Hometown Health Administrative Guidelines | Page 6

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Introduction to Hometown Health ____________________________________________________

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Introduction to Hometown Health ____________________________________________________

Hometown Health is a proud member of the Renown Health Integrated Delivery System and network . Hometown Health provides health insurance products for employer groups , individuals and families . Hometown Health was established in 1988 as a Northern Nevada-based , multi-service health care company serving members throughout Nevada .
Hometown Health Plan , Inc . Health Maintenance Organization ( HMO )
Hometown Health Plan , Inc . entered the market as a not-for-profit , communitybased Health Maintenance Organization ( HMO ) in February 1988 .
With the HMO plan , members will utilize Hometown Health Plan ’ s Renown HMO Network . Members must use a Renown or Geriatric Specialty Care Primary Care Provider ( PCP ) and will obtain care through a select group of providers that work with the member ’ s PCP to coordinate the member ’ s care by maintaining the continuity of care , such as to a specialist or other healthcare providers according to Hometown Health ’ s Evidence of Coverage . All services with the exception of urgent , emergent , and prior authorized higher level of care must be done within Washoe , Carson , Lyon , Douglas and Storey counties ( with the exception of certain ancillary providers like DME , and diabetic suppliers ). PCPs include family practice , general practice , and geriatric medicine .
Hometown Health Plan recognizes the importance of women having direct access to OB / GYN care . Although these services are not considered primary care within Hometown Health ’ s delivery system , a woman may see her OB / GYN for obstetrical and gynecological needs without a referral from her PCP . Some procedures , however , may require a referral .
For members on the HMO plan , all services except OB / GYN and Emergency services require a referral . Please contact Hometown Health ’ s Customer Service Department for specific information .
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