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3 Unexpected Perks of Choosing a Hometown Health Plan
© AndreyPopov via Canva.com Becoming a Hometown Health plan member opens you up to the largest provider network in our region. As northern Nevada’s only not-for-profit health insurance company, the hometown advantage goes beyond your health coverage – and you may not be using all the perks available to you. Here are three benefits that Hometown Health is proud to offer all members to enhance wellbeing and connect the dots between healthcare and technology. MyChart MyChart is Renown Health's and Hometown Health’s secure online member portal that gives you direct access to your health and benefit information. From 24/7 access to your benefits and important documents to scheduling an appointment with your provider, this free tool is a great way to keep track of your family’s health. If you have a Renown primary care provider, you can use MyChart to: Securely email your healthcare provider. Get your test results faster and view your After Visit Summaries. Request prescription refills. Schedule and check-in for appointments. Pay your bill. Request your medical records and review immunization records. Manage designated health care agents and upload end-of-life documents, such as advance directives and a living will. View or download your documents: Member ID Card, Summary of Care, Explanation of Benefits, Referrals and Authorizations. Get in touch with our Customer Engagement Center. Telehealth Virtual visits have never been easier thanks to Renown Telehealth and Teladoc. These two tools are convenient options that allow members to be seen by a qualified doctor via phone or video chat who can diagnose, recommend treatment and prescribe medication for many non-emergent medical conditions – no matter where you are. Some of the health issues your virtual provider can treat include: Cold and flu Allergies Sore throat Sinus infection Respiratory infection Stomach bug Ear infection Urinary tract infection Both Renown Telehealth and Teladoc are also staffed with specialists in behavioral health, where you can speak with a therapist or psychiatrist on a wide variety of issues, including: Stress and anxiety Depression Trauma Grief Burnout Medication management Renown is also proud to offer access to top-level specialty care to address your ongoing condition and help guide you through illness maintenance and education. Through Renown Telehealth, Hometown Health members have access to a variety of specialties, including (but not limited to): Adolescent Medicine Cardiology Hematology, Oncology and Pediatric Oncology Nephrology Pediatric Endocrinology Pediatric Neurology Pulmonary and Pediatric Pulmonary Sleep Medicine New in recent years, Teladoc is now proud to offer both dermatology and nutrition visits. Teladoc dermatologists can treat conditions like acne, rosacea and rashes, while their registered dieticians can help you manage your nutrition and weight goals. Booking an appointment with Renown Telehealth is easy by heading over to MyChart and selecting “Schedule an Appointment.” To book an appointment with a Teladoc provider, visit teladoc.com or download the Teladoc app. Renown Telehealth is available within the state of Nevada, and Teladoc is available in all 50 states. Your copay can be as low as $0 for each visit; check your plan documents for more information. Doctoroo The house call has returned – avoid long urgent care waits with Doctoroo. Through Doctoroo, Hometown Health members have access to in-home urgent care services at the same price as your regular urgent care copay. A call to Doctoroo will dispatch a fully equipped medical team consisting of an EMT and either a nurse practitioner or physician assistant to your home within a few hours. Whether you need treatment or testing, each team is ready to provide care in the comfort of your own home with their over 60 medications and antibiotics, EKGs, wound dressings, IVs, catheters and more. Doctoroo care teams can address and treat many non-emergent care areas and conditions, including (but not limited to): Respiratory Ear, Nose, Throat Eye Wound Care Cardiac Care Musculoskeletal Gastroenterology Doctoroo is open year-round from 7 a.m. to midnight. Book a house call in minutes in the Doctoroo app or by calling (888) 888-9930.
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How Referrals Work at Hometown Health and Senior Care Plus
Your provider wants to send you to a specialist. Now what? You are about to enter the referral process. A referral is your provider’s recommendation for you to see a specialist or receive specialized treatment. When it comes to referrals, the process can seem like the wild west for people not familiar with it. At Hometown Health and Senior Care Plus, we make the process simple for all our members. We know that access to specialists is a vital aspect of total health, and our goal is to break down those barriers to care at every level. Here is a step-by-step guide to how the referral process with your Hometown Health or Senior Care Plus provider works: 1. Your primary care provider (PCP) or urgent care provider will send a referral to the specialist’s office. A referral can also be sent from another specialist or after discharge from the hospital. This is usually done via email or fax. 2. As your referral is sent, now would be the ideal time to discuss with your provider’s office how the specialist will receive your medical records prior to your appointment. Your provider’s office will most likely send these records to the specialist for you, but it is always a good idea to double-check with them directly. At Renown, the referrals team will send the following items to your specialist’s office when available: ID Insurance card Most recent and relevant office notes to support the referral The referral order Any relevant labs or imaging pertaining to the referral Demographics information 3. The specialist’s office will call you to schedule the appointment after they receive the referral. Each office processes the referrals they receive in a slightly different time frame, so if you have any questions about the status of your referral, it is best to call their office directly. At Renown, if you are enrolled in MyChart, you can access the phone number for your specialist as soon as the team processes the referral. Those not enrolled MyChart will receive a letter in the mail with scheduling information. 4. The specialist will start to develop a course of treatment. That may include procedures, diagnostic tests or medications. Some of these treatments may require prior authorization from your insurance plan, so don’t forget to discuss how and when your specialist will receive the authorizations before you begin your course of care to avoid any surprise bills. What can I expect if I have a Renown specialist? At Renown, we handle a lot of the behind-the-scenes nitty-gritty so you don’t have to. After the referral is placed, it routes to Renown’s centralized referrals team and triaged to make sure you are scheduled with one of our providers with the right specialization for your specialty care needs. This team will also obtain the prior authorization you need and will you to a specialist that is in your network and based on you and/or your provider’s preference and continuity of care. The referrals team will attempt to find you a Renown provider first if you are not yet established elsewhere. For Hometown Health and Senior Care Plus members, prior authorization is not required for certain services if you are being referred to a Renown provider. This makes the scheduling process go quicker for both the provider and the patient. Our referrals team strives to keep their turnaround time for referrals within three business days, not including prior authorization wait times. If your referral is marked as ‘urgent,’ it will be reviewed within one business day so you are seen as soon as possible based on the needs of your medical condition, and you will receive a direct phone call with scheduling information. After prior authorization is obtained, the Renown scheduling team will call you through an automated phone system or via a message in MyChart with a direct link to schedule your appointment. To speak with a Renown scheduler or if you have any questions, please call 775-982-5000. What does prior authorization mean? Prior authorization isn’t as scary as it sounds! Essentially, prior authorization is your provider “going to bat” for you to receive this specialty level of care. Some medical services, including many specialists, are covered only if your ordering provider (usually your PCP) submits an authorization request to your insurance plan. They will include specific details about the type and duration of treatment they would like you to receive and any medical records that support your need for the specialist. After your insurer receives the request, a licensed medical professional will review the request, your records and your plan benefits. They will decide whether the specialty treatment is considered medically necessary based on recognized standards of care. Where can I go for more information? Your referrals and authorizations can be viewed in MyChart. To view them, navigate to Your Menu in the upper left corner of the page, scroll to the Insurance section and click on “Referrals.” The Renown referrals team is available to answer your questions and address any concerns. Give them a call at 775-982-2707 Monday through Friday from 8 a.m. to 5 p.m. Any questions you may have related to referrals and authorizations, including outside-of-Renown providers, can be directed to our expert Hometown Health or Senior Care Plus customer engagement representatives.
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Now It's Fast and Easy to Schedule a Primary Care or Pediatric Appointment Online with Renown Medical Group
You can now schedule a new patient appointment 24/7 from your computer or cell phone, with no need to call. You get home from work, look at the note on the refrigerator and remember for the third day in a row, you failed to make an appointment with a new primary care doctor or schedule that pediatrician visit for your toddler. You tried to do it on your lunch hour but got distracted with other things. Frustrating! Now, one health system is making it easy for people to schedule their primary care and pediatrics doctor appointments online, and 24 hours a day, 7 days a week. Over 3,000 new appointments are available with Renown Children’s pediatricians. “I booked an appointment that way and I thought it worked great,” said Daryl Hendery, a returning patient who just scheduled his annual check- up with his Renown physician. “It was very easy to use. I just clicked on my doctor’s name and booked an appointment for next week. I was kind of surprised at how easy it was to schedule.” Hendery says he’ll book online again, instead of calling. Many people like Daryl love the ability to set an appointment without ever needing to speak to an actual person. Patients Encouraged to Use Online Scheduling With Renown’s new online scheduling feature, you can now book your primary care and pediatric primary care appointments with Renown Medical Group without making a phone call to the office. Our dedicated team of primary care physicians and pediatricians offer a full range of services—including annual checkups, complete physicals, immunizations, lab work, and referrals to specialists—at multiple locations across northern Nevada. “One of the biggest advantages is that you can set an appointment when and where it’s convenient for you to do so,” said Sierra Kelly-Martinez, MPH, director of the Customer Engagement Center at Renown. “You can schedule that appointment whenever you want, at 9 o’clock at night, while waiting in line at the grocery store or during after school pick up, or whenever you think of doing it.” “It’s really quite easy and empowering to have control of your own scheduling,” she adds. “Anyone wanting a new Renown primary care physician or provider, or a Renown Children’s pediatrician, can schedule through the www.renown.org website. If you’re a new patient or don’t have your MyChart profile set up, visit www.renown.org and click on the ONLINE APPOINTMENTS button or the Find A Doctor tab. Under the New Primary Care or New Pediatric Patients tab, click on “Book Your Appointment.” Select your insurance provider, click the Location you’re looking for- Or “Any Location.” You can then choose the time and provider and schedule your appointment. Renown accepts most insurances including Hometown Health, Senior Care Plus, Anthem Blue Cross, Cigna, United, Medicare, and Medicaid. If you’re a Returning Patient, you can schedule a primary care or pediatrics appointment by clicking on Book Your Appointment through the www.renown.org website which will automatically take you to your MyChart account. You will be asked a few questions about your visit to ensure To schedule an appointment using MyChart, you can: 1. Log in to your MyChart account 2. Select “Schedule an Appointment” from the main menu or “Visits” from the top menu 3. Select a provider or reason for your visit 4. Answer decision questions on visit 5. Select a date and time from the available options 6. Enter the reason for your visit 7. Verify the appointment information and click Schedule You can also schedule an appointment by selecting the name icon in the top right corner, selecting the name of the child you're scheduling for, and then selecting “Schedule an Appointment.” If you don't see a date and time that works for you, you can click the Search for additional available appointments link to view available appointments at all locations. MyChart MyChart is a convenient, online portal where patients can communicate with their doctors, view your medications, request prescription refills, access test results, message your doctor, pay your bill, and now schedule appointments online. Benefits of Online Appointment Scheduling Though the new online, scheduling tool is new, it’s easy to use and not much different than making an online reservation at a restaurant. Benefits include: · 24/7 Access: Patients can book appointments at any time, from anywhere. · Real-Time Availability: View real-time appointment slots and select a time that fits your schedule. · Appointment Management: Patients can easily cancel or reschedule appointments with just a few clicks. · Appointment Reminders: Receive automated reminders via email or text to avoid missed appointments. Renown is committed to enhancing patient care and improving the healthcare experience. With the launch of the online scheduling option, patients have more control and flexibility over their healthcare journey. “We are always looking for ways to improve the patient experience and make access to our physicians and advanced practice providers easier and faster” said Rahul Mediwala, MD, MBA, CEO of Renown Medical Group. “Our new online scheduling tool is just one of the many ways we’re working to make healthcare more convenient for our patients. Over the next year, we will be increasing the number of Renown physicians and medical providers who have online appointment availability, as we look to improve the health of our community.” For more information or to schedule an appointment, visit www.renown.org. Renown serves over 1 million people and 100,000 square miles. In U.S. News and World Report Best Hospital Rankings, Renown Regional Medical Center is named #1 in the State of Nevada for 2021. No other hospital in Nevada earned recognition from U.S. News. Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.