Coverage and Benefits

Coverage You Need. Benefits You Deserve.

Get health care services at no cost to you. Your plan includes medical, vision, behavioral, pharmacy benefits and more. Plus, you may qualify for no-cost extra benefits like a gym membership, SAM'S CLUBTM Membership, $25 healthy food savings card and free cell phone. Find out if you are eligible.

North

WHEN YOU NEED CARE

Get care when you need it with:

  • Unlimited primary care doctor visits
  • Well-child visits/Early Periodic Screening and Diagnostic Treatment (EPSDT)
  • Immunizations/shots
  • Specialty care
  • Personal care services
  • ABA services for autism treatment
  • Maternity care and breast pumps
  • Family planning
  • Inpatient hospital services
  • Outpatient hospital services
  • Urgent care
  • Emergency care
  • Podiatry services
  • Eye exams, glasses, and contact lens yearly
  • Sports physicals for children yearly
  • Circumcisions for newborns
  • Medical supplies and equipment
  • Emergency transportation
  • Physical, occupational and speech therapy
  • Home health care
  • Private duty nursing
  • Mobile medical center with two exam rooms
  • 24/7 video chat with a provider using NowClinic®
  • Nursing and social worker case management
  • Health education and wellness classes
  • Stop smoking program and medications.
  • Diabetes management programs/classes
  • Asthma management with peak flow meter
  • Home and environmental assessments
  • 24/7 advice nurse
  • Weight loss surgery
  • Chiropractic (under age 21)
  • Orthotics & Prosthetics
  • Skilled-Nursing home services
  • Gender affirming care.
  • Clinical coordinators and Community health workers (CHW) to assist in coordination with community resources to access food, jobs, clothing, transportation, housing, and rental assistance.

11 HOSPITALS IN NORTHERN NEVADA

HPN has the largest provider network in Nevada and is contracted with 11 hospitals in Northern Nevada.

  • Renown Regional Medical Center
  • Renown South Meadows
  • St. Mary’s Regional Medical Center
  • Northern Nevada Sierra Medical Center
  • Northern Nevada Medical Center
  • Incline Village Community Hospital
  • Carson Tahoe Regional Center
  • Carson Valley Medical Center
  • Reno Behavioral Health Hospital
  • Northern Nevada Adult Mental Health Services
  • Willow Springs Behavioral Health Hospital

NO COST EXTRA BENEFITS

HELPING YOU SAVE MONEY:

  • FREE Sam’s ClubTM membership*
  • FREE Rides to medical and behavioral health appointments, pharmacy, and social services*
  • FREE bus passes*
  • FREE Gym Membership including: *
    • Anytime Fitness, Planet Fitness, Club Pilates, virtual classes, and more!
  • FREE On My Way Life Skills Program*
  • FREE Childcare Support Program*
  • FREE $25 Healthy food card when completing your health needs survey*
  • FREE WW® WeightWatchers Membership*
  • FREE Home delivered meals for diabetic management*
  • FREE cell phone with unlimited talk, text, and data*
  • Discounted Haircuts*

SPECIALTY ITEMS FOR FAMILIES:

  • FREE gift cards for certain wellness visits and immunizations*
    • $30 Infant flu shots
    • $15 Annual well-visits for children
    • $25 Annual well-visits for adolescents
    • $35 Annual well-visits for young adults
    • $50 HPV vaccine for adolescents
    • $25 Breast cancer screening
    • $15 Diabetes testing
    • $25 Annual adult preventative visit
  • FREE gift cards for healthy choices related to your mental health*
    • $45 Engagement in alcohol and other drug abuse treatment*

FREE gift cards for healthy pregnancy rewards*

  • $30 Prenatal care visit
  • $30 Postpartum doctor visit

FREE $75 Baby Essentials gift card when completing the UHC HPN Medicaid healthy pregnancy and baby class*

FREE Electric breast pump

FREE Boys & Girls Club membership for kids ages 5-18

FREE Diapers for pregnant mothers who complete smoking cessation classes and quit smoking*

EXTRA SUPPORT WHEN YOU NEED IT:

  • FREE Nevada high school test preparation class and exam
  • FREE Nevada ID card or birth certificate assistance
  • FREE Closed loop referral navigation (referrals for social needs)

HOUSING ASSISTANCE:

  • Housing Navigation*
  • Housing transition support*
  • Housing support services*
  • Medical respite beds*
  • Long-term supportive housing program*

*Applies to qualified individuals

PREGNANCY SERVICES:

  • Direct access to a large network of obstetrical (OB) providers
  • FREE gift cards for healthy pregnancy rewards program for members who qualify*
    • $30 Prenatal care visit
    • $30 Postpartum doctor visit
  • Pregnant members in the third trimester may receive care from their current OB provider even if the provider is not listed in the provider directory.
  • Specialized team of nurse case managers and social workers provide instruction and guidance during pregnancy and postpartum, early childhood needs.
  • Pregnancy education and breastfeeding instruction with a certified lactation consultant
  • Tummy2Toddler app- Pregnancy and up to 2 yrs. old support helps you stay healthy during every step of your pregnancy.
  • Count the Kicks app helps parents monitor their baby’s well-being in the third trimester.

ADDITIONAL BENEFITS:

  • FREE gift cards for certain wellness visits and immunizations*
    • $30 Infant flu shots
    • $15 Annual well-visits for children
    • $25 Annual well-visits for adolescents
    • $35 Annual well-visits for young adults
    • $30 HPV vaccine for adolescents
    • $25 Breast cancer screening
    • $15 Diabetes testing
    • $25 Annual adult preventative visit
  • FREE $75 Baby Essentials gift card when completing the UHC HPN Medicaid healthy pregnancy and baby class*
  • FREE Electric breast pump
  • FREE Diapers for pregnant mothers who complete smoking cessation classes and quit smoking*

MEDICATIONS

Prescription and over- the-counter drugs are 100% covered with a prescription.

Contracted pharmacies:

  • Walmart/ Sam’s Club
  • Walgreens
  • CVS (also inside Target)
  • Raley’s
  • Safeway
  • Smith’s
  • Save Mart
  • Other independent pharmacies
  • Home delivery of specialty drugs

UNLIMITED URGENT CARE VISITS

  • Renown Health Urgent Care

975 Ryland St., Ste. 100
Reno, NV 89502
775-982-5000

  • Renown Health Urgent Care

1343 W. Newlands Dr.
Fernley, NV 89408
775-982-5000

  • Renown Health Urgent Care

560 E. Williams Ave.
Fallon, NV 89406
775-982-5000

  • Renown Health Urgent Care

440 USA Parkway Ste 101
Sparks, NV 89437
775-982-5000

  • Renown Health Urgent Care

2814 N. Carson St Ste 101
Carson City, NV 89706
775-982-5000

  • Carson Valley Medical Center Rural Health Clinic

897 Iron Wood Drive
Minden, NV 89423
775-782-1610

  • Saint Mary’s Medical Group

6225 Sharlands Ave.
Reno, NV 89523
775-770-7580

  • Saint Mary’s Medical Group

5070 Ion Dr. #100
Sparks, NV 89523
775-770-7580

  • Northern Nevada Urgent Care

5575 Kietzke Ln
Reno, NV 89511
775-355-5010

  • Northern Nevada Urgent Care

5265 Vista Blvd., Bldg. B
Reno, NV 89436
775-355-5010

  • Minuteclinic Diagnostic of Nevada

299 E. Plumb Ln. #170
Reno, NV 89523

  • Minuteclinic Diagnostic of Nevada

1695 Robb Dr.
Reno, NV 89523

  • Minuteclinic Diagnostic of Nevada

680 N. Mccarran Blvd
Sparks, NV 89431

  • Minuteclinic Diagnostic of Nevada

55 Damonte Ranch Pkwy.
Reno, NV 89521

In-home and mobile urgent care

  • 24/7 video chat with a provider using NowClinic®
  • Urgent care that comes to you with at-home urgent care services using Doctoroo

 

INPATIENT BEHAVIORAL HEALTH SERVICES

  • Inpatient psychiatric care
  • Inpatient alcohol and substance use care including detox.
  • Residential treatment center (under 21)
  • Coordination of care from hospital to outpatient services
  • Mobile response team to evaluate members in the ER.

OUTPATIENT SERVICES

  • Psychiatric care (same day appointments)
  • No referral needed for mental health appointments.
  • Walk-in clinics
  • Counseling
  • Individual, family and group therapy
  • Medication management
  • Alcohol and substance use treatment.
  • Medication assisted treatment (MAT)
  • Sober living homes*
  • 24/7 Crisis stabilization services
  • Online visits through NowClinic
  • In-person and telephonic case management
  • Partial hospitalization program (PHP)
  • Intensive outpatient program (IOP)
  • Peer support recovery services
  • Neuropsychological services
  • Basic skills training (BST)
  • Psychosocial rehabilitation (PSR)

*Applies to qualified individuals

South

WHEN YOU NEED CARE

Get care when you need it with:

  • Unlimited primary care doctor visits
  • Contracted with all local hospitals.
  • Nevada’s only plan with access to Southwest Medical Associates
  • Well-child visits/Early Periodic Screening and Diagnostic Treatment (EPSDT)
  • Immunizations/shots
  • Specialty care
  • Personal care services
  • ABA services for autism treatment
  • Maternity care and breast pumps
  • Family planning
  • Inpatient hospital services
  • Outpatient hospital services
  • Urgent care
  • Emergency care
  • Podiatry services
  • Eye exams, glasses, and contact lens yearly
  • Sports physicals for children yearly
  • Circumcisions for newborns
  • Medical supplies and equipment
  • Emergency transportation
  • Physical, occupational and speech therapy
  • Home health care
  • Private duty nursing
  • Mobile medical center with two exam rooms
  • 24/7 video chat with a provider using NowClinic®
  • Nursing and social worker case management
  • Health education and wellness classes
  • Stop smoking program and medications.
  • Diabetes management programs/classes
  • Asthma management with peak flow meter
  • Home and environmental assessments
  • 24/7 advice nurse
  • Weight loss surgery
  • Chiropractic (under age 21)
  • Orthotics & Prosthetics
  • Skilled-Nursing home services
  • Gender affirming care.
  • Clinical coordinators and Community health workers (CHW) to assist in coordination with community resources to access food, jobs, clothing, transportation, housing, and rental assistance.

20 HOSPITALS IN SOUTHERN NEVADA

HPN has the largest provider network in Nevada and is contracted with 20 hospitals in Southern Nevada.

  • Sunrise Hospital
  • Sunrise Children’s Hospital
  • University Medical Center
  • Valley Hospital Medical Center
  • MountainView Hospital
  • Centennial Hills Hospital
  • Desert Springs Hospital
  • Henderson Hospital
  • North Vista Hospital
  • Spring Valley Hospital
  • Summerlin Hospital Medical Center
  • Southern Hills Hospital
  • St. Rose Dominican Rose de Lima
  • St. Rose Dominican San Martin
  • St. Rose Dominican Siena
  • Seven Hills Hospital
  • Spring Mountain Sahara
  • Spring Mountain Treatment Center
  • Desert Parkway Behavioral Healthcare Hospital
  • Southern Nevada Adult Mental Health Services

NO COST EXTRA BENEFITS

HELPING YOU SAVE MONEY:

  • FREE SAM’S CLUBTM membership*
  • FREE Rides to medical and behavioral health appointments, pharmacy, and social services*
  • FREE bus passes*
  • FREE Gym Membership including:*
    • YMCA, LVAC, Planet Fitness, EOS, virtual classes, and more!
  • FREE YMCA Family Plan*
  • FREE Cox Communications Internet and Device Access Navigation*
  • FREE On My Way Life Skills Program*
  • FREE Childcare Support Program*
  • FREE $25 Healthy food card when completing your health needs survey*
  • FREE WW® WeightWatchers Membership*
  • FREE Home delivered meals for diabetic management*
  • FREE cell phone with unlimited talk, text, and data*
  • FREE Medication delivery service with Nowclinic virtual visits
  • FREE Goodwill Opportunity Accelerator workforce program
  • Discounted Haircuts*

SPECIALTY ITEMS FOR FAMILIES:

  • FREE gift cards for certain wellness visits and immunizations*
    • $30 Infant flu shots
    • $15 Annual well-visits for children
    • $25 Annual well-visits for adolescents
    • $35 Annual well-visits for young adults
    • $50 HPV vaccinations for adolescents
    • $25 Breast cancer screening
    • $15 Diabetes testing
    • $25 Annual adult preventative visit
  • FREE gift cards for healthy choices related to your mental health*
    • $45 Engagement in alcohol and other drug abuse treatment*
  • FREE gift cards for healthy pregnancy rewards*
    • $30 Prenatal care visit
    • $30 Postpartum doctor visit
  • FREE $75 Baby Essentials gift card when completing the UHC HPN Medicaid healthy pregnancy and baby class*
  • FREE Electric breast pump
  • FREE Boys & Girls Club membership for kids ages 5-18
  • FREE Diapers for pregnant mothers who complete smoking cessation classes and quit smoking*

EXTRA SUPPORT WHEN YOU NEED IT:

  • FREE Nevada high school test preparation class and exam
  • FREE Nevada ID card or birth certificate assistance
  • FREE Closed loop referral navigation (referrals for social needs)

HOUSING ASSISTANCE:

  • Housing Navigation*
  • Housing transition support*
  • Housing support services*
  • Medical respite beds*
  • Long-term supportive housing program*

In person/local member concierge services

*Applies to qualified individuals

PREGNANCY SERVICES:

  • Direct access to a large network of obstetrical (OB) providers
  • FREE gift cards for healthy pregnancy rewards program for members who qualify.
    • $30 Prenatal care visit
    • $30 Postpartum doctor visit
  • Exclusive access to Southwest Medical OB doctors
  • Access to Women’s Health Associates of Southern Nevada’s Quick Care at 517 Rose St., Las Vegas, NV 89106
  • Pregnant members in the third trimester may receive care from their current OB provider even if the provider is not listed in the provider directory.
  • Doula/Birthing Program
  • Specialized team of nurse case managers and social workers provide instruction and guidance during pregnancy and postpartum, early childhood needs.
  • Pregnancy education and breastfeeding instruction with a certified lactation consultant
  • Tummy2Toddler app- Pregnancy and up to 2 yrs. old support mobile app helps you stay healthy during every step of your pregnancy.
  • Count the Kicks app helps parents monitor their baby’s well-being in the third trimester.

ADDITIONAL BENEFITS:

  • FREE gift cards for certain wellness visits and immunizations*
    • $30 Infant flu shots
    • $15 Annual well-visits for children
    • $25 Annual well-visits for adolescents
    • $35 Annual well-visits for young adults
    • $30 HPV vaccinations for adolescents
    • $25 Breast cancer screening
    • $15 Diabetes testing
    • $25 Annual adult preventative visit
  • FREE $75 Baby Essentials gift card when completing the UHC HPN Medicaid healthy pregnancy and baby class*
  • FREE Electric breast pump
  • FREE Diapers for pregnant mothers who complete smoking cessation classes and quit smoking*

MEDICATIONS

Prescription and over- the-counter drugs are 100% covered with a prescription.

Contracted pharmacies:

  • Walmart/Sam’s Club
  • Walgreens
  • CVS (also inside Target)
  • Albertson’s
  • Smith’s
  • Vons
  • Other independent pharmacies
  • Home delivery of specialty drugs

FREE same-day medication delivery when using the NowClinic virtual visit app.

UNLIMITED URGENT CARE VISITS INCLUDING ACCESS TO SOUTHWEST MEDICAL’S 24/7 URGENT CARE CENTER

  • 2 Children's Urgent Care and Pediatric Centers with locations in: 89014 and 89129
  • Goodnight Pediatrics of Nevada

2651 N. Green Valley
Pkwy, #101D
Henderson, NV 89014

  • 6 Southwest Medical Urgent Care with locations in: 89106, 89119, 89128, 89052, 89149, and 89030
  • Southwest Medical offers extended evening and weekend hours at some of its locations; same day appointments available
  • 9 UMC Quick Care with locations in: 89139, 89149, 89106, 89128, 89103, 89130, 89117, 89110, and 89014
  • 3 Intermountain Healthcare Urgent Care with locations in: 89103, 89117, and 89048
  • 17 CareNow Urgent Care with locations in: 89117, 89142, 89032, 89139, 89015, 89130, 89147, 89183, 89103, 89129, 89014, 89141, 89113, (2) 89031, 89052, and 89102

In-home and mobile urgent care

  • 24/7 video chat with a provider using NowClinic®
  • Urgent care that comes to you with at-home urgent care services using Ready Responders and DispatchHealth

INPATIENT BEHAVIORAL HEALTH SERVICES

  • Inpatient psychiatric care
  • Inpatient alcohol and substance use care including detox.
  • Residential treatment center (under 21)
  • Coordination of care from hospital to outpatient services
  • Mobile response team to evaluate members in the ER.

OUTPATIENT SERVICES

  • Psychiatric care (same day appointments)
  • No referral needed for mental health appointments.
  • Walk-in clinics
  • Counseling
  • Individual, family and group therapy
  • Medication management
  • Alcohol and substance use treatment.
  • Medication assisted treatment (MAT)
  • Sober living homes*
  • 24/7 Crisis stabilization services
  • Online visits through NowClinic
  • In-person and telephonic case management
  • Partial hospitalization program (PHP)
  • Intensive outpatient program (IOP)
  • Peer support recovery services
  • Neuropsychological services
  • Basic skills training (BST)
  • Psychosocial rehabilitation (PSR)
  • Long-term injectable clinics provide medication to members 5 days a week.
  • Parenting classes and support groups
  • Teen Talk Classes

*Applies to qualified individuals

Special programs provided by Human Behavior Institute (HBI) - Staffed to assist members. Provides immediate transportation, primary and behavioral care, telehealth services and peer support.

We put our members first. Bilingual customer service assistants available Monday through Friday, 8 a.m. to 6 p.m. to help with benefits. Call us at 1-800-962-8074, TTY 711.