Pandemic resources could end soon. Here’s what you need to know about your Continuous Coverage options.

Insurance
Jun 14, 2022

You may need to shop for other insurance options, including a qualified health plan through Nevada Health Link. 

More than 800,000 Nevadans are currently accessing Nevada State Medicaid benefits and tens of thousands are at risk of losing their coverage during the redetermination process that will begin when the federal Public Health Emergency (COVID-19 pandemic) declaration ends. Although the COVID-19 state-of-emergency has ended in Nevada, the PHE is still active under federal continuous coverage and does not affect Medicaid eligibility. 

However, the federal ending of the PHE has not been announced; that’s why it’s important for Nevada Medicaid members to act now as the federal ending of PHE since it’s anticipated that it could happen at any time. 

If you or a loved one lose Medicaid coverage, you may be able to get low-cost or $0 monthly premium health insurance coverage through Nevada Health Link. Nevada Health Link is the State-Based Exchange that works to provide all Nevadans access to comprehensive and affordable Qualified Health and Dental Plans. Nevada Health Link is also the only place that you can access and save with tax credits or subsidies to help offset your monthly premium costs. About 9 out of 10 households qualify for subsidies. 

Nevada Health Link and the Division of Welfare and Supportive Services (DWSS), which oversees eligibility for Nevada’s Medicaid program, are working together to ensure all Nevadans have access to health insurance in the state. If you’re currently relying on Medicaid, you are encouraged to review the following to ensure you receive updates related to your coverage. 

So, what does the process look like?

Report all life changes and keep contact info updated

You will need to update your contact information with the Division of Welfare and Supportive Services (DWSS), Nevada Medicaid office. People may lose coverage because their contact information is not up to date and they cannot receive important notices.They may also no longer be eligible due to changes in income or other reasons and need to transition to other insurance. 

There are four ways to update your information:

1. Update your contact information through the Access Nevada portal

2. Visit a Medicaid Program Office

3. Complete this form and send to welfare@dwss.nv.gov 

4. Call: 1-800-992-0900

Redetermination – What happens next? 

Be on the lookout. At some point over the next year, as the Federal Public Health Emergency unwinds, you will receive a letter about your Medicaid coverage and redetermination status. The redetermination letter will also let you know if you need to complete a renewal form to see if you still qualify for Medicaid. 

If you are eligible, follow the instructions to complete the renewal form and return it to Nevada Medicaid.

If you are not eligible, you will receive a letter in the mail from DWSS and Nevada Health Link with instructions to access an application for health insurance on Nevada Health Link.

Stay in the Loop

Visit the NV Medicaid App to receive new messages, and sign up for Medicaid Member News directly from Nevada Medicaid here. 

I’m losing Medicaid coverage, now what? 

If it’s time to explore new health insurance options, including dental and vision, Nevada Health Link has your back. Here’s what you can do to get started: 

  1. Shop and compare plans. After entering your basic information on our website and including your family details and your income, you’ll be able to see what benefits and plans you qualify for. Start here. 

Part of this process includes calculating your income. Nevada Health Link savings are based on your expected household income for the year you want coverage, not last year’s income. Need help calculating an estimate? Take a look at our step-by-step guide

  1. Browse your options. Prices are based on the information you provided for your profile. You can sort and filter plan options by types, tier, and deductibles to broaden or condense your search. 
  2. Register with an access code. Once you pick your plan(s), you will receive an access code to register for your account. 
  3. Need help? We’re a phone call away. Nevada Health Link has a statewide network of licensed enrollment professionals who have been trained to assist you at no cost. After enrolling, your enrollment assister can continue helping you throughout the year by reporting changes to your account, helping you understand important notices, walking you through the annual renewal process, and more. Contact a Nevada Health Link Navigator or Agent/Broker today

Medicaid eligibility changes (no longer eligible due to over income, etc.) is a Qualifying Life Event (QLE), which allows you to enroll in health insurance via Nevada Health Link through a Special Enrollment Period, any time throughout the year. Should you lose Medicaid coverage, you will have 60 days from the last day of  coverage to enroll with Nevada Health Link. We’re here to provide you with financial help at lower costs than ever before. 

For adult dental, Nevada Health Link offers 21 Qualified Dental Plan carriers to choose from, for residents statewide. For individual vision plans, enrollees pay as little as $14 per month for full-service coverage. If you need further guidance on finding a dental or vision plan that meets your needs, Nevada Health Link offers free assistance from our certified enrollment professionals. Learn more about dental and vision plans here

Be on the lookout for scams.

Nevada Health Link is the state-based online health insurance marketplace where you can find qualified health plans that meet the standards of the Affordable Care Act. Other companies may target you and we encourage you to look to Nevada Health Link or your health insurance plan for the most up-to-date information.