicare Advantage plan is insured through Health Plan of Nevada, Inc., a UnitedHealthcare Insurance Company and a Medicare Advantage organization with a Medicare contract.
Health Plan of Nevada, Inc. has been awarded an accreditation status of Commendable from the National Committee for Quality Assurance (NCQA), an independent, not-for-profit organization dedicated to measuring the quality of America’s health care. Accreditation is for the Medicare HMO product line in Nevada.
Enrollment Limitations: Enrollment in the plan is available during specific times of the year. Contact Senior Dimensions for more information. You must have both Medicare Parts A and B to enroll in the plan. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or by another third party.
Senior Dimensions Southern Nevada (HMO-POS) service area covers Clark and Nye counties. Senior Dimensions Greater Nevada (HMO) service area covers Esmeralda, Lyon and Mineral counties, as well as designated zip codes in Washoe County.
HMO members must use plan providers except in emergency or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor Senior Dimensions Medicare Advantage plans will be responsible for the costs.
For HMO-POS members, with the exception of emergency or out-of-area renal dialysis, it may cost more to get care from out-of-network providers.
Pharmacy Network Limitations: Prescription coverage subject to limitations. You must use contracted network pharmacies to access your Part D prescription drug benefit except under non-routine circumstances, in which case quantity limitations and restrictions may apply.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.
Beneficiary information is available in alternate formats and languages. Please call Customer Service at 1-800-650-6232; TTY: 711 for details. Customer Service hours of operation are October 1 through February 14: 8 a.m. to 8 p.m. local time, 7 days a week. Between February 15 through September 30: 8 a.m. to 8 p.m. local time, Monday – Friday. On Saturday, Sunday and holidays, please leave a detailed message and a representative will return your call within a business day.
The Centers for Medicare & Medicaid Services (CMS) values your feedback and works to continue the quality of the Medicare program. Click the following link to submit your feedback: CMS Medicare Complaint Form
H2931_130403_202845 CMS Pending
Last update: 05/13