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Health Plan of Nevada Health Insurance in NEVADA – Health Plan Options

Health Plan of Nevada — Distinct Advantage HMO Option 1

A comparison of the Distinct Advantage HMO Option 1 offered by Health Plan of Nevada is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.
Copay	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.
Deductible	N/A	N/A

Health Plan of Nevada — Distinct Advantage HMO Option 2

A comparison of the Distinct Advantage HMO Option 2 offered by Health Plan of Nevada is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral
Copay	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral
Deductible	N/A	N/A

Health Plan of Nevada — Distinct Advantage POS Option 3

A comparison of the Distinct Advantage POS Option 3 offered by Health Plan of Nevada is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	Tier I HMO Network- N/A Tier II Plan Provider- After satisfying your CYD, coinsurance for most Tier II Plan Provider Covered Services is 20% of EME.	Tier III NonPlan Provider- After satisfying your CYD, coinsurance for most Tier III Non Plan Provider Covered Services is 40% of EME.
Office Visit	Tier I HMO Network: Primary Care Physican- $15 per visit Specialist- $30 per visit - Referral Required Tier II Plan Provider: Primary Care Physican- $30 per visit Specialist- $45 per visit - Prior Authorization is not required for Tier II & Tier III benefits	Tier III NonPlan Provider- After CYD, Member pays 40% of Eligible Medical Expenses (EME).
Copay	Tier I HMO Network: Primary Care Physican- $15 per visit Specialist- $30 per visit - Referral Required Tier II Plan Provider: Primary Care Physican- $30 per visit Specialist- $45 per visit - Prior Authorization is not required for Tier II & Tier III benefits	Tier III NonPlan Provider- After CYD, Member pays 40% of Eligible Medical Expenses (EME).
Deductible	Tier I HMO Network- N/A Tier II Plan Provider- $500 per Member/$1,500 per family. Calendar year deductible is combined total of EME for Tier II Plan Provider and Tier III Non-Plan Provider Covered Services.	Tier III NonPlan Provider- $500 per Member/$1,500 per family. Calendar year deductible is combined total of EME for Tier II Plan Provider and Tier III Non-Plan Provider Covered Services.

Health Plan of Nevada — Distinct Advantage HMO Option 4

A comparison of the Distinct Advantage HMO Option 4 offered by Health Plan of Nevada is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral
Copay	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral
Deductible	N/A	N/A