These plans utilize either Hometown Health Plan ’ s Renown HMO Network , the Nevada EPO Network , or the Hometown Health ( PPO ) Network .
Hometown Health offers Employer based HMO , EPO and PPO plans .
Employer Based Health Plans
• Small Group ( SG ),
• Large Group ( LG )
• Association Health Plans ( AHP )
Members enrolled through a large group plan ( the plan name has “ LG ” as a plan prefix ), a small group plan ( the plan name has “ SG ” prefix ), and Association Plan ( the plan name has “ AHP ” prefix ).
Self-funded Health Plans and other Nevada Insurers
Self-funded employers and other Nevada Insurers may access the Hometown Health Network but choose to assume the risk and fund their members ’ medical expenses themselves .
We serve these self-funded entities and their participants through Hometown Health Providers Insurance Company , Inc ., which offers third-party administrator ( TPA ) services . These members have access to the Hometown Health Network and may also have access to the Multiplan provider network outside of Nevada .
Self-funded entities may choose to purchase all third-party administrator services from Hometown Health Providers Insurance Company , Inc ., or to combine our services with those offered by other third-party administrators . For example , selffunded entities may use another third-party administrator to pay claims and choose to incorporate the Hometown Health Network in their health plan .
Hometown Health Providers Insurance Company , Inc ., third-party administrator services may include claims payment , plan administration , utilization review , case
5