The health and well-being of our members is our top priority. To that end, we encourage all members to visit the Preparing for Coronavirus (COVID-19) page on the Renown Health website and review Hometown Health’s COVID-19 FAQs below.
PCP Referrals not Required During COVID-19 Emergency
Due to the ongoing COVID-19 state of emergency, members of the Hometown Health Signature HMO plan will not be required to get referrals from Primary Care Providers to receive specialty care. This COVID-19 policy is effective April 1, 2020 and will expire no later than September 30, 2020, unless otherwise extended by Hometown Health.
The above temporary COVID-19 no-referral policy does not change the requirement to obtain prior authorization from Hometown Health for services as listed in the plan document for any Hometown Health product. Services related to COVID-19 never require prior authorization for any Hometown Health product.
2020 Endorsement Regarding COVID-19
For Individual, Small Group and Large Group Commercial Plans
To comply with the State of Nevada’s emergency regulation related to COVID-19, Hometown Health has added an Endorsement to all commercial products which will change the Policy in the following manner:
1. Members will not be required to pay a Deductible, Coinsurance or Copayment for a provider office visit, urgent care center, or emergency room visit when the purpose of the visit is to be tested for COVID-19 in accordance with CDC guidelines. Please notify Hometown Health as soon as possible if you receive services from an out-of-network provider.
2. Members will not be required to pay a Deductible, Coinsurance or Copayment for COVID-19 testing.
3. Members will not be required to pay a Deductible, Coinsurance or Copayment for the COVID-19 immunization (vaccine) when it becomes available.
4. Members may receive non-formulary prescription drugs when a formulary drug is not available to treat the medical condition; this does not apply when a therapeutic alternative is available; non-formulary prescription drugs require prior authorization in order to cover the medication; standard prescription drug cost sharing applies based on plan design.
This Endorsement will remain in effect until the Nevada Division of Insurance withdraws or rescinds the emergency regulation governing COVID-19 (or it expires). Please check with your benefits manager for details regarding your particular plan.
New Option for Employers
Hometown Health Offers COVID-19 Continuation Coverage
For Employees with Reduced Hours and Layoffs
In response to the many temporary business closures throughout northern Nevada as a result of COVID-19, Hometown Health has determined that employees and their dependents who are already enrolled in Hometown Health group coverage and who are laid off or whose hours are reduced below minimum thresholds to be considered a benefits eligible employee, may continue to be covered under the employer’s Hometown Health group policy. To continue coverage:
The reduction in hours or layoff must have occurred on or after March 1, 2020.
The employee and any dependents seeking continued coverage must have been covered by the employer’s Hometown Health group policy on the day prior to the reduction in hours or layoff.
The employer must offer such coverage to all employees (or former employees) in a similar situation.
The employer must continue to pay premiums to Hometown Health for the laid off or reduced hour employees. Hometown Health will not be responsible for collecting any employee contributions assessed by the employer. Standard premium payment policies apply.
This coverage will continue as long as the employer continues to pay premiums for individuals covered under this COVID-19 continuation coverage, but will expire no later than September 30, 2020, unless otherwise extended by Hometown Health.
The above COVID-19 continuation policy does not alter or eliminate COBRA benefits. An individual who is COBRA eligible may begin COBRA coverage under the provisions in the applicable EOC at the termination of the COVID-19 continuation coverage.
This COVID-19 continuation coverage is available at the discretion of the employer. Your human resources department will notify you if you are eligible for this benefit.
Hometown Health Offers Three Month Extension
For Small Employers and BANN MEWA Groups
We understand the challenges many small business owners are facing with the disruption brought about by the COVID-19 crisis. To support and assist business owners during this time, Hometown Health is allowing small businesses with renewal dates of May 1 through September 1 to extend their current plans and rates by three months. This option is available for our clients that are on standard Small Group plans as well as BANN members (not available for BBB and Chamber AHP members).
Hometown Health will extend current contracts set to renew between May 1 and September 1 by three months so that small employers can focus on the things that are important to their businesses, like their employees and their customers. To take advantage of this opportunity, small employers must fill out and return the Hometown Health COVID-19 Contract Extension Election Form by the 5th of the month prior to the renewal date, or the next business day, if the 5th falls on a weekend. Employers who elect to extend their contracts will maintain their current plans and premiums until their new renewal date. Open enrollment will be aligned with the employer’s new renewal date.
Hometown Health stands with our employer groups clients and we want to assist wherever possible. If you have any questions regarding these contract extensions please contact your account specialist.