Senior Care Plus

What Senior Care Plus does

Senior Care Plus is a Medicare Advantage organization operating in Nevada under Hometown Health, the insurance division of Renown Health (a not-for-profit health system established in 1988). It sells a portfolio of HMO Medicare Advantage plans, including a Renown-centric Renown Preferred Plan, broad-network Essential and Select plans, a Southern Nevada Complete Plan, two Dual-Eligible Special Needs Plans (Extensive Duals, Enriched Duals), and a Patriot Plan, available to beneficiaries across Carson City, Clark, Nye, Storey, and Washoe Counties. Its core technology is a standard Medicare Advantage HMO platform with CMS-compliant interoperability APIs (Patient Access, Provider Directory, Payer-to-Payer) operated via Change Healthcare, a MyChart patient portal, and integrations with Optum Rx (pharmacy), Liberty Dental (dental), EyeMed (vision), NationsHearing (hearing), NationsOTC (OTC benefits), and Teladoc and Doctoroo (telehealth and in-home urgent care). The Personal Assistant program, exclusive to Renown Preferred Plan members, embeds care coordinators inside Renown Medical Group with shared EMR access.

Revenue is generated primarily through Medicare capitation payments plus member premiums (with most plans carrying a $0 member premium and the Select Plan priced at $170.50-$180 monthly). Go-to-market is a multi-channel enrollment architecture spanning phone (775-982-3158), in-person office visits at the Reno headquarters (10315 Professional Circle), online self-enrollment, paper applications, a broker portal, and recurring educational seminars (ABCs of Medicare, Benefits Seminars, member meetings). The company holds NCQA Health Plan Accreditation, achieved a 4.5-star CMS rating for 2026 (up from 4 stars in 2025), and operates a joint venture with Kaiser Permanente that broadens network access in Nevada.

Name

Senior Care Plus

Legal name

Senior Care Plus

Website

https://seniorcareplus.com

Company type

Private

Founded year

1988

Operating status

Operating

Headcount range

11–50 employees

Short description

Senior Care Plus is a Nevada-based Medicare Advantage HMO operated by Hometown Health (the insurance arm of Renown Health) that sells individual Medicare Advantage plans to seniors across five Nevada counties, with exclusive Renown Health network access and a joint venture with Kaiser Permanente.

Ownership category

akta.pro rank

Product category

Medicare Insurance

NAICS

Services for the Elderly and Persons with Disabilities (62412), Services for the Elderly and Persons with Disabilities (624120)

SIC

Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)

akta.pro secondary industries

MA PPO Plans (Local/Regional PPO) (HLAEACAB), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

Keywords

• Medicare Advantage Plans
• Health Insurance
• Senior Healthcare Coverage
• Prescription Drug Plans
• HMO Insurance

Headquarters

HQ city

Reno

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Medicare Advantage Premiums: Monthly premiums collected from members for Medicare Advantage plan coverage, including HMO and PPO plans. Premium amounts vary by plan tier.
2. Medicare Part D Prescription Drug Coverage: Stand-alone Prescription Drug Plan (PDP) with Medicare contract for prescription drug coverage. Revenue includes premiums and federal subsidies.
3. Medicare capitated payments: Hometown Health receives capitated payments from Medicare for covered members under the Medicare Advantage program.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels10 records

Core offering

Senior Care Plus is a Medicare Advantage HMO/PPO health insurance organization offering seven distinct plan types (Renown Preferred Plan, Essential Plan, Select Plan, Complete Plan, Extensive Duals, Enriched Duals, Patriot Plan) to Medicare-eligible beneficiaries in Northern and Southern Nevada. Plans provide comprehensive medical, hospital, prescription drug, dental, vision, hearing, OTC, and wellness benefits, with supplemental services including telehealth, gym memberships, and Personal Assistant care coordination.

Product overview

Senior Care Plus operates as a portfolio of Medicare Advantage health insurance plans offered by Hometown Health (a not-for-profit insurance division of Renown Health). The core product lineup consists of seven distinct plan types: (1) Renown Preferred Plan - a $0 premium Renown-centric HMO with exclusive Renown Health provider access; (2) Essential Plan (HMO) - broad network preventive care focused plan; (3) Select Plan (HMO) - comprehensive coverage with enhanced dental and OTC benefits; (4) Complete Plan HMO - Southern Nevada focused plan; (5-6) Extensive and Enriched Duals Plans (DSNP) - Dual Eligible Special Needs Plans for Medicaid-Medicare beneficiaries; and (7) Patriot Plan. All plans include MyChart patient portal access, pharmacy benefits through Optum Rx, and supplemental benefits including dental (Liberty Dental), vision (EyeMed), hearing (NationsHearing), OTC products (NationsOTC), telehealth (Teladoc/Doctoroo), gym memberships, and Personal Assistant care coordination (Renown Preferred Plan). The organization holds NCQA Health Plan Accreditation and operates as a Medicare Advantage HMO with a CMS contract.

Differentiator

Problem solved

Functional benefit

Brands

• Renown Preferred Plan: A Medicare Advantage HMO plan offering access to Renown Health providers with $0 premium, available to Washoe County, Storey County, and Carson City residents.
• Essential Plan
• Select Plan
• Complete Plan
• Extensive Duals Plan
• Enriched Duals Plan
• Patriot Plan

Products and services

• Renown Preferred Plan A $0 premium Renown-centric HMO Medicare Advantage plan utilizing Renown Health primary care providers, available to Washoe County, Storey County, and Carson City residents. Features $0 PCP visits, $2,700 annual out-of-pocket max, $500 dental benefit, $50 quarterly OTC benefit, and Personal Assistant care coordination.
• Essential Plan (HMO) HMO Medicare Advantage plan utilizing the most comprehensive provider network offering hospital and provider choice. Features $0 monthly premium with preventive dental coverage.
• Select Plan (HMO) HMO Medicare Advantage plan with comprehensive coverage including $170.50-$180.00 monthly premium, $1,500 comprehensive dental benefit, and $140 quarterly OTC benefit.
• Complete Plan HMO (Southern Nevada) HMO Medicare Advantage plan available in Southern Nevada (Clark County) with $0 monthly premium, $2,000 comprehensive dental benefit, and $105 quarterly OTC benefit.
• Extensive Duals Plan (DSNP) Dual Eligible Special Needs Plan for beneficiaries eligible for both Medicare and Medicaid with $0-$9.50 monthly premium, $2,500 comprehensive dental benefit, and $205 quarterly OTC benefit.
• Enriched Duals Plan (DSNP) Dual Eligible Special Needs Plan with $0-$9.50 monthly premium, $2,000 comprehensive dental benefit, and $200 quarterly OTC benefit for dual-eligible beneficiaries.
• Patriot Plan Medicare Advantage plan with $1,500 comprehensive dental benefit and $25 quarterly OTC benefit, designed as a budget-friendly option.
• Medicare Part D Prescription Drug Coverage Stand-alone Prescription Drug Plan (PDP) with Medicare contract for prescription drug coverage. Includes mail order/home delivery and specialty pharmacy through Optum Rx.

Quantifiable outcome

• 4.5 Star CMS Rating (2026) with 5 Stars for Health Plan Services
• +1 more outcomes

Named customers3 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature4 records

Partnerships

Eleven partnerships are on record, tiered core and supporting.

• Kaiser PermanentecoreStrategic or Co-development PartnerJoint venture partnership between Senior Care Plus and Kaiser Permanente. Provides members with access to Kaiser Permanente's healthcare network and services in Nevada.
• Hometown HealthcoreOthersSenior Care Plus is an HMO Medicare Advantage Plan operated by Hometown Health, the insurance division of Renown Health. Hometown Health is Nevada's largest, locally-owned, not-for-profit insurance company established in 1988.
• Renown HealthcoreOthersSenior Care Plus is the only Medicare Advantage Plan accepted by Renown Health. Renown Health is Nevada's largest health system. Senior Care Plus members enjoy integrated care coordination through Renown Medical Group practices.
• EyeMed Vision CarecoreTechnology or IntegrationEyeMed Vision Care administers vision benefits for Senior Care Plus members through the Advantage Network. Provides access to LensCrafters, Pearl Vision, Target Optical retail locations, and online at Glasses.com and Contactsdirect.com.
• Liberty Dental PlancoreTechnology or IntegrationLiberty Dental Plan administers dental benefits for Senior Care Plus members. Has an extensive provider network throughout Nevada and is constantly adding new providers.
• NationsHearingcoreTechnology or IntegrationNationsHearing provides hearing aid benefits and hearing exams for Senior Care Plus members. Offers access to 8,000+ providers nationwide, hearing aids from all major brands, and hearing aid options ranging from $495 to $1,970 per device.
• NationsOTCcoreTechnology or IntegrationNationsOTC provides over-the-counter (OTC) product benefits for Senior Care Plus members. Offers hundreds of OTC products with fast, free shipping. Quarterly coverage amounts vary by plan ($25-$205).
• TeladoccoreTechnology or IntegrationTeladoc provides 24/7 telehealth visits for Senior Care Plus members, enabling virtual access to healthcare providers for urgent care and general medical consultations.
• DoctoroosupportingTechnology or IntegrationDoctoroo provides in-home urgent care visits for Senior Care Plus members ($20 per visit for Renown Preferred Plan), complementing Teladoc telehealth services.
• Optum RxcoreTechnology or IntegrationOptum Rx provides pharmacy services including mail order/home delivery and specialty pharmacy for Senior Care Plus Medicare Part D prescription drug coverage.
• Change HealthcaresupportingTechnology or IntegrationChange Healthcare provides the Interoperability API Developer Portal, enabling third-party app developers access to documentation, registration services, and developer sandbox services related to Patient Access API, Provider Directory API, and Payer to Payer API.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Regional players

• Blue Shield of California: Blue Shield of California is a not-for-profit health plan offering Medicare Advantage HMO/PPO plans with a regional provider-network-driven model similar to Senior Care Plus's Renown-centric approach. Comparable in mission-driven structure and regional MA focus, though operating in California rather than Nevada.

Direct peers

• UnitedHealthcare (AARP Medicare Advantage): UnitedHealthcare is the largest Medicare Advantage carrier nationally and a dominant player in Nevada's Clark County market. It competes head-to-head with Senior Care Plus on MA HMO/PPO plans, Part D, and supplemental benefits.
• Humana: Humana is one of the largest Medicare Advantage insurers in the U.S., with a heavy concentration in senior-focused HMO/PPO plans, dual-eligible SNPs, and Part D coverage. It is the most direct national comparable to Senior Care Plus's MA HMO/PPO and DSNP portfolio.
• Aetna (CVS Health): Aetna offers Medicare Advantage HMO/PPO plans, Part D, and DSNPs nationally and competes directly with Senior Care Plus in Nevada, particularly through its integrated CVS Health care delivery assets.
• Kaiser Permanente: Kaiser Permanente is both a JV partner and a peer: it offers its own Medicare Advantage HMO plans in Nevada and is Senior Care Plus's joint venture partner, making it a structural comparable for plan design, integrated care delivery, and provider-network economics.
• Centene Corporation: Centene is the largest Medicaid managed care insurer in the U.S. and a growing Medicare Advantage / DSNP player through its WellCare brand. It competes with Senior Care Plus on dual-eligible plans and government-program scale.
• Molina Healthcare: Molina is a government-program-focused insurer with a strong Medicare Advantage and DSNP franchise targeting dual-eligible and low-income beneficiaries. It is a direct comparable on DSNP plan economics and Medicaid-Medicare integration.
• Anthem Blue Cross Blue Shield (Elevance Health): Anthem offers Blue Cross Blue Shield-branded Medicare Advantage plans, Part D, and DSNPs across multiple states, including in Nevada. Comparable in offering a broad portfolio of MA plans with regional provider network partnerships.

Emerging players

• Clover Health: Clover Health is a technology-forward Medicare Advantage insurer using its Clover Assistant platform to support primary care providers. Comparable as a smaller, innovation-driven MA plan, though Clover operates in different geographies and faces significant financial pressures.
• Alignment Healthcare: Alignment Healthcare is a tech-enabled Medicare Advantage insurer focused on seniors with integrated care models and high-touch member service. Comparable in MA-only focus and care-coordination-driven member experience, though primarily operating in Western states.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks1 record

Key highlights7 records

Customer concentration

• Facebookfacebook.com/SeniorCarePlusNV
• LinkedInlinkedin.com/company/seniorcare-plus

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Senior Care Plus