If you have questions about your health plan’s open enrollment period, speak to your employer’s benefit specialist. For questions about your health plan benefits, call HPN at 1-800-777-1840, TTY: 711.
Welcome to SHL
Welcome to Your Virtual Health Plan Open Enrollment.
Sierra Health and Life (SHL) wants you to understand your health plan and all the programs and services available. Please take time to review the information below.
These videos include general information. For information specific to your plan, please review your plan documents.
What’s a PPO health plan?
PPO plans let members enjoy freedom and flexibility. A PPO plan covers nearly all of your medical expenses as long as you stay within our network of providers, including doctors, urgent cares and hospitals. Care outside of our network is covered but at a higher cost share. Your plan provides coverage for medical care, mental health, and pharmacy benefits.
Here are some key things to know about a PPO plan:
- With a PPO plan, you have a choice of two benefit tiers: plan (in‑network) and non‑plan (out‑of‑network). When you use plan providers, you enjoy lower out‑of‑pocket costs for your health care services. Although you aren’t required to select a primary care provider (PCP), we encourage you to choose one. Your PCP becomes the leader of your health care team and is available for routine care, yearly checkups, and other general health concerns.
- You and your PCP will work together. The relationship you build is important and will help you along your health and wellness journey.
To access your PPO health plan benefits, just show your health plan ID card. Always carry your health plan ID card with you. Show it when you fill a prescription and check-in for your medical appointments.
Click here to learn about your plan's products and services.
Programs and services support you when you need care and want to maintain or improve your health.
Care Options
- 24/7 Advice Nurse: Care advice from a registered nurse at 1-800-288-2264, TTY: 711.
- 24/7 Virtual Visits: Video chat with a provider for non-life-threatening and non-urgent medical conditions. Same-day medication delivery (restrictions apply). Download the NowClinic app or visit NowClinic.com.
- Urgent Care House Calls: Home urgent care visit when you aren’t feeling well enough to travel. Call the 24/7 advice nurse for more information.
- Urgent Care: Care for non life-threatening but urgent needs.
- 24/7 Emergency Care: Treatment for the sudden onset of life-threatening needs.
Wellness Programs
- Weight Loss Program: Spark your transformation for $0 copay.
- Wellness Classes: Help to live a healthy life with classes taught by certified health educators.
- Online Wellness Resources: Instant access to wellness resources to inspire healthier living.
- Disease Management: Ongoing one-on-one support and motivation for living with diabetes and asthma.
- Healthy Recipes: Tasty and healthy recipes to bring healthy dishes to your table.
- Healthy Pregnancy: Support with pregnancy and new baby support app, as well as breastfeeding classes with a lactation specialist.
- Digital Health Tools and Apps: Find a variety of tools and mobile apps, including popular brand names, to help support your health and wellbeing.
To find out more about our health and wellness programs, call 1-800-720-7253.
Digital options giving you access to health plan information just a click away
- HPN & SHL App: Easily manage your health plan information on the go. Download the app from your app store.
- Online Member Center: Keep track of your health plan information 24/7, including claim history, pharmacy benefits and more.
- 24/7 Virtual Visits: Video chat with a provider for non-life for non-life-threatening and non-urgent medical conditions. Same-day medication delivery (restrictions apply). Download the NowClinic app or visit NowClinic.com.
- Healthy Pregnancy and Family Support App: Get pregnancy and parenting information on the go, including personalized clinical content for a week-by-week guide.