Find Out If Your Doctor Is In
The table below can help you compare Culinary coverage with what is offered by Medicaid managed care organizations in southern Nevada.
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Medical services not covered These are not complete lists of services that are not covered. See each plans handbook for full information. |
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| Anthem Blue Cross and Blue Shield Healthcare Solutions | Health Plan of Nevada’s Medicaid Plan | SilverSummit Healthplan |
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| Anthem Blue Cross and Blue Shield Healthcare Solutions | Health Plan of Nevada’s Medicaid Plan | SilverSummit Healthplan |
|---|---|---|
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Access to a large network of obstetricians
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Access to a large network of obstetricians
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Access to a large network of obstetricians
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Do Plans Which Are Both Obamacare And Off
Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.
Which Insurance Plans Are Accepted At Cleveland Clinic
Below is the list of plans that are accepted at Cleveland Clinic main campus, our family health centers and community hospitals in Northeast Ohio.
The list below is for reference purposes only and is subject to change. Not all plans within the companies listed are considered participating. Always check with your health plan to confirm that Cleveland Clinic is included.
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Who Is Eligible To Receive An Obamacare Subsidy
To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.
- Income requirements based on household size and household income. As examples, earn less than $48,240 for an individual and less than $98,400 for a family of four
- Not eligible for other federal government sponsored insurance, such as Medicare or Medicaid
- Do not have access to a health insurance plan from your employer which meet federal government coverage and affordability requirements
- File taxes or be claimed as a spouse or dependent on taxes. Married couples are required to file taxes jointly.
- Not be incarcerated
- Be legally present in the United States
Extras For New And Expecting Parents
- Custom meal prep and delivery for pregnant women or eligible new moms
- Transportation for parents with kids under age 5 choose a one-month bus pass, $50 Uber card, or $50 gas card
- Electric breast pump
- Baby essentials bundle. New moms pick two:
- Breastfeeding pillow
- Baby proof items – plug protectors, doorknob covers, cabinet & drawer latches
- Books for Babies program
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Anthem Blue Cross And Blue Shield Medicaid
About Anthem Blue Cross and Blue Shield MedicaidAnthem Blue Cross and Blue Shield is one of 14 BadgerCare Plus offerings, and one of 8 Medicaid SSI offerings in Wisconsin. Anthem Medicaid plans are available statewide.
Anthem offers both Mental Health and Substance Use Disorder support for members. Our case managers support members in achieving their goals, like overcoming barriers, maintaining their recovery, or improving overall health. Case managers also help with coordinating care between providers, and help connect members to local resources.
For more information on Anthems Wisconsin Medicaid programs, please visit www.anthem.com/wisconsin. Also, follow us on Facebook at .
What Is The Obamacare Subsidy
The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit . Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received in advance, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.
You must complete an official federal government application to learn your subsidy amount. Everyones amount will be different. The calculation for the subsidy amount can be quite complicated. It is based on several different factors, but household income is the main factor. We recommend using our tool to estimate your subsidy amount.
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Is My Virtual Visit Covered By Insurance
Cleveland Clinic provides virtual visits for your convenience and health. Virtual visits are not covered by all insurance plans. In order to fully understand your benefits and potential cost, contact your insurance company and ask if virtual visits are included in your plan and if not, what it may cost you.
Aim Specialty Health Prior Authorization Program
Blue Cross and Blue Shield of New Mexico has contracted with AIM to provide certain utilization management prior authorization services for certain Commercial, Retail and ASO members and Blue Cross Community Centennial Members. Services requiring prior authorization through AIM are outlined below. AIM is an independent company that provides specialty medical benefits management for BCBSNM.
Use the AIM ProviderPortal for Pre & Post-Service Reviews
Use the AIM ProviderPortal to request prior authorization and respond to post-service review requests by AIM. Do not submit medical records to BCBSNM for prior authorization or post-service reviews for the care categories managed by AIM. Medical records may or may not be needed for pre or post service reviews using the AIM portal due to the smart clinical algorithms within the portal.
Benefits of the AIM ProviderPortal for Pre & Post-Service Reviews
Services requiring prior authorization through AIM:
- Molecular and Genomic Tests
Use the AIM ProviderPortal for Pre & Post-Service Reviews
AIM Contact Information
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Why Should I Consider Off
Off-Exchange plans may provide you with additional options compared to available Obamacare plans. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you.
A second reason for considering Off-Exchange plans is that your favorite doctor may only accept a plan which is available as an Off-Exchange plan. We recommend researching provider networks when considering health insurance plans. We provide links to official provider directories, or doctor lookups, on Health Plan Radar.
In addition, some health insurance companies have been leaving the Obamacare plan market, but they may still offer Off-Exchange plans. Your preferred insurance company may still offer plans on the Off-Exchange market.
Anthem Offers These Benefits To Our Members Through Nevada Medicaid And Check Up
- You live in Clark or Washoe County
- Your monthly income is less than the amount below
Who needs health insurance?
How many people live in your house?
Pregnant women should also count their unborn child.
You may qualify if your monthly income is less than:
Please make your selections above
American Indians who are members of federally recognized Tribes and Alaska Natives are exempt from premiums.
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Whats The Difference Between Obamacare Plans And Off
The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs.
Otherwise there are not many other differences between Obamacare plans and Off-Exchange plans. Plan design, coverage, and rates are similar and both sets of plans must adhere to federal government regulations. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans.
Where Do I Get Started
We know that it can be stressful to navigate the insurance coverage process, but we strive to make it as smooth as possible.
We accept a variety of plans from insurance companies at all of our locations. To verify if your insurance plan is accepted for services across our health system, please review our list of accepted insurance companies below.
If your insurance company is accepted by Cleveland Clinic: Please contact your insurance company to confirm what care is covered by your plan as well as information on copayments, deductibles and coinsurance amounts. See what your out-of-pocket expenses will be using our cost estimator.
If your insurance company is not accepted by Cleveland Clinic: This means your insurance plan is considered out-of-network which can lead to greater out-of-pocket expenses for your care. Please contact your insurance company for more information about what your financial responsibility may be if you choose to receive care at Cleveland Clinic. Find more information about Cleveland Clinics out-of-network insurance process.
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Blue Cross Community Health Planssm
Blue Cross and Blue Shield of Illinois offers Blue Cross Community Health Plans which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support and other health care providers through which Illinois Medicaid members may obtain covered services. Learn more
Who Is Eligible For Obamacare And Off
Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is – who is eligible for a subsidy tax credit? – which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.
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What Are Obamacare Health Insurance Plans
Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Although plans are only offered through the exchange marketplaces, the federal government allows certified brokers, agents, and web brokers to help you enroll in an Obamacare plan and apply for a subsidy.
What Are Off
Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.
You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly.
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