OFFICE OF GRADUATE MEDICAL EDUCATION

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BENEFITS:

I. Health Insurance

Please note that there are different forms for health insurance coverage depending if you are in a program based in Las Vegas or Reno. Please only complete the forms for your location.

LAS VEGAS

For a list of providers for Sierra Health and Life, please do the following:

1. GO TO WWW.SIERRAHEALTHANDLIFE.COM
2. CLICK “PROVIDERS” AT TOP OF PAGE
3. NEXT SCREEN: CLICK ON “SEARCH OUR SITE” ON TOP ON SCREEN.
4. NEXT SCREEN: UNDER “SEARCH OUR SITE” TYPE “PROVIDER DIRECTORY” CLICK SEARCH
5. NEXT SCREEN: “UNDER SEARCH RESULTS” CLICK THE FIRST “SOUTHERN NEVADA PROVIDER FOR PPO PLANS”
6. NEXT SCREEN: CLICK “DIRECTORY LIBRARY”
7. NEXT SCREEN: CLICK “DIRECTORY LIBRARY” AGAIN SCROLL DOWN TO “SHLNVSNV HTML” CLICK
8. NEW SCREEN: CLICK “VIEW ENTIRE DIRECTORY”

For a list of providers for Health Plan of Nevada, please do the following:

1. GO TO WWW.HEALTHPLANOFNEVADA.COM
2. CLICK “PROVIDER DIRECTORY” ON TOP OF SCREEN
3. NEXT SCREEN: CLICK “HEALTH PLAN OF NEVADA HMO PROVIDER DIRECTORY”
4. NEXT SCREEN: CLICK “DIRECTORY LIBRARY” SCROLL DOWN TO “HPN SOUTHERN DIRECTORY FOR NEVADA HTML” CLICK


Health Plan of Nevada Enrollment Form
Sierra Health & Life Enrollment Form
New Insurance Enrollee - COBRA

RENO

For a list of providers for Hometown Health, please do the following:
1. GO TO WWW.HOMETOWNHEALTH.COM
2. CLICK “PROVIDER”
3. NEXT SCREEN: CLICK “FIND A PROVIDER” ON LIFT SIDE OF SCREEN
4. NEXT SCREEN: GO TO EITHER “QUICK SEARCH” OR “ADVANCED SEARCH” COMPLETE REQUIRED INFORMATION – CLICK SEARCH.

Hometown Health Enrollment - Change Form
New Insurance Enrollee - COBRA

II. Vision Benefits

For a list of VISION providers for AIG (American General), please do the following:

1. GO TO WWW.AIGEBS.COM
2. ON RIGHT SIDE OF THE SCREEN CLICK ON “EMPLOYEES”
3. NEXT SCREEN : ON LEFT SIDE CLICK ON “FIND A VISION PROVIDER”
4. NEXT SCREEN: CLICK ON “VISION PROVIDER” 2ND SECTION OF THE PAGE
5. EMPLOYEES TO COMPLETE SECTIONS 1 THROUGH 6; WHEN COMPLETED – CLICK “FIND PROVIDERS NOW”, A DIRECTORY WILL BE PRODUCED BASED ON THE EMPLOYEE’S INFORMATION.

University of Nevada Vision Benefit Summary
Vision Authorization form
AIG Vision Enrollment Form

III. Dental Benefits

For a list of DENTAL providers for United Healthcare, please do the following:

1. GO TO WWW.MYUHCDENTAL.COM
2. ON LEFT SIDE OF THE SCREEN CLICK ON “LOCATE DENTIST”
3. NEXT SCREEN: GO TO “DENTIST SEARCH” SCROLL DOWN TO “NATIONAL PPO NETWORK”
4. NEXT SCREEN: STEP 1 - DENTIST LOCATOR – PICK TYPE OF DENTIST FOR EXAMPLE: GENERAL DENTISTRY, ORTHODONTIST ECT.
5. STEP 2 – COMPLETE ONE OF THE SEARCH CRITERIA WITH CITY, STATE & ZIP, THEN MILES RADIUS AND HIT SUBMIT

YOU CAN ALSO CALL (800) 357-0978 FOR CUSTOMER SERVICE
ALTERNATE WEBSITE: WWW.DDSPPO.COM (DIVERSIFIED DENTAL SERVICES)
*ALWAYS CALL YOUR DENTIST OFFICE BEFORE APPOINTMENT TO CHECK MEMBERSHIP.

United Healthcare Dental Custom Option 2008 Summary
Dental Authorization form
UHC Dental Enrollment Form


IV. Life Insurance

Basic Term Life and AD and D Summary
AIG Life Insurance Beneficiary Designation Form


V. Retirement Plan

AIG Retirement


VI. Dependent Full time Student Status Form



VII. Resident PPO vs HMO (Power Point)



VIII. LEAVE OF ABSENCE:

In the event that a resident must request a leave of absence it is advised that the resident review the Resident Leave Policies contained in the Resident Handbook (found at www.medicine.nevada.edu/gme/UNSOM2007final.pdf) to determine his/her eligibility. Once the resident determines eligibility exists the leave must be initiated by the resident by completing the Initial Resident Leave Request Form and submitting the signed form to THEIR program’s Residency Coordinator (to determine the appropriate Coordinator please review www.medicine.nevada.edu/gme/CoordinatorList.asp) with any required documentation (i.e. medical restriction signed by physician, adoption or other legal documents, etc.) as far in advance of the beginning leave date as possible.

In the event of a need to extend or revise an leave of absence which is already approved or has already begun the resident must complete a Resident Leave Request Revision Form and submit the signed form to THEIR program’s Residency Coordinator with any required documentation immediately upon knowledge of such need.

Questions regarding leave of absence policies and procedures can be directed to Human Resource personnel listed at www.medicine.nevada.edu/dept/hr or your program’s Residency Coordinator.