Employee and Retiree Health Benefits

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Clark County Retiree Health Benefits1 document

  • 2022 Health Benefits
    document Header 2022 Health Benefits

Health Benefit Forms5 documents

  • CCSF PPO SPOUSAL COORDINATION OF BENEFITS FORM
    document Header CCSF PPO SPOUSAL COORDINATION OF BENEFITS FORM
  • CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2021
    document Header CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2021
    to be submitted to HealthScope
  • CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2022
    document Header CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2022
    to be submitted to UMR
  • HEALTH BENEFIT CHANGE FORM
    document Header HEALTH BENEFIT CHANGE FORM
  • HEALTH BENEFITS ENROLLMENT FORM
    document Header HEALTH BENEFITS ENROLLMENT FORM

Clark County Self-Funded PPO

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting HealthSCOPE Benefits at (800) 395-7069 or by email at clarkcounty@healthscopebenefits.com. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.11 documents

  • 2021 CCSF PPO Plan Document
    document Header 2021 CCSF PPO Plan Document
  • 2022 CCSF PPO Plan Document
    document Header 2022 CCSF PPO Plan Document
  • CCSF Out-of-Area Dependents and Retirees - Medical Providers
    document Header CCSF Out-of-Area Dependents and Retirees - Medical Providers
  • CCSF Out-of-Area Dependents and Retirees - Mental Health Providers
    document Header CCSF Out-of-Area Dependents and Retirees - Mental Health Providers
  • CCSF PPO Dental Providers
    document Header CCSF PPO Dental Providers
  • CCSF PPO Provider Directory
    document Header CCSF PPO Provider Directory
  • Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
    document Header Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
  • EyeMed Vision Care
    document Header EyeMed Vision Care
  • Navitus Health Solutions
    document Header Navitus Health Solutions
  • UMR
    document Header UMR

Clark County EPO (REPLACING HEALTH PLAN OF NV EFFECTIVE 01.01.2022)

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting HealthSCOPE Benefits at (800) 395-7069 or by email at clarkcounty@healthscopebenefits.com. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.6 documents

  • 2022 CC EPO Plan Document
    document Header 2022 CC EPO Plan Document
  • CC EPO Copayment
    document Header CC EPO Copayment
  • CC EPO Dental Providers
    document Header CC EPO Dental Providers
  • CC EPO Provider Directory
    document Header CC EPO Provider Directory
  • CC EPO Summary Benefit Coverage
    document Header CC EPO Summary Benefit Coverage
  • Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
    document Header Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*

HEALTH PLAN OF NV MEMBER PORTAL (12.31.2021 TERMINATION DATE)1 document

  • HPN Member Portal
    document Header HPN Member Portal

CCSF PPO & CC EPO RETIREE PHARMACY BENEFITS INFORMATION ~ EGWP (Medicare Retirees Only)4 documents

  • EGWP 2022 Evidence of Coverage
    document Header EGWP 2022 Evidence of Coverage
  • EGWP 2022 Pharmacy Directory
    document Header EGWP 2022 Pharmacy Directory
  • EGWP FORMULARY *Subject to Change*
    document Header EGWP FORMULARY *Subject to Change*
  • EGWP Non-Discrimination Statement
    document Header EGWP Non-Discrimination Statement