If you have a POS plan, you have access to a variety of benefits and covered services with a three-tier design. Each tier mixes flexibility and costs. You control your out-of-pocket expenses while receiving a full range of health care benefits. You may choose to access care from any tier - every time you seek health care.
Tier I benefits (HMO)
Tier I benefits give you the most value for the least out-of-pockets costs. Most services have set copayments with no calendar year deductible or coinsurance. Your HPN primary care provider will arrange for most of the covered services available under this benefit tier. Low copayments make quality health care affordable.
Tier I providers are included in the Health Plan of Nevada HMO provider directory:
Tier II Benefits (Expanded Plan Provider)
Tier II benefits give you additional provider choices with set copayments for routine care. After meeting a calendar year deductible, you will pay coinsurance for non-routine covered services.
Tier II Expanded Plan providers are included in the provider directories for Sierra Health and Life, Northern Nevada Health Network and UnitedHealthcare Choice Plus.
Outside of Clark & Nye counties, NV, Mohave County, AZ or Washington County, UT?
You may have access to the Choice Plus network of providers outside of Clark and Nye counties, Nevada, Mohave County, Arizona or Washington County, Utah.
Please note: UnitedHealthcare Choice Plus Network must appear on the back of your health plan ID card in the area labeled Network in order to access the Choice Plus network. (See red highlighted area below:)