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There’s an individual plan that’s right for you

We offer Gold, Silver and Bronze HMO plans. The choice is up to you.

 

Plan level

Gold

Silver

Bronze

Monthly premium

Moderate $$$

Low $$

Lowest $

Cost per visit/prescription

$$

$$$

$$$

Plan pays

80%

70%

60%

You pay

20%

30%

40%

May be best if you…

Want to manage monthly premium costs and reduce out-of-pocket health expenses

Want to balance monthly premium costs with out-of-pocket health expenses

Rarely use medical services

Primary care visits (before deductible)

blue star

blue star

blue star

Mental health visits (before deductible)

blue star

blue star

blue star

Virtual visits with NowClinic®

blue star

blue star

blue star

Specialty care visits (before deductible)

blue star

blue star

Blue circle

Urgent care visits (before deductible)

blue star

blue star

Blue circle

Physician extender visits (before deductible)

blue star

blue star

Blue circle

Pharmacy tier 1 and tier 2 drugs (before deductible)

blue star

blue star

Blue circle

This table is a snapshot of our most popular covered benefits.

What’s an Health Maintenance Organization (HMO) plan?

Easier on the wallet, HMO plans are designed to save you money on out-of-pocket costs.

HMO members are required to choose a primary care provider (PCP) and stay within a network of providers, urgent cares, and hospitals to receive coverage under the plan. Females 14 years and older may select an OB/GYN in addition to a PCP.

To have a specialist visit covered, you must see your PCP for an initial exam. Your PCP is the leader of your care team and will give you a referral to a specialist for a more thorough diagnosis, if needed.

HPN has the largest provider network in Nevada and many doctors are only in our network.

For a complete list of providers, visit HealthPlanofNevada.com. If you need help scheduling an appointment or finding the right provider to fit your specific needs, our Member Services team can help.

Choose an HPN plan. Find out if you qualify for financial assistance with an HPN Exchange plan or shop our Off Exchange plans.

 

blue starMember is responsible for copay before the deductible* is met on most plans

Blue circleMember is responsible for copay after the deductible is met on some but not all plans

*A deductible is a specific amount you must pay before your insurance coverage kicks in.