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.

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    Behavioral health

    • Behavioral health and substance use services
    • Walk-in services to help with behavioral health medication
    • Counselors available for behavioral health interventions at some provider offices (Southern Nevada)
    • Virtual visits for behavioral health
    • Support center (meals, showers, laundry, NA/AA meetings, therapy, medical services, employment services, recreation) (Southern Nevada)
    • Coming soon: Support center (meals, showers, laundry, NA/AA meetings, therapy, medical services, employment services, recreation) (Northern Nevada)
    • Mobile response team to evaluate members in the ER
    • Crisis stabilization unit for members in need of a higher level of care
    • Long-term injectable clinic providing medication to members 5 days a week (Southern Nevada)
    • Alcoholism and substance use treatment, including detoxification, treatment and sober living homes (Southern Nevada)
    • Coming soon: Alcoholism and substance use treatment (Northern Nevada)
    • Coming soon: Sobering living homes (Northern Nevada)
    • 24/7 crisis intervention services
    • Coordination of care from hospital to outpatient services (Southern Nevada)
    • Peer-supported behavioral health and substance use therapy (Southern Nevada)
    • Individual, family and group therapy
    • Partial hospitalization program
    • Intensive outpatient program
    • Medication management
    • Neuropsychological services
    • Basic skills training
    • Psychosocial rehabilitation
    • Psychiatric care (same day appointments in Southern Nevada)
    • Day treatment
    • Online behavioral health resources
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    Emergency and hospital care

    • 24/7 emergency services
    • Hospital services
    • Inpatient hospital services, including surgery, X-ray and lab services
    • Outpatient hospital services, including surgery, X-ray and lab services
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    Family services

    • Family planning services and supplies
    • Pregnancy and maternity services
    • Newborn circumcisions
    • Well-child visits
    • Immunizations and shots
    • Pregnancy and new baby support mobile app
    • Nurse case managers and social workers provide instruction and guidance during pregnancy (Southern Nevada)
    • Pregnancy and breastfeeding classes (Southern Nevada)
    • Pregnancy education and breastfeeding instruction with a certified lactation counselor
    • Sports physicals for children
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    Providers

    • Choice of family doctors and specialists.
    • 7,000+ providers to choose from (Northern and Southern Nevada)
    • Direct access to a large network of obstetrical (OB) providers
    • Pregnant members in their third trimester may receive care from their current provider even if the provider isn’t listed in the provider directory
    • Exclusive access to Southwest Medical OB doctors (Southern Nevada)
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    Urgent care services

    • 24/7 urgent care services (Southern Nevada)
    • Unlimited urgent care visits including access to Southwest Medical’s 24/7 urgent care center (Southern Nevada)
    • 21 urgent care centers in Southern Nevada
    • 5 urgent care centers in Northern Nevada
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    No cost extra benefits

    • Boys & Girls Club memberships
    • Rides to doctor appointments, pharmacy and social services
    • Bus passes to get you to your appointments
    • High school equivalency test program
    • Nevada ID card assistance
    • Cell phone with free minutes and unlimited texting from Lifeline®
    • Community Health Workers to help with food, jobs, clothing, transportation, housing and rental assistance
    • Parenting classes (Southern Nevada)
    • Martial arts classes (Southern Nevada)
    • Anti-bullying classes (Southern Nevada)
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    Additional services

    • Prescription and over-the-counter drugs
    • Medical equipment and supplies
    • Eye exams and eyeglasses
    • Hearing tests and services
    • Physical, occupational and speech therapy
    • Dental services
    • Lab and X-rays                        
    • Podiatry services             
    • 24/7 telephone advice nurse   
    • 24/7 virtual visits to see a provider from your cell phone or computer
    • Mobile medical center with two exam rooms, mammography and lab
    • Nursing and social worker case management
    • Weight loss surgery
    • Specialty care
    • Personal care services
    • ABA services for autism treatment
    • Immunizations and flu shots

We put our members first. Bilingual customer service assistants available Monday through Friday, 8 a.m. to 5 p.m. to help with benefits. Call us at 1-800-962-8074, TTY 711.