Health Plan Of Nevada Medicaid Number


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Answer a few questions to see which insurance options may be available for you.


  • Primary insured must be 18 years of age or older.
  • Vision plans are administered by Spectera, Inc. 12-month initial policy term required . See plan brochure for specific information.
  • Available in most states. Additional premium required.
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    Everything You Need Is In Your Wallet

    Always carry your health plan ID card with you. Show it when you fill a prescription and check-in for your medical appointments.

    Card shown is an example Plan and copays may differ.

    Type of plan you have.
    2 Member ID and Group Number: Use these when you register for an online member center account, fill out patient forms or call with questions.
    3 Copay: Amount you pay for a covered service .
    4 Plan deductible: Amount you pay per individual or family for health care services before your health insurance kicks in.
    5 Out-of-pocket maximums: The most you could pay each year for covered health care expenses per individual or family.
    6 Member Services: Call this number when you cant find the answer to your benefit question online or need help finding or changing a doctor.
    7 24/7 advice nurse: Call this number when you need self-care advice or help deciding where to go for care.

    Sorry We May Not Have A Medicaid Plan For You At This Time

    Weve heard your questions. Please read on for answers.

    For up-to-date information about available primary care doctors, specialists, pharmacies, and facilities in the Molina network, for our provider directory. Or call us at 616-0167 for assistance. Please note, the directory is being updated daily.

    Read Also: I Have Medicare How Do I Apply For Medicaid

    Hospital & Doctor Insurance

    Health ProtectorGuard fixed indemnity insurance,2 underwritten by Golden Rule Insurance Company, can supplement your major medical plan by paying cash for eligible, covered medical services, like a doctor visit, a trip to urgent care or a surgical procedure.

    • No deductibles or copays to pay first
    • Benefits paid regardless of other insurance
    • Money to pay costs not covered by major medical plans, like a deductible

    Health Plan Of Nevada Health Education Wellness

    Tarjeta de Identificación de Health Plan of Nevada

    Health Plan of Nevada believes the key to preventive health care is education. HPN provides members the knowledge and tools to improve the quality of their lives by offering group classes and individual consultations.

    Health Plan of Nevada also offers employers Worksite Wellness Programs to improve the health of employees.

    Shopping for a Health Insurance Plan

    Get a Fast & Free Online Quote

    Please call to make an appointment

    3). Online Quote


    Read Also: List Of Oral Surgeons That Accept Medicaid

    Use The Links Below To Start Your Search can help you find a Optometrist who accepts Medicaid insurance in Nevada. Doctors of optometry are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify Related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

    Health Plan Of Nevadas Member Assistance Program

    The Life Connection is a comprehensive member assistance program that is offered by Behavioral Healthcare Options. This free service provides members visits with professional counselors to help members better handle legal issues, parenting, stress and emotional well-being.

    UnitedHealthcare created Behavioral Healthcare Options in 1991 which is a sister company to Health Plan of Nevada. Behavioral Healthcare Options provides members mental health, addiction treatment, employee assistance programs, work-life and wellness services benefits. The benefits are made to help members stay healthy and promote the emotional and physical well-being of every individual.

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    Confirm Details Before Your Appointment

    Now that you have the official list of local eye doctors who accept the specific Medicaid plan you have, you should contact the provider to confirm several details before booking an appointment. You do not want any nasty surprises.

    • Provider directories are not always up-to-date. Call the vision center to verify that they still participate in your plan. Be specific.
    • Ask if they are taking new patients covered by Medicaid. Many providers treat a set number of low-income families to serve a public good. However, they often lose money on each individual because reimbursement rates are meager, so they institute a limit.

    Good luck!

    Also Check: Does Medicaid Pay For Assisted Living In Washington State

    Accident & Critical Illness Insurance

    Get integrated health care with Health Plan of Nevada

    Accidental injuries and critical illness happen when you least expect them. Those unexpected expenses can strain any budget. Accident insurance2 and critical illness insurance2 can help by paying cash benefits for covered injuries or illnesses.

    The Accident Pro series of products, underwritten by Golden Rule Insurance Company, combines accident insurance with critical illness, hospitalization, and accidental death and dismemberment coverage all in one. Some plans are guaranteed issue, meaning your application wont be turned down for preexisting conditions.

    Also Check: Does Medicaid Pay For Medical Equipment

    Fill Out The Application

    Remember to do the research and pick your ideal provider before coming back to this step. When filling out the form, youâll be asked about your preferred Medicaid plan.


    Create an account with DWSS and complete the online application

    . Fill it out and mail it to the address on the form.

    As youâll see, the application is quite long, and you may feel like you need help.

    You can contact the DWSS with any questions and theyâll help you complete the application. Also, you can ask them about any supporting documents that you might need to send in.

    Otherwise, if youâve already picked a Medicaid plan, you can call them as well. Theyâll be willing to help you as it is also in their best interest to get you approved as quickly as possible.

    In person

    Similar to the mail option, complete the paper application. Then bring it to your local DWSS office for submission.

    Know State Policy On Medicaid

    It is important to know your Medicaid vision coverage in your state. This is called state policy on Medicaid and this may vary according to state. More importantly, there may also be different rules and regulations on Medicaid coverage. It is also important to know that your state is covering vision care. For this, you should know what eye doctors cover for eye care services.

    Also Check: How To Get Hearing Aids Through Medicaid

    Unitedhealthcare Senior Care Options Plan

    UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

    How To Pay For Treatment With Hpn Medicaid

    Health Plan ID Card

    For many of us, navigating the insurance verification process can be challenging. Often, it can become an additional obstacle for those seeking treatment for an addiction or mental health issue.

    To pay with the Health Plan of Nevada Medicaid insurance, youll want to ensure that your plan covers the specific type of rehab or treatment services you desire. You can do this in two ways. You can use our easy insurance verification form, or you can call your HPN provider.

    Our insurance verification process requires your contact and insurance information. When you provide this information, we will check if your insurance plan covers the desired treatment plan.

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    What Is Nevada Medicaid Number

    Nevada Medicaid number where you can call and speak to Nevada state health care agent regarding Apply for Nevada Medicaid is .

    Nevada Medicaid hours of operation regarding Apply for Nevada Medicaid are Monday Friday, 9:00am 6:00pm, PT, closed on State holidays, but the best calling hours for Nevada Medicaid to call regarding Apply for Nevada Medicaid are 9:30 am to 2:00 pm.

    Health Plan Of Nevadas Prescription Drug Benefit Program

    Health Plan of Nevada offers a Preferred Drug List and Plan Pharmacies to help keep prescription costs low while providing members with choice.

    Health Plan of Nevada coverage also offers an Online Pharmacy and Mail Order Program, which provides 90-day supplies of medication ensuring affordability and safety. Members can contact specialist pharmacists when needed and can conveniently receive medications in the mail. They also provides easy and convenient access to personal prescription records.

    Pole Vault

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    Education And Leadership Positions

    • Board Certification: American Board of Ophthalmology
    • Fellow: American Academy of Ophthalmology, American Society of Ophthalmic Plastic and Reconstructive Surgery, American College of Surgeons
    • Physician CEO:
    • Fellowship Training: Ophthalmic Plastic and Reconstructive Surgery, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon
    • Residency: Dean McGee Eye Institute, University of Oklahoma, Oklahoma City, Oklahoma
    • MD: University of Manitoba College of Medicine, Winnipeg, Manitoba, CA
    • Pre-med: University of Winnipeg, Winnipeg, Manitoba, CA

    If you are interested in learning more about New Eyes and the treatment options we offer, or would like to schedule an appointment with Dr. Hildebrand, please contact us today.

    Addiction Treatment Coverage Offered By Health Plan Of Nevada Medicaid

    Medicare Help in Las Vegas, Nevada from a Local UnitedHealthcare Agent

    HPN uses the Behavioral Healthcare Options as its substance abuse and mental health services provider. As such, HPN covers:

    • Mental health and substance abuse treatment
    • Online resources with answers to your questions
    • 24/7 emergency crisis intervention and stabilization services

    The Behavioral Healthcare Options helps their members access the mental health and substance abuse treatment services they need most.

    HPN covers the following addictions:

    • Opioids

    While HPN typically covers the above treatment plans, it is best to check with your provider to verify what levels of care are covered by your plan. Our admissions team can assist you in verifying your benefits by calling .

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    Pick The Medicaid Plan That Best Suits You

    Once youâve confirmed your eligibility, the next step is to pick an insurance plan that best suits you.

    As we mentioned previously, in the state of Nevada, Medicaid benefits are delivered and distributed through state-approved insurance plans known as Managed Care Organizations .

    Letâs say you need to visit the doctor for a check-up, screening, or an X-ray. Or perhaps you need to visit the pharmacy to fill your prescription.

    Youâd visit a doctor or pharmacy within your state-approved MCOs network. Theyâd provide you the necessary services, and for the most part, you wouldnât pay anything out-of-pocket if you have Medicaid.

    The service provider gets paid through the MCO, and the MCO gets reimbursed from the state.

    But depending on your specific needs, location, and other factors, specific MCOs might be better for you than others.

    And below, weâll cover each Nevada Medicaid plan in detail to help you understand which plan is right for you.

    But before, letâs quickly cover how to apply for Medicaid in Nevada, which is the next step.

    What Is Nevada Medicaid Fax Number

    Nevada Medicaid fax number where you can send fax messages including application forms for Nevada state health insurance is 775-335-8593.

    Are you looking for additional information for Nevada Medicaid and Nevada state health insurance? Do you need any assistance with Nevada Medicaid? Please contact us and we will be happy to help you with any Medicaid application related matter.

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    Manage Your Access Nevada Plan

    Medicaid is an optional medical coverage program that states elect to provide to their residents. Depending on your income and family size, you or your family members may qualify for government-supplied healthcare, such as Medicaid. If you do qualify for Medicaid, there is no limited-enrollment period, meaning you can enroll at any time.

    If you need to manage your Medicaid or Nevada Check Up plan, you can call 1-877-543-7669, visit Access Nevada, or visit the Division of Welfare and Supportive Services for a list of local numbers.

    What Will Medicaid Cover

    SHL Provider Directories
    • Medicaid covers both routine and comprehensive eye exams which can include a variety of testing such as visual field test, pupil dilation, color blindness, glaucoma, and many others.
    • Medicaid covers glaucoma screenings for people at higher risk for glaucoma.
    • Medicaid covers eyeglasses that includes the frames, lenses, fittings, repairs and replacements of glasses.
    • Medicaid covers bifocal and trifocals, or for two pair of single vision glasses if bifocals dont work. Over-sized lenses, no-line, progressive multi-focal and transitions are not a covered Medicaid benefit. However, if you want to buy these, you can pay for the additional costs.
    • Medicaid only covers contact lenses if they are considered medically necessary and if there is no other alternative treatment. If they arent medically necessary, but you want them, you can pay for them separately.
    • Medicaid Covers safety frames.

    Recommended Reading: Arkansas Medicaid Program Phone Number

    Health Plan Of Nevada

    Telephone: 962-8074

    Medical services covered

    For a full list of benefits from HPN, visit their website, or this comparison chart from the Nevada Department of Health and Human Services.

    If you sign up with HPN, here are some of the key benefits youâll receive.

    • Unlimited primary care physician visits
    • Wellness screening for children
    • Immunizations/shots

    Look for HPN providers in your area.

    Co pays

    According to HPNâs coverage and benefits page, you receive all covered services at no extra cost to you.

    Customer Service

    • 24/7 virtual visits using NowClinic
    • Helpful member handbook

    Who is HPN best for

    HPN is another great option for most Nevada residents, and also popular with those living in the Las Vegas area.

    HPN provides additional support and assistance to pregnant women through gift cards, maternity care and community health workers. Thereâs also a pregnancy and new baby support mobile app.

    The plan also covers personal care services and transportation services to those with disabilities.

    So, HPN could be a good option for pregnant women or those living with disabilities.

    Does Medicaid Cover Glasses

    The amount of vision coverage offered by Medicaid varies by state. Typically, Medicaid covers the cost of medically necessary vision care. What qualifies as medically necessary also varies by state, but it usually includes diagnosis and treatment of an illness, injury, condition, or disease.

    Eyeglasses and contact lenses do not always qualify as medically necessary, though many states cover the costs of services related to getting them anyway. The cost of prescription glasses and basic frames is usually covered, though you must confirm how much coverage your state offers through your individual Medicaid plan provider.

    Of note, most states do not cover the costs of contact lenses when they are requested only for cosmetic reasons, which is simply because you like the way they look better than eyeglasses. Some eye conditions qualify people for contact lens coverage. For example, people will be covered for contacts following cataract surgery.

    Read Also: Does Medicaid Pay For Hospice Room And Board

    Which Is The Best Nevada Mco

    Since all the MCOs are state-approved, they have to maintain a certain level of service and standard to maintain their approved MCO status.

    So, regardless of which one you choose, you can expect high quality service.

    What it comes down to then, is how easily you can access their services based on their networks. In other words, look for service providers in your area, or ones that you want to visit, and find out if they are covered under an MCO.

    You can use the links listed above to find providers under each plan.

    The other things to consider can be the additional medical services and perks offered by each MCO, and to see if any of those benefits meet a specific need for you or your family members.

    Find Out If Your Doctor Is In

    Health Plan of Nevada

    The table below can help you compare Culinary coverage with what is offered by Medicaid managed care organizations in southern Nevada.

    Medical services not covered

    These are not complete lists of services that are not covered. See each plans handbook for full information.

    Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada’s Medicaid Plan SilverSummit Healthplan
    • Abortions
    • Acupuncture
    • Chiropractic services for members 21+
    • Experimental treatments
    • Reversal of transgender surgery/cosmetic procedures
    • Routine foot care
    • Abortions
    • Acupuncture
    • Chiropractic services for members 21+
    • Experimental treatments
    • Reversal of transgender surgery/cosmetic procedures
    • Routine foot care
    • Abortions
    • Acupuncture
    • Chiropractic services for members 21+
    • Experimental treatments
    • Reversal of transgender surgery/cosmetic procedures
    • Routine foot care


    Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada’s Medicaid Plan SilverSummit Healthplan
    • Sunrise Hospital/Sunrise Childrens Hospital
    • University Medical Center
    • Sunrise Hospital/Sunrise Childrens Hospital
    • University Medical Center
    • Sunrise Hospital/Sunrise Childrens Hospital
    • University Medical Center

    Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada’s Medicaid Plan SilverSummit Healthplan

    • CareNow Urgent Care
    • Good Night Pediatrics
    • UMC Quick Care

    Recommended Reading: Does Medicaid Pay For Vision

    Nevada Medicaid Benefits Overview

    SilverSummit Healthplan offers quality healthcare for Nevada Medicaid and Nevada Check Up members.

    Nothing is more important than you and your families’ health. This is why we offer medical care and benefits to fit your needs. This is not a full list. Our has details on all the available benefits.

    If you have any questions, contact us at 1-844-366-2880 .


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