Managed Care in Las Vegas and Henderson, Nevada

There are many options for managed care in Las Vegas and Henderson, Nevada. A popular managed care plan for Nevada residents seeking skilled nursing and long-term care is the Medicare Advantage Plan.

Types of Medicare Advantage Plans

Although Medicare is a government program, Medicare Advantage Plans are offered by private companies. In this type of managed care, you have a plan with a private company that then contracts with Medicare to provide you with all Part A and Part B benefits (most offer Medicare prescription drug coverage Part D too). There are different types of these private managed care plans available to Las Vegas residents:

   • Health Maintenance Organizations (HMO’s): in this managed care plan, you select a primary care physician within the HMO system; generally, you must get care from doctors in the managed care plan’s network.

   • Preferred Provider Organizations (PPO’s): this type of managed care gives you more flexibility in the primary care doctor you choose and you do not need a referral to see a specialist within the PPO network. PPO managed care generally offers more benefits than original Medicare, but you pay a little more for these services.

   • Private Fee-For-Service Plans (PFFS): this is a type of managed care plan that determines how much it will pay health care providers and how much you must pay when you get care. You do not need to select a primary care physician and do not need a referral to see a specialist.

   • Special Needs Plans (SNPs): this type of managed care limits membership to people with specific characteristics and tailors benefits and providers to meet the needs of the group. Examples include people who live in nursing homes, those eligible for Medicare and Medicaid or people with chronic conditions like diabetes, heart failure or dementia.

   • Medicare Medical Savings Account Plans (MSAs): in this type of plan, Medicare deposits money in a bank account. You have a high deductible and then use the money to pay for health care during the year.

 

Managed Care Plans Available in Las Vegas

There are many choices when it comes to managed care plans and Medicare Advantage Plans. You can start your research by:

   • Entering your Las Vegas zip code into Medicare’s managed care plan finder
   • Call 800-MEDICARE (800-633-4227)
   • Contact us at 702-547-6700 if you are seeking managed care in Las Vegas

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