Hospitality Plan (Plan 185)
Being healthy is as easy as 1-2-3!
Click on the following to learn more
ProvidersBenefitsPharmacyPrior AuthorizationFormsEnrollmentLog In
Find a Doctor
Don’t go out of network! It costs too much money!
Find a Primary Care Doctor or an Urgent Care Center here.
To find another kind of Doctor or to verify your current Doctor is in network: click here, select your state, then select the network Participating Provider Organization (PPO).
If you need help finding any kind of doctor, just call: (855) 405-FUND (3863)
Find a dentist and an eye doctor
Click here to find a dentist or eye doctor.
| Dental | Cigna Dental Care Access |
|
| Coverage for network benefits only | What you pay |
| Diagnostic and Preventive | Copays equal to about 1% coinsurance |
| Basic Restorative | Copays equal to about 35% coinsurance |
| Major Restorative | Copays equal to about 40% coinsurance |
| Orthodontics 24-month max |
Copays equal to about 50% coinsurance |
| No deductible; no non-orthodontic maximum | |
| Vision | VSP | ||
| Benefits available every calendar year |
What you pay | |
| VSP Network | Non-network | |
| Eye Exam | No copay |
Reimbursed up to $45. You pay the rest. |
| Frames | $25 copay; plan pays up to $175 for frames | Plan pays up to $70. You pay the rest. |
| Lenses | $25 copay; plan pays up to $175 for frames | Plan pays up to $30-$65 depending on lens type. You pay the rest. |
|
Contact Lenses |
No copay; up to $50 for exam; plan pays up to $175 | Plan pays up to $120. You pay the rest. |
Get advice 24/7
English: Doctor on Demand
Talk to a doctor by downloading the Doctor on Demand app here.
Benefits
Good health starts with knowing your benefits!
Download a copy of your participant guide. It’s an overview of your benefits.
Benefits starting January 1, 2019: English | Spanish
Benefits starting January 1, 2020: English | Spanish
Call us with questions about your healthcare coverage: (855) 405-FUND (3863)
Benefits at a Glance
You can also download your benefits at a glance:
Benefits starting January 1, 2019
English: Gold Plus Silver Plus
Spanish: Gold Plus Silver Plus
Benefits starting January 1, 2020
English: Gold Plus Silver Plus
Spanish: Gold Plus Silver Plus
Co-payment Book
Learn about your copays. Download your Co-payment Book. It explains your costs for in-network benefits.
Benefits starting January 1, 2019
English: Gold Plus Silver Plus
Spanish: Gold Plus Silver Plus
Benefits starting January 1, 2020
English: Gold Plus Silver Plus
Spanish: Gold Plus Silver Plus
After each SPD is published, certain changes may have been made to your benefits. These changes are reflected in a Summary of Material Modifications (SMM) that are mailed to each member. View these SMMs on our library page. (Click your plan button under "National Plans".)
Evidence of Coverage (EoC)
Dental
DHMO
Cigna DHMO L109 (Patient charge sheet)
DPPO
Summary of Benefits & Coverage (SBC)
You can also download a copy of your SBC:
Benefits starting January 1, 2019: Gold Plus Silver Plus
Benefits starting January 1, 2020: Gold Plus Silver Plus
What is an “SBC?” Under the Affordable Care Act (“Obamacare”), all insurance companies and group health plans, like UNITE HERE HEALTH, are asked to provide an easy-to-understand summary of benefits and coverage, or “SBC.” Sometimes, it’s a good overview with lots of charts.
Call us if you need help understanding it: (855) 405-FUND (3863)
Prior Authorization
Certain types of care require prior authorization or approval. This helps us to keep costs low and forces doctors and nurses to talk better to each other about the care you receive.
Click here to see a list of what needs prior authorization.
To submit prior authorizations, have your doctor contact Nevada Health Solutions:
Phone: (855) 487-0353
Fax: (702) 691-5614
www.nevadahealthsolutions.org
Forms
Call us if you need help understanding these forms: (855) 405-FUND (3863)
