This section is to assist you with coverage determinations and redeterminations for Sierra VillageHealth (HMO).

To request a coverage determination, please fill out the Coverage Determination Form and submit it to Sierra VillageHealth.

To request a coverage redetermination, please fill out the Coverage Redetermination Form and submit it to Sierra VillageHealth.

Please make sure you or your provider complete all requested information and submit the form as outlined below.

To submit your coverage determination or redetermination by phone, call 1-866-421-4386; TTY: 1-866-525-7833. To submit it by fax, fax to 702-242-7655.  To submit it by mail, mail to Sierra VillageHealth/Government Programs, P.O. Box 15645, Las Vegas, NV 89114-5645.  Hours of operation are 8 a.m - 8 p.m., 5 days a week.

You can also review your Evidence of Coverage for more information.  To access your Evidence of Coverage from this Web site, click here.

If you have questions, need assistance in filling out a form, or would like to inquire about the status of a coverage determination or redetermination, you or your provider may call Sierra VillageHealth at 1-866-421-4386; TTY: 1-866-525-7833.  Hours of operation are 8 a.m. - 8 p.m., 5 days a week.