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Self-Funded Health Benefits Plan SELF-FUNDED HEALTH BENEFITS PLAN WELCOME The Self-Funded Plan’s goal is to provide you with the highest quality medical care in the least restrictive and most convenient setting possible. To gain the most from the health benefit package your employer has provided, please read carefully the materials provided by your benefits office. It is important that you are aware of the requirements of your plan regarding referrals and prior authorization, as well as the limitations of your coverage. In addition, the following tips will help make your visit to Plan providers a smoother process: 1. Use the providers from this directory and review your plan materials regarding prior authorization. 2. When visiting a physician or other provider, always carry your insurance card and present it to the receptionist. 3. Be prepared to pay your copayment or coinsurance at the time of service. 4. Make every effort to schedule needed appointments during regular office hours. If you are unable to do so, using an UMC Quick Care Center whenever possible is generally more cost- effective for you than using the Emergency Room. This directory lists the name and address of all contracted Plan Providers by specialty and contracted hospitals. Where applicable, service information relating to a physician or provider’s practice has been noted following his/her name (for example, Adults Only). As you can appreciate, changes to information contained in this directory may occur because of provider additions, address changes, or changes in practice arrangements. Be sure to confirm the Plan Provider’s status before receiving services. This can be done when you schedule your appointment. If you have questions regarding the participation status of any physician, prior authorization requirements, claim processing, or if you need additional information or assistance; please call the telephone number on the back of your insurance card. Directories are printed approximately twice a year. We encourage you to access the most current provider information on-line at: www.accessclarkcounty.com/depts/finance/Pages/finance_index .aspx Clark County Self-Funded Health Table Of Contents Index ..............................................................................................................................................................11 Nevada Primary Care Providers ..................................................................................................................43 FAMILY PRACTICE .................................................................................................................................................................... 43 GENERAL PRACTICE ................................................................................................................................................................ 51 GYNECOLOGY ........................................................................................................................................................................... 52 INTERNAL MEDICINE ................................................................................................................................................................ 52 OB/GYN....................................................................................................................................................................................... 58 PEDIATRICS ............................................................................................................................................................................... 61 Nevada Designated Specialists ...................................................................................................................67 ACUPUNCTURE ......................................................................................................................................................................... 67 ALLERGY/IMMUNOLOGY .......................................................................................................................................................... 67 ANESTHESIOLOGY - C.R.N.A. .................................................................................................................................................. 67 AUDIOLOGY ............................................................................................................................................................................... 67 CARDIOLOGY............................................................................................................................................................................. 68 CARDIOLOGY - PEDIATRIC ...................................................................................................................................................... 70 CARDIOVASCULAR/THORACIC SURGERY............................................................................................................................. 70 CHIROPRACTIC ......................................................................................................................................................................... 71 COLON/RECTAL SURGERY ...................................................................................................................................................... 73 COUNSELOR .............................................................................................................................................................................. 73 DERMATOLOGY......................................................................................................................................................................... 75 EATING DISORDER FACILITY .................................................................................................................................................. 76 ENDOCRINOLOGY..................................................................................................................................................................... 76 ENDOCRINOLOGY - PEDIATRIC .............................................................................................................................................. 77 ENDOCRINOLOGY - REPRODUCTIVE ..................................................................................................................................... 77 GASTROENTEROLOGY ............................................................................................................................................................ 77 GASTROENTEROLOGY - PEDIATRIC ...................................................................................................................................... 78 GENERAL SURGERY................................................................................................................................................................. 78 GENERAL SURGERY - PEDIATRIC .......................................................................................................................................... 80 GENERAL VASCULAR SURGERY ............................................................................................................................................ 80 GENETICS .................................................................................................................................................................................. 80 GYNECOLOGIC ONCOLOGY .................................................................................................................................................... 80 HAND SURGERY........................................................................................................................................................................ 80 HEMATOLOGY/ONCOLOGY ..................................................................................................................................................... 80 HEMATOLOGY/ONCOLOGY - PEDIATRIC ............................................................................................................................... 81 INFECTIOUS DISEASE .............................................................................................................................................................. 81 INFECTIOUS DISEASE - PEDIATRIC ........................................................................................................................................ 81 MARRIAGE AND FAMILY THERAPIST...................................................................................................................................... 81 iii Effective August 1, 2020 Clark County Self-Funded Health Plan Clark County Self-Funded Health Table Of Contents MEDICAL HOSPITAL WITH PSYCHIATRIC UNIT ..................................................................................................................... 86 METHADONE FACILITY ............................................................................................................................................................. 86 NEPHROLOGY ........................................................................................................................................................................... 86 NEPHROLOGY - PEDIATRIC ..................................................................................................................................................... 87 NEUROLOGY.............................................................................................................................................................................
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