Southern Nevada Medicaid plans comparison

Choosing a Medicaid provider can be a complicated decision. You have to pick the provider that best matches your needs.

Find out if your doctor is in-network:

The table below can help you compare Culinary coverage with what is offered by Medicaid managed care organizations in southern Nevada.

Covered medical services

These are not complete lists of services. See each plan’s handbook for full information.

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan
  • ABA services for autism treatment
  • Durable Medical Equipment
  • Emergency care
  • Emergency transportation
  • Family planning
  • Hearing tests
  • Home health care
  • Hospital services (inpatient and outpatient)
  • Inpatient and outpatient mental health services (see handbook for details)
  • Labs/​x-rays
  • Medical nutrition (medically necessary)
  • Nursing home services
  • Orthotics and prosthetics
  • Physical, occupational, and speech therapy
  • Podiatry services
  • Private duty nursing
  • Sports physicals for children (annually as part of a comprehensive well child checkup)
  • Transgender health services and gender reassignment services (age 18+, if the criteria are met under Nevada and federal laws)
  • Unlimited primary care visits
  • Urgent care
  • Weight loss surgery
  • Wellness/​Healthy Kids care, including immunizations
  • ABA services for autism treatment
  • Durable medical equipment
  • Emergency care
  • Emergency transportation
  • Family planning
  • Hearing tests
  • Home health care
  • Hospital services (inpatient and outpatient)
  • Inpatient and outpatient mental health services (see handbook for details)
  • Labs/​x-rays
  • Medical nutrition (medically necessary)
  • Nursing home services
  • Orthotics and prosthetics
  • Physical, occupational, and speech therapy
  • Podiatry services
  • Private duty nursing
  • Sports physicals for children (annually as part of a comprehensive well child checkup)
  • Transgender health care services and gender reassignment services (age 18, if criteria are met under Nevada and federal laws)
  • Unlimited primary care visits
  • Urgent care
  • Weight loss surgery
  • Well-child visits, including immunizations/​shots
  • ABA services for autism treatment
  • Durable medical equipment
  • Emergency care
  • Emergency transportation
  • Family planning
  • Hearing tests
  • Home health care
  • Hospital services (inpatient and outpatient)
  • Inpatient and outpatient mental health services (see handbook for details)
  • Labs/​x-rays
  • Medical nutrition (medically necessary)
  • Nursing home services
  • Orthotics and prosthetics
  • Physical, occupational, and speech therapy
  • Podiatry services
  • Private duty nursing
  • Sports physicals for children (annually as part of a comprehensive well child checkup)
  • Transgender health care services and gender reassignment services (age 18+, if criteria are met under Nevada and federal laws)
  • Unlimited primacy care visits
  • Urgent care
  • Weight loss surgery
  • Wellness/​Healthy Kids care, including immunizations

Medical services not covered

These are not complete lists of services that are not covered. See each plan’s handbook for full information.

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan
  • Abortions (unless the mother’s life is in danger, incest, rape)
  • Acupuncture
  • Care not medically necessary
  • Chiropractic services for members 21+
  • Experimental treatments
  • Infertility services
  • Lasik Surgery/Keratotomy
  • Reversal of transgender surgery/​cosmetic procedures
  • Routine foot care
  • Sterilization reversals
  • TMJ treatment
  • Abortions (unless the mother’s life in danger, incest, rape)
  • Acupuncture
  • Care not medically necessary
  • Chiropractic services for members 21+
  • Experimental treatments
  • Infertility services
  • Lasik Surgery/​Keratotomy
  • Reversal of transgender surgery/​cosmetic procedures
  • Routine foot care
  • Sterilization reversals
  • TMJ treatment
  • Abortions (unless the mother’s life in danger, incest, rape)
  • Acupuncture
  • Care not medically necessary
  • Chiropractic services for members 21+
  • Experimental treatments
  • Infertility services
  • Lasik Surgery/​Keratotomy
  • Reversal of transgender surgery/​cosmetic procedures
  • Routine foot care
  • Sterilization reversals
  • TMJ treatment

Maternity

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

Access to a large network of obstetricians (OB)

  • Pregnant members in their third trimester may receive care from their current OB provider even if the provider is not in the provider directory.

Access to a large network of obstetricians (OB)

  • Pregnant members in their third trimester may receive care from their current OB provider even if the provider is not in the provider directory.

Access to a large network of obstetricians (OB)

  • Pregnant members in their third trimester may receive care from their current OB provider even if the provider is not in the provider directory.

Hospitals

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

In-network hospitals:

  • Centennial Hills Hospital
  • Desert Springs Hospital
  • Henderson Hospital
  • Mountain View Hospital
  • Southern Hills Hospital
  • Spring Valley Hospital
  • Summerlin Hospital
  • Sunrise Hospital/Sunrise Children’s Hospital
  • University Medical Center
  • Valley Hospital

Hospitals not in network:

  • Boulder City Hospital
  • North Vista
  • St. Rose – De Lima
  • St. Rose – San Martin
  • St. Rose – Siena

In-network hospitals:

  • Centennial Hills Hospital
  • Desert Springs Hospital
  • Henderson Hospital
  • Mountain View Hospital
  • North Vista
  • Southern Hills Hospital
  • Spring Valley Hospital
  • St. Rose – De Lima
  • St. Rose – San Martin
  • St. Rose - Siena
  • Summerlin Hospital
  • Sunrise Hospital/​Sunrise Children’s Hospital
  • University Medical Center
  • Valley Hospital

Hospitals not in network

  • Boulder City Hospital

In-network hospitals:

  • Boulder City Hospital
  • Centennial Hills Hospital
  • Desert Springs Hospital
  • Henderson Hospital
  • Mountain View Hospital
  • North Vista
  • Southern Hills Hospital
  • Spring Valley Hospital
  • Summerlin Hospital
  • Sunrise Hospital/Sunrise Children’s Hospital
  • University Medical Center
  • Valley Hospital

Hospitals not in network

  • St. Rose – De Lima
  • St. Rose – San Martin
  • St. Rose - Siena

Urgent care

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

Unlimited access to:

  • CareNow Urgent Care (16 locations)
  • Good Night Pediatrics (Henderson)
  • UMC Quick Care (10 locations)

Unlimited access to:

  • Children’s Urgent Care and Pediatric Center (2 locations)
  • Goodnight Pediatrics (Henderson)
  • HealthCare Partners Urgent Care (3 locations)
  • Southwest Medical Convenient Care (7 locations)
  • Southwest Medical Urgent Care (6 locations)
  • Southwest Medical – extended evening/​weekend hours at some locations
  • Take Care Clinics located in Walgreens Pharmacies in Henderson, Las Vegas, and North Las Vegas
  • UMC Quick Care (9 locations)

Unlimited access to:

  • Advanced Urgent Care
  • Best Urgent Care
  • CareNow Urgent Care (17 locations)
  • Dynamic Urgent Care
  • Sahara West Urgent Care
  • UMC Quick Care (9 locations)

Pharmacy

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

Prescriptions and over-the-counter medicines (when prescribed by your doctor)

In-Network pharmacies include:

  • CVS
  • IngenioRx mail-order pharmacy
  • Raley’s Drug Pharmacy
  • Rite Aid
  • Save Mart Pharmacy
  • Smith’s Food & Drug Center
  • Walmart/​Sam’s Club
  • Walgreens is not in-network

Prescriptions and over-the-counter medicines (when prescribed by your doctor)

In-Network pharmacies include:

  • Albertsons
  • CVS/​Target
  • Smith’s Food & Drug Center
  • Vons
  • Walgreens
  • Walmart/​Sam’s Club
  • Other independent pharmacies
  • Mail order
  • Free home delivery of specialty medications

Prescriptions and over-the-counter medicines (when prescribed by your doctor)

In-Network pharmacies include:

  • CVS
  • Safeway
  • Sav-On
  • Smith’s Food & Drug Center
  • Target
  • Walmart/​Sam’s Club
  • Other independent pharmacies
  • Free home delivery of specialty medications

Enhanced-Over-the-Counter (no prescription required):

  • $30 per household per quarter

Dental

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

Dental provided by Liberty Dental

Dental provided by Liberty Dental

Dental provided by Liberty Dental

Vision

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan

Covered services include:

  • Annual preventive eye exam
  • Bifocals and trifocals in some instances
  • Contact lenses for treatment of a medical condition
  • Eyewear (lenses and frames) every year when requirements are met
  • Medically necessary eye care services, including treatment of eye conditions
  • Repairs and replacement of damaged eyeglasses (with prior authorization)

Covered services include:

  • Annual preventive eye exam
  • Bifocals and trifocals in some instances
  • Contact lenses for treatment of a medical condition
  • Eyewear (lenses and frames) every year when requirements are met
  • Medically necessary eye care services, including treatment of eye conditions
  • Repairs and replacement for damaged eyeglasses (with prior authorization)

Covered services include:

  • Annual preventive eye exam
  • Bifocals and trifocals in some instances
  • Contact lenses for treatment of a medical condition
  • Eyewear (lenses and frames) every year when requirements are met
  • Medically necessary eye care services, including treatment of eye conditions
  • Repairs and replacement for damaged eyeglasses (with prior authorization)

No-cost extra benefits

Anthem Blue Cross and Blue Shield Healthcare Solutions Health Plan of Nevada's Medicaid Plan SilverSummit Healthplan
  • 1 free Costco Gold membership per family
  • 1 free sports physical per year for kids 6-18
  • $100 yearly benefit towards non-standard eyeglass frames versus standard eyeglass frames
  • Adult dental hygiene kit
  • Books for Babies Program
  • Community Outreach Vehicle
  • Free Boys & Girls Club membership/​year for kids 5-14
  • Free cellphone with 350 free monthly minutes, data plan, and unlimited texts from SafeLink Wireless
  • Free electric breast pump
  • GED/​Nevada High School Equivalency Test prep class and exam
  • 24/7 voice response system
  • Behavioral Health Support center (meals, showers, laundry, NA/AA meetings, therapy, medical services, employment services, recreation)
  • Boys & Girls Club membership for kids 5-18
  • Breast pumps
  • Community health workers to coordinate resources
  • Free bus passes*
  • Free cellphone with 1,000 free minutes, or 1.5 GB of data and unlimited texting from LifeLine
  • Long-term supportive housing*
  • Medical respite beds*
  • Nevada high school equivalency test preparation class and exam
  • Nevada ID card assistance
  • Oral interpreter services
  • Rides to doctor appointments, pharmacy, and social services*
  • Transitional care – help moving from hospital to home
  • Transitional housing*
  • Up to $60 in Visa gift cards for healthy pregnancy rewards*
  • Visa gift cards for certain wellness visits and immunizations*

*Applies to qualified individuals

  • 2 dental visits (cleaning and x-ray) per year for members 21+ and pregnant women, if provided at a Federally Qualified Health Center
  • Annual baby showers, including free baby necessities, immunizations, education classes, parenting resources and more*
  • Financial assistance for ID cards, birth certificate and GED*
  • Free Amazon Prime membership for qualified diabetics with Alexa-enabled Amazon Echo*
  • Free Boys & Girls Club membership*
  • Free bus passes*
  • Free dental care**
  • Free New Baby Welcome Kit including newborn essentials*
  • Free smart phone with 1,000 minutes, unlimited texts, and 1 GB of data; or 350 minutes, unlimited texts, and 2 GB of data
  • Free Weight Watchers membership*
  • Households can earn over $765 in Visa gift cards with My Health Pays rewards program for certain wellness visits, preventative dental, immunizations, and pregnancy care*
  • Member Connections for community resources*
  • Members 21+ can receive a $100 allowance each year for the purchase and fitting of medically necessary contact lenses instead of eyeglasses
  • Summit Center, which provides a variety of resources including meals, showering, clothing, internet services, and access to psychiatrists and behavioral health clinicians
  • Transitional housing*

*Benefits and rewards based on age, gender, household composition, medical conditions, and other qualifying criteria may apply.

**Available for qualifying members with participating providers.

For complete reward details visit the Silver Summit Healthplan web site, or call 844-804-6086.

Community resources

If you need help paying for health care, caring for your child, putting food on the table, or have other problems, there is help.

Visit this web page for a list of government and private organizations ready to help you.