Welcome to Your HPN POS Plan
Hi! Welcome to Your Virtual Health Plan Open Enrollment. Glad you can join us.
Health Plan of Nevada (HPN) wants you to understand your health plan and all the programs and services available. Please take time to review the information below.
Let’s get started.
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These videos include general information. For information specific to your plan, please review your plan documents.
HELP UNDERSTANDING YOUR HEALTH PLAN
What’s a Point of Service (POS) health plan?
POS plans provide members with personal care combined with freedom of choice. With a POS plan, you can choose how you want to use your health plan based on three benefit tiers. Your plan provides coverage for medical care, behavioral health, and pharmacy benefits.
Here are some key things to know about an POS plan:
- To take advantage of Tier I benefits, you must choose a Health Plan of Nevada contracted primary care provider (PCP). You’ll see your PCP for routine care, yearly checkups, and other general health concerns. In return, your PCP will keep a record of your health history to make informed decisions about your care.
- With Tier I benefits, your PCP helps coordinate specialty care through a referral. You’ll visit your PCP for an initial exam. If you need a more thorough diagnosis, your PCP will refer you to a specialist. This option provides the most coverage for the least out-of-pocket cost.
- With Tier II benefits, you can bypass your PCP to see a specialist or a doctor in network, but you will share more of the cost. This may include copayments or coinsurance for office visits, coinsurance for other covered services and a deductible. This tier also has a larger provider network and gives you access to the UnitedHealthcare Choice Plus national network.
- With Tier III Out-of-Network, you can visit any licensed health care provider or hospital. However, you are responsible for paying all costs for care at the time of service, filing claim forms for reimbursement, meeting a deductible and sharing higher coinsurance.
To access your POS health plan benefits, just show your HPN health plan ID card. Always carry your health plan ID card with you. Show it when you fill a prescription and check-in for your medical appointments.
Click here to learn about your plans products and services.
HEALTH PLAN PROGRAMS AND SERVICES
Your plan comes with a variety of programs and services to support you when you need care and when you want to maintain or improve your health.
Care Options
- 24/7 Advice Nurse: Care advice from a registered nurse at 1-800-288-2264, TTY: 711.
- 24/7 Virtual Visits: Video chat with a doctor. Service provides same-day medication delivery (restrictions apply). Download the NowClinic app or visit NowClinic.com.
- Urgent Care House Calls: Home urgent care visit when you aren’t feeling well enough to travel. Call the 24/7 advice nurse for more information.
- Urgent Care: Care for non life-threatening but urgent needs.
- 24/7 Emergency Care: Treatment for the sudden onset of life-threatening needs.
Health and Wellness
- Weight Loss Program: Spark your transformation for $0 copay.
- Healthy Rewards: Build healthy habits and earn rewards.
- Wellness Classes: Help to live a healthy life with classes taught by certified health educators.
- Online Wellness Resources: Instant access to wellness resources to inspire healthier living.
- Disease Management: Ongoing one-on-one support and motivation for living with diabetes and asthma.
- Healthy Recipes: Tasty and healthy recipes to bring to your table.
- Healthy Pregnancy: Support with pregnancy and new baby support app, as well as breastfeeding classes with a lactation specialist.
- Digital Health Tools and Apps: Find a variety of tools and mobile apps, including popular brand names, to help support your health and wellbeing.
To find out more about our health and wellness programs, call 1-800-720-7253.
HEALTH CARE AT YOUR FINGERTIPS
- MyHPN App: Easily manage your health plan information on the go. Download the MyHPN app.
- Online Member Center: Keep track of your health plan information 24/7, including claim history, pharmacy benefits and more.
- 24/7 Virtual Visits: Video chat with a doctor. Service provides same-day medication delivery (restrictions apply). Download the NowClinic app or visit NowClinic.com.
- Healthy Pregnancy App: Get pregnancy and parenting information on the go, including personalized clinical content for a week-by-week guide. Download HPN’s Tummy2Toddler app.
- Social Media: Connect with us on Facebook and Instagram for healthy lifestyle content and information about your health plan.
If you have questions about your health plan’s open enrollment period, speak to your employer’s benefit specialist. For questions about your health plan benefits, call HPN at 1-800-777-1840, TTY: 711.