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Communication with the Exchange

Insurance carriers are encouraged to email the Exchange with any questions or concerns. For information on SSHIX’s Monthly Insurance Carrier Meeting Series, including presentation materials and video recordings, visit https://www.nevadahealthlink.com/carrier-meetings/.

View rate filings on the Nevada Division of Insurance Site

Questions? Send an email to the Plan Management team at: pmanagement@exchange.nv.gov

Plan Year 2021 Information

Silver State Health Insurance Exchange Guidelines

The links below contain Plan Year 2021 Exchange Carrier Guidelines for both QDP and QHP carriers.

The links below contain Plan Year 2020 Forms:

Insurance Carriers

The following medical carriers will offer plans on Nevada Health Link:

The following dental carriers will offer plans on Nevada Health Link:

Plan Year 2020 Information

Silver State Health Insurance Exchange Guidelines

The links below contain Plan Year 2020 Exchange Carrier Guidelines for both SADP and QHP carriers.

The links below contain Plan Year 2020 Forms:

Plan Certification and Network Adequacy

Calendar Year 2020 Carrier Fees

FeesChart

Adoption Hearing February 14, 2019 for Calendar Year 2020

Calendar Year 2021 Carrier Fees

Adoption Hearing January 22, 2020 for Calendar Year 2021

Policy Memos for Carriers

Plan Year 2021 Policy Manual Final

On August 5, 2020 the Exchange published a draft revised Nevada Health Link Policy Manual to solicit comments and feedback for a 30 day period.  Below is the Final Nevada health Link Policy Manual Version 2.

Nevada Health Link Final Policy Manual_v2

Parents as Non-Subscribers Policy Memo

Tobacco Rate Change Mid Year Policy Memo

How to Contact Your Insurance Carrier

If you have purchased a Health Plan of Nevada (HPN) plan, you can access your account on their website or you can call HPN toll-free: 1-800-777-1840

If you have purchased an AmBetter by SilverSummit health plan, you can access your account on their website or you can call AmBetter by SilverSummit toll-free: 1-866-263-8134

If you have purchased an Anthem HMO Colorado health plan, you can access your account on their website or you can call Anthem toll-free: 1-866-755-2680

SSHIX Documentation for Insurance Carriers

Document Title Version Revision Date
GetInsured 834 Companion Guide (PDF) 20.09.02 7/28/2020
Exchange-Carrier Reconciliation Guide (PDF) R2019h 5/6/2020
SSHIX Plan Year 2021 EDI Carrier Testing Guide 1.2 7/20/2020
GetInsured Secure FTP Access Request Form N/A N/A
Instructions for Secure FTP Access Request Form N/A N/A
SSHIX Acceptable Use Agreement 1.0 June 3, 2019
SSHIX System Access Request Form (SBE Platform + Carrier Connector) N/A October 16, 2020
SSHIX Reinstatement Request Form 1.1 March 9, 2020
SSHIX Bulk Reinstatement Request Worksheet 1.0 March 10, 2020
Plan Year 2020 Monthly RCNI Submission Deadlines N/A March 6, 2020

Resources for Carriers

Nevada Health Link Brand Standards

State of Nevada

Nevada Health Link is brought to you by the State of Nevada Silver State Health Insurance Exchange

The Official Site of the Silver State Health Insurance Exchange | Copyright ©2020 State of Nevada - All Rights Reserved | Privacy Policy

Review the Silver State Health Insurance Exchange Nondiscrimination Statement in English or en Español.