2022 INDIVIDUAL AND FAMILY HEALTH PLANS

NOW AV AILABLE ON NEVADA HEALTH LINK

RENOWN HEALTH PROVIDER NETWORK Northern Nevada’s Largest Provider Network Renown Health is northern Nevada’s only locally-owned, not-for-profit health system dedicated to making a genuine difference in the health and well-being of the communities we serve.

Visit hometownhealth.com/find-a-doctor to find a full list of in-network providers and facilities. RENOWN HEALTH FACILITIES Emergency Room and Hospital Locations Renown Regional Medical Center | 1155 Mill St. | Reno, NV 89502 Renown South Meadows Medical Center | 10101 Double R Blvd. | Reno, NV 89521

Health Services 15 Medical Group Locations 13 Lab Services Locations 10 Urgent Care Locations 2 Pharmacy Locations

Find all Renown Health locations and services on renown.org.

BENEFIT HIGHLIGHTS Priority Access to Renown Health Primary Care Providers Schedule your yearly health screenings and tests with your Renown Primary Care Physician.

Health Savings Account (HSA) Options Available on Renown Bronze Plan Use your HSA to pay for eligible healthcare, dental or vision expenses.

Access Your Health Benefit Information Through MyChart MyChart is a secure, online member portal you can use to access your claims, referrals, authorizations, digital ID cards and more.

Local Customer Service Speak to fellow northern Nevadans to get your healthcare benefits questions answered.

Renown Preferred Pharmacy Renown Health pharmacies offer convenient locations to pick up your prescriptions and sign up for mail order. CONVENIENT CARE OPTIONS Teladoc for Virtual Visits Get 24/7 access to doctors from your phone or computer in all 50 states, including dermatology and behavioral health services.

DispatchHealth for Urgent Care Visits Receive care conveniently at your home for the same cost of an urgent care visit.

MyChart

HMO plans only available in select northern Nevada counties; out-of-network benefits not available for HMO plans. You may be charged (balance billed) for billed charges greater than the allowable rate paid by Hometown Health. CYD indicates that you must meet the Calendar Year Deductible before benefits will be paid by Hometown Health.

For a free copy of benefits, visit hometownhealth.com or call 775-982-3232.

E F F E C T I V E J A N U A R Y 1 , 2 0 2 2 • I N - N E T W O R K B E N E F I T S Renown Gold HMO

Renown Bronze HMO

7000 HSA

Renown Silver HMO

Renown Bronze HMO

Indi

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Fam

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(IFP

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enef

its

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nce CALENDAR YEAR DEDUCTIBLES (CYD) AND OOPMax

Individual Medical Deductible $2,000 $5,500 $8,550 $7,000 Family Medical Deductible $4,000 $11,000 $17,100 $14,000 Individual Pharmacy Deductible $0 $0 Combined CombinedFamily Pharmacy Deductible $0 $0 Combined CombinedIndividual Out-of-Pocket Max $6,000 $8,400 $8,550 $7,000 Family Out-of-Pocket Max $12,000 $16,800 $17,100 $14,000 PHYSICIAN OFFICE VISITSRenown Medical Group (RMG) PCP Visit $20 $40 CYD, $0 CYD, $0Specialist Office Visits $80 $120 CYD, $0 CYD, $0Preventive (ACA Covered) Screenings No Cost No Cost No Cost No CostLAB, IMAGING AND DIAGNOSTICSRoutine Lab Services $50 $60 CYD, $0 CYD, $0Diagnostic and X-Ray $95 $120 CYD, $0 CYD, $0Imaging (CT/PET/MRI) $400 CYD, $550 CYD, $0 CYD, $0FACILITY / SURGICALInpatient Hospital $3,000 CYD, 30% CYD, $0 CYD, $0Outpatient Surgical Services $1,100 $1,400 CYD, $0 CYD, $0EMERGENCY AND URGENT CAREUrgent Care Center Services $90 $100 CYD, $0 CYD, $0Emergency Room Services $1,300 CYD, 30% CYD, $0 CYD, $0Ambulance Services (ground/air/water) CYD, 20% CYD, 30% CYD, $0 CYD, $0PRESCRIPTION DRUGS AND DIABETIC SUPPLIESRx - Generic Drugs $15 $20 CYD, $0 CYD, $0Rx - Preferred Brand Drugs $75 $80 CYD, $0 CYD, $0Rx - Non-Preferred Brand Drugs $160 $180 CYD, $0 CYD, $0Diabetic Supplies - Preferred $75 $80 CYD, $0 CYD, $0Diabetic Supplies - Non-Preferred $160 $180 CYD, $0 CYD, $0Special Pharmaceuticals 20% 30% CYD, $0 CYD, $0PEDIATRIC COVERAGEPediatric Vision $0 $0 $0 CYD, $0

ESTABLISHED IN 1988, Hometown Health has been serving Nevadans

for over 30 years. As the insurance division of Renown Health, Hometown Health

is northern Nevada’s largest and only locally-owned, not-for-profit health

insurance company providing wide-ranging medical coverage and great customer

service to members.

The Renown Health Plans are brought to you by Hometown Health and include

great benefits at fantastic rates. Choosing a Renown Health Plan means you will

enjoy a Renown Primary Care Physician, priority access to Renown Health

providers and facilities, and online physician access through MyChart.

LOCAL CUSTOMER SERVICE

775-982-3232

customer_service@hometownhealth.com

FIND US ON SOCIAL!

LADD/2110-1494397

NOW AV AILABLE ON NEVADA HEALTH LINK