Insurance Rates and Carriers

Insurance Rates

The premiums listed on the Nevada Division of Insurance’s (DOI) website 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 qualified health plans sold through Nevada Health Link must cover the 10 Essential Health Benefits with no annual or lifetime limits.

Rates are approved and listed through the DOI, and do not reflect any federal subsidies you may be eligible for in the form of an Advanced Premium Tax credit (APTC) to help lower the cost of your premium.

Most plans will be classified into three 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 three 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 and any applicable rate increases for plans submitted in the individual and small group markets are available to view on the Nevada Division of Insurance Website.  Rates are received by the Nevada DOI, and approved by the Nevada DOI. 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.

To learn more about rates and to choose a plan, visit the DOI website. From here, to learn more about the provider network within the plan you choose, visit the Nevada Division of Insurance’s provider directory.