hpn medicaid patient portal

How do I Change my Health Plan of Nevada PCP?

Choose a Health Plan of Nevada PCP. If you don't select a PCP, we'll match you with a doctor in your service area. You can change your PCP at any time. Simply sign in to the online member center. First time users will have to create an account.

How do I contact HPN about OPC?

If you have any questions, please contact your provider advocate or call 702-242-7088 or 1-800-745-7065. *Users must be HPN contracted providers to have access to OPC. Requests from non-contracted providers, billing services or management companies will be denied.

Why do I need the myhpn app?

It contains important information and phone numbers. Easily manage your health plan information on the go. Discover the MyHPN app and put your benefits at your fingertips. Finding a provider or care nearby just got easier. Discover programs and services available to health plan members. Spark your transformation for $0 copay with Real Appeal ®.

How can HPN help you?

Meet the HPN outreach team. We can provide information on covered services and community resources. Mental health is just as important as physical health. We offer services to help you maintain a balanced life. Take care of your eyes. Get exams and glasses every 12 months or contact lenses, if needed. Search for a provider online.

How do I check my Medicaid status in Nevada?

Check the status of your benefits online at dwss.nv.gov.

Is Health Plan of Nevada the same as Medicaid?

Health Plan of Nevada (HPN) has been providing Managed Care Medicaid services in Nevada since 1997. The service areas are metropolitan Clark and Washoe Counties.

How do I check to see if my Medicaid is active?

Verify your enrollment onlineLog in to your HealthCare.gov account.Click on your name in the top right and select "My applications & coverage" from the dropdown.Select your completed application under “Your existing applications.”Here you'll see a summary of your coverage.More items...•

Is Health Plan of Nevada a Medicaid plan?

Health Plan of Nevada has been serving Medicaid members since 1997. We are committed to providing you personalized health care from our large provider network of doctors, dentists, nurses and hospitals.

What is straight Medicaid in Nevada?

Nevada Medicaid is a program which provides quality health care services to low-income Nevadans who qualify based on federal and state law. Nevada Medicaid does not reimburse an individual for medical services; rather, payments are sent directly to the health care providers for services provided to Medicaid recipients.

How do I contact Nevada Medicaid?

If you do not know who is the provider administrator is in your office, call the Customer Service Center at (877) 638-3472.

How do I get a copy of my Medicaid card?

How do I replace my Medicaid card? Contact your state Medicaid agency. They can help you get replacement cards and answer your questions about what services are covered, providers to use, and how to renew your eligibility.

How do I know if my Medicare is active?

If you'd like to make sure you're enrolled in Original Medicare, you can call the program at 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY users call 1-877-486-2048. You can also check your Medicare enrollment online at Medicare.gov.

How can I check the status of my health insurance?

Here's how you can Check your Health Insurance Claim StatusVisit the Health Insurance Company's official website.Click on the 'Register a Claim' icon on their website.Now Select 'Track Claim Status'It will redirect you to a new page where you provide your Customer ID, Policy Number, Claim Number, and date of birth.More items...

What are the different Medicaid plans in Nevada?

If you're looking to enroll in Nevada Medicaid to access a variety of medical or wellness benefits, then you'll need to sign for a Medicaid health insurance plan in NV....Anthem Blue Cross and Blue Shield. Website: https://mss.anthem.com/nevada-medicaid/home.html. ... Health Plan of Nevada (HPN) ... SilverSummit Health Plan.

How long does Nevada Medicaid last?

This legislation will eventually create a public option program in Nevada, although it won't be available until 2026. Under the new program, insurers that submit bids to participate in the state's Medicaid managed care program would have to also submit bids to offer a public option plan.

Can you use Nevada Medicaid out of state?

Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your coverage when you're temporarily visiting another state, unless you need emergency health care.

What does a PCP do?

Your PCP will take care of most of your health care needs. Visit your PCP for routine care, yearly checkups and other general health concerns. Each member covered under a Health Plan of Nevada Medicaid or Nevada Check Up plan can select his/her own PCP, or you may all choose the same one. You may choose a pediatrician for your child.

What is the phone number for a doctor?

If you need help finding a doctor or scheduling an appointment, please call 1-800-962-8074, TTY 711, Monday through Friday, 8 a.m. to 5 p.m. local time. You can also stop by our offices and a member of our team would be happy to assist you.

Quality Corner

Let your voice be heard. Participate in our Quality Improvement Program. We're dedicated to continuously improving health plan member care and services.

Provider Guide

Good health takes a good plan. Get to know our policies and procedures, eligibility requirements, billing process and managed care program procedures in a way that makes sense to you.

Forms

Save time. Download and complete health care forms quickly. If don't find the form you're looking for online, let us know. We're here to help you navigate our health care plans and services.

Online Center

Discover the Online Provider Center (OPC). Check member eligibility and benefits, status of a claim or prior authorization, and more. It's all right here at your fingertips.

Where to go for care

Know where to go for the care you need. Comparing your options is the best way to get care that is right for you.

Health Plan ID Card

Always carry it with you. Your health plan ID card is your key to coverage. It contains important information and phone numbers.

MyHPN Mobile app

Easily manage your health plan information on the go. Discover the MyHPN app and put your benefits at your fingertips.

Weight loss program

Spark your transformation for $0 copay with Real Appeal ®. Follow simple steps and get the tools you need to make it happen. Available for group plan members.

HEalth education

The journey to better health begins here. Meet our health coaches and register for health education and wellness classes.

Healthy Rewards

Build healthy habits and earn rewards with Rally ®. Get recommendations on how to move more, eat better and feel great — and have fun doing it!

Disease Management

Improve your health and quality of life. Get 1:1 support from a registered nurse and learn how to self-manage your diabetes and asthma.

What does a PCP do?

Your PCP will take care of most of your health care needs. Visit your PCP for routine care, yearly checkups and other general health concerns. Each member covered under your plan can select his/her own PCP, or you may all choose the same one. You may also pick a pediatrician for your child.

What is an HMO plan?

HMO plan explained. Easier on the wallet, HMO plans are designed to save you money on out-of-pocket costs. In exchange, HMO members are required to choose a primary care provider (PCP) and stay within a network of providers, urgent cares, and hospitals to receive coverage under the plan.

Provider search

Your Medicaid and Nevada Check Up member handbook has more information on how to get the most out of your health benefits.

Find a counselor or therapist

The provider directory is updated daily. If you find an update missing, or an error, request a change at pri@sierrahealth.com.

What browser do I use for HPN?

For the best experience, use Google Chrome, Apple Safari, Mozilla Firefox or Microsoft Edge as your browser. If you have any questions, please contact your provider advocate or call 702-242-7088 or 1-800-745-7065.

How to check health insurance status?

Keep track of health plan information the easy way – online. OPC (formerly known as @YourService) brings health insurance information together in one place. Use this convenient service to: 1 Search for a member by name, member number, Medicaid ID (state issued) or social security number. 2 View member eligibility and benefits (health plan type, health plan ID cards, claims, prior authorizations, referrals and case management). 3 Manage and check the status of a claim, referral or prior authorization. 4 Submit a referral or prior authorization request. 5 View and print explanation of payments. 6 Keep up to date on the latest news from HPN.

Now with updated navigation and dashboard

Keep track of health plan information the easy way – online. OPC (formerly known as @YourService) brings health insurance information together in one place. Use this convenient service to:

Who is eligible for an OPC account?

Each practice should designate an account administrator. Account administrators are responsible for making sure every employee (individual account holder) has a separate username and password, and signs the Terms of Usage Acknowledgement form. The administrator also keeps the forms on file and sends them to HPN upon request.