Nevada Health Insurance

Are you currently looking for a health insurance plan in Nevada? Discover affordable options provided by top insurance companies within the state marketplace. Look for essential coverage that suits your budget, while also considering deductibles and copayments. For expert guidance in finding the right plan for your needs in Nevada, consider consulting experienced professionals.

Choosing the Right Florida Health Insurance Plan

Picking the right metal-tier plan for your Nevada health insurance is crucial. If you expect regular healthcare needs or want strong financial protection, consider higher tiers like Gold or Platinum. If you’re healthier and want lower monthly costs, a lower tier like Bronze works, but remember it can mean higher out-of-pocket expenses. Think about your health and expected medical costs to find the balance between coverage and affordability.

• Bronze Tier: The Bronze tier plans typically have the lowest monthly premiums but higher out-of-pocket costs when you receive medical services. These plans generally cover around 60% of your healthcare expenses, while you would be responsible for the remaining 40%. Bronze plans are a good choice for individuals who want to keep their monthly premium costs low and are relatively healthy with minimal medical needs.
• Silver Tier: Silver-tier plans strike a balance between premiums and out-of-pocket costs. They cover approximately 70% of your medical expenses, leaving you responsible for the remaining 30%. Silver plans also offer cost-sharing reductions (CSR) for eligible individuals, which further lower out-of-pocket expenses for those with lower incomes. These plans are suitable for individuals who need more coverage than what a Bronze plan offers but want to avoid higher premiums of Gold or Platinum plans.
• Gold Tier: Gold tier plans have higher monthly premiums compared to Bronze and Silver plans but provide more extensive coverage. They typically cover about 80% of your medical costs, leaving you with 20% to pay out of pocket. Gold plans are a good fit for individuals who expect to have higher medical expenses and want more predictable and comprehensive coverage.
• Platinum Tier: Platinum tier plans have the highest monthly premiums but the most comprehensive coverage. They cover around 90% of your healthcare expenses, and you are responsible for the remaining 10%. Platinum plans are ideal for individuals who frequently use medical services and want the most extensive coverage with minimal out-of-pocket expenses.

Lowest-Costing Nevada Health Insurance Plans by County

There are numerous budget-friendly NV health insurance plans available to residents, offering essential coverage without overwhelming their financial resources and ensuring access to quality medical care for all. Below is a listing of the least expensive health insurance plans by county:

Lowest-Costing Nevada Health Insurance Plans by Metal Level

Pick a health plan based on what you need, what you can afford, and how much risk you’re comfortable with. These plans are sorted into metal tiers that show what they cover and cost. Check out the table below for the cheapest plan in each tier.

*based on a healthy 35-year-old  individual in Carson City, Nevada.

Lowest-Costing Nevada Health Insurance Plans by Insurance Company 

When it comes to insurance decisions, having an insurance carrier in mind is a positive start, but the choice of a specific plan can be crucial. If you are looking for the cheapest plan your preferred Health Insurance carrier offers, the list below will greatly help you.

*based on a healthy 35-year-old  individual in Carson City, Nevada.

Nevada Health Insurance Carriers

The Nevada health insurance marketplace is facilitated by nevadahealthlink.com, serving as a portal for individuals and families to discover crucial coverage alternatives. Some of the insurance companies engaged in this marketplace comprise:

Health Plan of Nevada (HPN)

Ambetter from Silver Summit

Anthem (HMO Nevada)

Friday Health Plans

Select Health

Aetna CVS Health

Hometown Health Plan

These insurance providers collaborate to offer a diverse range of health insurance plans, guaranteeing that residents of Nevada can access a variety of options designed to suit their individual needs and preferences.

Nevada Health Insurance Statistics and Figures

Around 2.7 million people had health insurance in 2021, while 351,500 remained uninsured. In 2023, the average health insurance cost is $386, with a mere 0.7% increase from the previous year, highlighting the state’s commitment to keeping healthcare affordable and accessible.

*based on kff.org dataset

Health Insurance Terms to Learn When Getting a Plan

Knowing the basic health insurance terms is important for making smart decisions about your coverage, comparing plans, and managing your healthcare expenses effectively.

Premium: The premium is the amount you pay to the health insurance company regularly, usually on a monthly basis, to maintain your coverage. It is a fixed cost, regardless of whether you use healthcare services or not.

Deductible: The deductible is the amount you must pay out of pocket for covered medical services before your insurance starts to pay. For example, if you have a $1,000 deductible, you are responsible for paying the first $1,000 of covered medical expenses before your insurance coverage kicks in.

Co-payment (Co-pay): A co-payment is a fixed amount you pay for certain medical services, such as doctor visits or prescription drugs, at the time of service. Co-payments are typically a specific dollar amount (e.g., $20 per doctor visit) and can vary depending on the service.

Coinsurance: Coinsurance is the percentage of the cost of a covered healthcare service that you are responsible for paying after you’ve met your deductible. For instance, if your insurance plan has a 20% coinsurance for hospitalization, you would pay 20% of the covered costs, and the insurance company would cover the remaining 80%.

Out-of-Pocket Maximum (OOP Max): The out-of-pocket maximum is the highest amount you have to pay for covered medical services in a given year. Once you reach this limit, your insurance company covers 100% of the remaining covered medical expenses for the rest of the year.

Network: A network refers to a group of doctors, hospitals, and other healthcare providers that have contracted with a specific insurance company to provide services at discounted rates. Staying in-network usually results in lower out-of-pocket costs for the insured individual.

Out-of-Network: Out-of-network providers are healthcare professionals or facilities that do not have agreements with your insurance company. If you use an out-of-network provider, you may have higher costs, and some services may not be covered.

Enrollment Periods: For plans offered through the Health Insurance Marketplace, Open Enrollment Period (OEP) occurs once a year, typically from November 1 to December 15, allowing individuals to enroll in or change health insurance plans for the upcoming coverage year through the Health Insurance Marketplace or their employer. A Special Enrollment Period (SEP) Allows individuals to enroll in or change health insurance plans outside of the regular Open Enrollment period due to qualifying life events such as marriage, birth of a child, losing other health coverage, moving, or changes in household income. Medicare Initial Enrollment Period (IEP) is available for those eligible for Medicare, lasting seven months, beginning three months before the 65th birthday and ending three months after, allowing enrollment in Medicare Part A, Part B, Part D, and Medicare Advantage plans.

Low-Cost Health Insurance Options in Nevada

In Nevada, there are several free or low-cost health insurance options available to eligible individuals and families who meet specific criteria. These programs aim to provide essential healthcare services and coverage to those with limited financial resources. Here are some of the main options: