The premiums shown are for ACA compliant plans in which premiums may only be based on age, geographic location, family composition, and tobacco use. Other rating factors including, but not limited to, sex/gender, health history, current health status, and history of being insured are prohibited. All plans must cover the Essential Health Benefits with no annual or lifetime limits.
Most plans will be classified into four metal tier levels. The silver tier represents 30 percent cost sharing, and the gold tier represents 20 percent cost sharing. Some carriers who do not offer plans on Nevada Health Link only offer bronze metal tier plans; for this tier cost sharing is 40 percent.
Some carriers also offer catastrophic plans, which are typically limited to only those who are under the age of 30. These catastrophic plans offer only preventive care and 3 primary care visits until the annual out of pocket maximum is reached, at which time eligible expenses are paid at 100 percent. Individuals enrolled in a catastrophic plan are not eligible for APTC.
Approved Rates for plans submitted in the individual and small group markets are available to view on the Nevada Division of Insurance Website. If you would like make comments to the proposed rates and plans, please do so by visiting the DOI website via this link: http://doi.nv.gov/Rate-Filings/. You will need to choose a company and plan and then scroll down to the comments section. Thank you!
The following medical carriers will offer plans on Nevada Health Link:
The following dental carriers will offer standalone dental plans on Nevada Health Link:
Please note: All plan benefit designs and plan details including deductibles, co-pay structure, co-insurance structure, participating providers and prescription medication formularies will be available for side-by-side comparison when open enrollment starts in November.