Hometown Health Plan , Inc . Exclusive Provider Organization ( EPO )
With the EPO plan members will utilize the open access Nevada EPO Network . Providers are limited to the state of Nevada excluding ancillary specialty types ( ancillary providers such as DME and diabetic suppliers outside of the state of NV can still be used , benefit authorizations as required by each plan still apply ).
This plan does not provide for out-of-state benefits unless the services are rendered as part of an emergency room visit , an urgent care visit received Out-of-Area , or have been previously approved by Hometown Health to be paid at the EPO benefit level .
Hometown Heath Providers Insurance Company , Inc . Preferred Provider Organization ( PPO )
Hometown Health Providers Insurance Company , Inc ., offers fully insured employers a Preferred Provider Organization ( PPO ) and plans .
Hometown Health Providers Insurance Company , Inc . provides coverage throughout the state of Nevada through our Hometown Health Network . In addition , we partner with Multiplan , a national network of health care providers that allows coverage of certain employees in any city or state within the United States .
Hometown Health Providers Insurance Company , Inc ., is a licensed third-party benefit administrator “ TPA ” which provides services such as claims adjudication , eligibility verification , and a provider network to self-funded employer groups and other Nevada Insurers . For these clients we also perform utilization review and case management .
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Hometown Health Individual & Family Plans
While the majority of Hometown Health ’ s non-Medicare products are employerbased , we offer Individual & Family plans that meet the requirements of the Affordable Care Act . These plans are available on and off the Nevada Health Link Exchange .