Nevada Health Insurance: 2023 Coverage Guide

Nevada Affordable Healthcare Insurance

If you live in Nevada and are shopping for health insurance, it’s good to know that you have some options. This is why it’s important that you compare rates before you buy. Whether you’re shopping for an individual plan or you’re buying coverage for a family, you can get the coverage you need at the best prices by filling out a brief form. However, do keep in mind that time is limited. You may only enroll in a health plan during open enrollment, which runs November 1, 2022 – January 15, 2023. You can only buy during open enrollment, unless you are eligible for the Special Enrollment Period due to a qualifying event.

When Is Open Enrollment in Nevada?

November 1, 2022 – January 15, 2023

How to Get Health Insurance in Nevada

It’s a good idea to consider what your healthcare costs for the following year will be based on the previous year. You’ll need this to decide which type of coverage is right for you, and which will cost the least by looking at the big picture. This requires looking at the different tiers of coverage you have the option of electing. For instance, higher monthly premiums end up saving you money if you frequently visit care providers. So don’t just look at the sticker price. Consider copays, coinsurance and deductibles. Understand your coverage.

The easiest way to get the best rates for the coverage you need is to compare health insurance companies and health insurance quotes with SmartFinancial. After you submit a brief questionnaire, you’ll get several competing health insurance rates, and we’ll put you through with one of our trusted agents who will answer questions about the plan you’re considering and refine your search.

What Types of Health Insurance Are Available in Nevada?

HMOs, EPOs, PPOs and POS plans are available in Nevada. In Nevada, you can buy catastrophic or bronze plans which offer the least benefits and are cheapest. You can also buy silver or gold, with gold covering 80& of all costs, silver 70%.

Does Health Insurance Cover Pre-existing Conditions?

The Affordable Care Act made it illegal for marketplace health plans to deny anyone health insurance coverage based on pre-existing conditions.

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Do I Qualify for a Special Enrollment Period?

Requirements to qualify for enrolling outside of the Open Enrollment Period:

• Did you lose, quit or change a job? Or did you start your own business? If your new job doesn’t offer health insurance, you qualify for the special enrollment period to buy a private individual or family plan.
• Once you turn 26, it’s time to get off your parents’ health insurance plan(s). You can enroll in a new individual plan on your birthday!
• If you lose coverage because you moved, you can enroll in a new plan.
• Did you have a Cobra extension of your health plan from your last job? After the deadline, you can sign up for a new plan.
• If you and a spouse shared a health plan but divorced, you can enroll in a new plan.
• Marriage. If you recently married, you may be able to get added onto your spouse’s policy or start an entirely new one together.
• If you’re a new parent, you can enroll the child in a new plan.
• Death of spouse or partner. If you were covered under your spouse or partner’s health plan but that person passed away, you can enroll in an individual plan.
• If you had health insurance through a partner or spouse who lost his/her coverage for any qualifying reason, you can buy an individual plan or buy new coverage together.

Is Health Insurance Required in Nevada?

No, only California, Massachusetts, New Jersey, Vermont, Rhode Island, and DC still require health insurance. Otherwise, there is a tax penalty. Even though it’s not required in every state, buying health insurance is necessary to avoid medical bankruptcy.

How Much Is Health Insurance in Nevada?

The average cost of health insurance in Nevada for a 40 year old is about $560 a month. Health insurance is less expensive, the younger you are. Tobacco use increases health insurance rates.

How to Save on Health Insurance in Nevada

The best way to save on health insurance in Nevada is to compare rates based on the tier system. Beforehand, you’ll want to estimate your medical costs

Medicare in Nevada

Medicare is health insurance coverage for Americans ages 65 years and older. The government also allows younger people with disabilities to enroll in the program. Individuals with End-Stage Renal Disease (a permanent kidney failure treated with dialysis or a transplant) can also sign up as can some individuals with severe mental health issues. Others who qualify for Medicare disability coverage are individuals with Amyotrophic Lateral Sclerosis (also called Lou Gehrig’s Disease). Most beneficiaries will receive Original Medicare (Parts A and B). Some people buy Medicare Advantage, which includes Part A and B as well as offering vision, dental and prescription drug coverage.

How Many People Are on Medicare in Nevada?

17% of the population of Nevada is on Medicare.

How Much Is Medicare in Nevada?

If you do not qualify for Medicare, you can buy it for $499 a month for Part A in 2022 and a standard monthly premium for Medicare Part B was $170.10, or even higher depending on income.

Original Medicare vs Medicare Advantage: What’s the Difference?

Medicare is a government subsidized health plan that is available to qualified Americans age 65 and older. Medicare Advantage is sold through private health insurance companies, but these policies are also regulated by the government. Medicare Advantage plans offer the same benefits as Medicare Parts A and B. Medicare Advantage plans also offer more coverage for dental, vision, hearing and prescription drugs. Medicare Advantage plans have a maximum out-of-pocket limit. For 2022, it was $7,550 but many plans set their maximums at a much lower cost. That is why it’s important to compare companies. People who opt for original Medicare can buy Medicare Supplements to help with out-of-pocket costs. You cannot buy both Medicare Advantage and Medicare Supplements. If you enroll in a Medicare Advantage Plan during open enrollment, you will automatically be disenrolled from original Medicare.

How to Get Medicare Coverage in Nevada

If you receive social security payments, you may automatically enroll in Medicare, but you may have to sign up if you do not receive payments. The easiest way to enroll in Medicare is by working with a trusted insurance agent to get the coverages you want. Just enter your zip code and answer a few simple questions.

Types of Medicare Plans Available

Original Medicare, Medicare Advantage, Medicare Cost Plans (only offered in certain areas), Demonstration/Pilot Programs (also called Research Studies; only offered in certain areas) and Programs of All-Inclusive Care for the Elderly (PACE).

How Do I Qualify for Medicare?

To qualify for Medicare you must be a citizen of the U.S. or have been a legal resident for at least five years. If you are age 65 or older and you/your spouse have worked for at least 10 years (40 quarters) or you have a disability, Amyotrophic Lateral Sclerosis (ALS) or end-stage renal disease (ESRD), you most likely qualify for Medicare.

How Can I Save on Medicare in Nevada?

You can save on Medicare by signing up for Part B as soon as you’re eligible. People who enroll late must pay a penalty every year. If you’re interested in buying Medicare Advantage, you can shop and compare Medicare plans for the best value.

Nevada State Health System Ranking

Ever wonder how your state stacks up when it comes to quality healthcare? The Commonwealth Fund published a report in 2020 on State Health System Performance. They took into consideration the access to quality care, health outcomes, and disparities in all 50 states. The scores for the Nevada Health System are listed below:

• Nevada: Overall Ranking: 49 of 51
• Nevada: Overall Performance: Below U.S. Average
• Nevada: Access and Affordability: 44
• Nevada: Prevention and Treatment: 51
• Nevada: Avoidable Hospital Use and Cost: 40
• Nevada: Healthy Lives: 40
• Nevada: Health Care Disparities: 36

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Nevada Health Insurance Coverage

The people of Nevada have different kinds of health insurance while some Nevada residents are not insured at all. See the breakdown below:

• Private coverage: 51%
• Medicaid: 19%
• Medicare: 17%
• Uninsured: 13%

Report: America's Health Insurance Plans

Nevada Health Insurance Companies

• Aetna Health Inc.
• Anthem Blue Cross and Blue Shield (Rocky Mountain Hospital and Medical Serices Inc.)
• Compass Rose Health Plan
• Health Plan of Nevada, Inc.
• Prominence Health Plan
• United Healthcare Services, Inc.
• UnitedHealthcare Insurance Company (Nevada)
• Aetna Life Insurance Company (Nevada)
• Cigna Health and Life Insurance Company (Nevada)
• Connecticut General Life Insurance Company (Nevada)
• Sierra Health & Life