Health & Welfare Plan
Health and Welfare Benefit Summaries
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Covered Features
Operating Engineers Health Plan of Nevada is the only plan available to participants who reside in Nevada. The plan is not available to members for whom Medicare is primary. -
Choice of Providers
Must use Health Plan Providers -
Plan Maximums
No plan maximum -
Out-of-Pocket Maximums
$6,000/individual
$12,000/family -
Hospital Inpatient Admission and Miscellaneous
$300 per admission -
Anesthesia
$100 co-pay per surgery -
Doctor Visits
$5 co-pay per visit -
Surgeon
$100 co-pay per surgery (Inpatient)
$50 co-pay per surgery (Surgical Facility) -
Emergency Room Co-Pay
Your co-pay is $150 for bona fide emergencies. Waived if admitted. -
Ambulance Services
$150 co-pay per trip. -
Outpatient Lab and X-Ray
Lab: $5 co-pay per service
X-Ray: $10 co-pay per service -
Preventive Health Care
(Routine check-ups, well baby care, immunizations, preventive screenings, etc.)100% preventive care coverage is available in accordance with the Affordable Care Act. Click here for more information. -
Prescriptions
All prescriptions must comply with the formulary unless pre-authorized.
Retail Co-payment Tier 1: Generic Drugs $7 for a Tier I drug Tier 2: Preferred Brand Drugs $30 for a Tier II drug with no generic equivalent Tier 3: Non-Preferred Brand Drugs $50 for a Tier III drug -
Mental Health and Substance Abuse Treatment Benefits
$300 co-pay per admission.
Detoxification covered for Substance Abuse. -
Contact Information
Phone: (800) 777-1840
Website: Health Plan of Nevada