One Plan. Always Covered.
SilverSummit Healthplan is a dedicated healthcare organization committed to improving the health and well-being of individuals and communities in Nevada. With a deep understanding of the unique healthcare needs of our diverse population, we offer a comprehensive range of health insurance plans that cater to individual and family needs.
Our Vision
Our vision is to empower individuals and communities to achieve optimal health through accessible, affordable healthcare solutions. We believe in building strong partnerships with our members and communities to improve the overall health landscape.
Our Services
We offer a comprehensive selection of health insurance plans, including:
- Medicaid Plan: Providing comprehensive healthcare coverage for eligible individuals and families.
- Health Insurance Marketplace: Offering a variety of plans to choose from, designed to meet individual needs and budgets.
- Medicare Advantage Plan: Tailored to the specific needs of seniors, offering peace of mind and quality care.
Beyond Insurance
SilverSummit Healthplan believes in going beyond just providing insurance coverage. We actively engage with our members and communities to:
- Promote health and wellness: Providing educational resources and programs to empower individuals to take charge of their health.
- Support preventative care: Encouraging regular screenings, vaccinations, and preventive measures to improve health outcomes.
- Advocate for quality care: Partnering with healthcare providers and facilities to ensure access to quality care.
Our Commitment
With a focus on customer satisfaction, we prioritize:
- Accessibility: Providing seamless and easy-to-navigate healthcare plans and services.
- Transparency: Clear and open communication about our plans and processes.
- Responsiveness: Prompt and personalized attention to your needs and concerns.
Poor Customer Service and Coverage Issues
Several reviewers expressed frustration with the company's customer service, citing long hold times, unhelpful representatives, and a lack of transparency in their policies.
Denial of Claims and Prior Authorization
Multiple reviewers reported issues with claims being denied, despite meeting policy requirements. Some were forced to wait weeks or even months for prior authorization, leading to delayed treatment and further complications.
Lack of Transparency and Communication
Reviewers complained about the company's lack of clear communication, making it difficult to understand what was covered and what was not. This lack of transparency led to frustration and mistrust among customers.
Difficulty Finding In-Network Providers
One reviewer had trouble finding a primary care physician using the company's system, with links provided leading to out-of-network or unavailable providers.
Positive Experiences
On the other hand, one reviewer had a positive experience, praising the company's professionalism, ease of use, and great doctors.
