Health Plan of Nevada, Inc. - HPN

Health Plan of Nevada, Inc. - HPN





	Enrollment Eligibility Pre-Enrollment Information Enrollment Consultation Enrollment Instructions and Form Notice of Privacy Practices Eligibility Pre-Enrollment Information Enrollment Consultation Enrollment Instructions and Form Notice of Privacy Practices Eligibility Pre-Enrollment Information Enrollment Consultation Enrollment Instructions and Form Notice of Privacy Practices Eligibility Pre-Enrollment Information Enrollment Consultation Enrollment Instructions and Form Notice of Privacy Practices Eligibility Pre-Enrollment Information Enrollment Consultation Enrollment Instructions and Form Notice of Privacy Practices 2010 Plan Description 2010 Summary of Benefits 2010 Evidence of Coverage 2010 Summary of Benefits 2010 Evidence of Coverage Prescriptions Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Formulary Deletions Update 2010 Formulary 2010 Prior Authorization Criteria 2010 Step Therapy Criteria Formulary Medication Limitations Medicare Transitional Care Policy and Procedure Vaccine Administration Notice Information for Individuals with Limited Income Grievances and Appeals for Part D Coverage Determinations and Redeterminations Exceptions and Prior Authorizations 2010 Direct Member Reimbursement Form CMS Best Available Evidence (BAE) Policy Provider/Pharmacy List - Southern Nevada Provider/Pharmacy List - Northern Nevada Searchable Provider Directory Programs Member Services HIV Screening Requirement for High Risk Populations Fit for Life Club Fitness Benefit Member Value Program Member Newsletter Member Services HIV Screening Requirement for High Risk Populations Fit for Life Club Fitness Benefit Member Value Program Member Newsletter Member Services HIV Screening Requirement for High Risk Populations Fit for Life Club Fitness Benefit Member Value Program Member Newsletter Member Services HIV Screening Requirement for High Risk Populations Fit for Life Club Fitness Benefit Member Value Program Member Newsletter Member Services HIV Screening Requirement for High Risk Populations Fit for Life Club Fitness Benefit Member Value Program Member Newsletter

Sierra VillageHealth

Sierra VillageHealth (HMO) is a Special Needs Plan designed for individuals with End-Stage Renal Disease (ESRD).

To find out about Sierra VillageHealth, call 702-304-6981; TTY: 1-800-349-3538.

For Member Services, call 1-866-421-4386; TTY: 1-866-525-7833. Member Services hours: From March 2 through November 14, we are open Monday - Friday from 8 am to 8 pm. Calls on Saturday, Sunday and holidays will be received by our automated phone system (where you can leave a detailed message, and a representative will return your call as soon as possible). From November 15 through March 1, we are open seven days a week from 8 am to 8 pm.

Sierra VillageHealth is a Medicare Advantage Health Maintenance Organization Special Needs Plan offered by Health Plan of Nevada, Inc., a UnitedHealthcare Company. Health Plan of Nevada, Inc. is a health plan with a Medicare contract. This plan is available to anyone with Medicare Parts A & B who has been medically determined to have End-Stage Renal Disease (ESRD). You must continue to pay your Medicare Part B premium and use plan providers for routine care. Prescription coverage subject to limitations.

Beneficiary information is available in alternate formats and languages. Please call Member Services for details.

CMS Approval Date: 11/2009

H2931_015_21NVHPN09653

Last update: 10/09

Copyright © 2009 United HealthCare Services, Inc. All rights reserved.