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    Medicare Planning Partners

    5.0 (1 review)

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    4 years ago

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    Health Plan of Nevada

    Health Plan of Nevada

    1.5(108 reviews)
    2.1 km

    HPN HMO is horrible. Especially if you need to see a specialist. You are going to wait 3 or more…read moreweeks to get in; your options are very, very limited. There is a reason why many physicians do not take HPN. I would have done zero starts but that is not an option.

    Can someone please help me? One customer service rep hung up on me when I questioned her on on why…read moreI would have to pay for the pre and post contrast breast MRI until my calendar year deductible is met as it's preventative and was recommended by the last radiologist who did my mammogram. When I called the St Mary's radiology department, they told me that there is a Nevada statute which requires commercial health insurers to cover MRIs for high risk patients at no cost. According to the Nevada Cancer Coalition, "Senate Bill 330, which took effect Jan. 1, 2024, requires commercial health insurers to cover annual mammograms, and supplemental and diagnostic imaging exams at no cost to the patient." They define "High-risk Patients as Individuals with [greater than] 20% lifetime risk of breast cancer. Screening Mammogram: Imaging for an asymptomatic patient done at regular intervals, such as annually, to look for breast cancers. Supplemental Imaging: Imaging for a patient who is in a high-risk category (such as breast cancer survivor, genetic factors, dense breast tissue) in addition to an annual mammogram. Could be a breast ultrasound, MRI, or another imaging test." I meet the conditions outlined by this Nevada statute so the pre and post contrast breast MRI should be covered as preventative - can someone please help me? Thanks! Edit - A supervisor from Health Plan of Nevada called me the next morning and was a lot more helpful so I upgraded my review from 2 stars to 4 stars.

    Sierra Health and Life

    Sierra Health and Life

    1.3(40 reviews)
    2.0 km

    I recently started working for a company that provides this medical insurance, only to find that…read morenearly NONE of the providers I have been seeing for many years under my previous employers plan thru Blue Cross are in-network with Sierra Health. Even worse, there are NO in-network providers for most of the specialists that I see, so I don't even have any options to switch to an in-network provider. One would think that being owned by United Healthcare that there would be an abundant number of providers available, but that just is not the case. In other words, this insurance is pretty much useless. And how on Earth can Renown in Reno (and now Carson-Tahoe in Carson City) be out of network? It's simple - claims often get denied or delayed for no reason. There is a chiropractor who comes to our town 2-3 times a month and appears on the in-network providers list, but he does not accept this insurance because none of the claims he submitted were paid. This is a growing trend with insurance companies, and I have experienced this first-hand with another insurance provider, where my out of network claims would be approved until I met my deductible, and then suddenly when the insurance company had to pay a portion of the services provided they were denied. Each claim had to be re-submitted multiple times until they were paid. I have not experienced this with Sierra Health yet, as I am trying to use in-network providers, but with many of the major medical groups and hospitals dropping any plans that are under the parent company6 of United Healthcare over the last few years, and that the DOJ is investigating them for alleged Medicare fraud, you have to wonder just how much longer with their existing providers accept this insurance.

    No SAFE acute care facilities in the network and only 15 minutes per visit with nurse or physical…read moretherapist during home care along with very limited visits! When hospitalized, the doctors only do bare minimum and get the patient out ASAP. They even apologize!!!

    Medicare Planning Partners - healthinsurance - Updated June 2026

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