Hometown Health Administrative Guidelines | Page 16

Senior Care Plus
Senior Care Plus is a Medicare Advantage Plan with prescription drug coverage , available to anyone with both Medicare Parts A and B . A member must be a resident of Washoe , Carson City , Clark , or Nye Counties in Nevada and continue to pay his or her Medicare Part B premium .
Through a contract with CMS , the U . S . government agency that administers Medicare , Senior Care Plus coordinates Medicare benefits and offers additional coverage .
Underwriting
The Underwriting Department establishes standard guidelines for new and renewing employer groups . They determine premium levels appropriate for each risk , based on medical underwriting and claims experience of the groups . The department conforms to state and federal regulation and provides the Division of Insurance with regulatory and compliance filings .
Workers Choice
Workers Choice develops and administers self-funded workers ’ compensation plan for employers . Administration includes workers ’ compensation claim and review and acceptance , file maintenance , bill payment for claims , case management , statutory and employer reporting and coordination of activities with employer .
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