The Enrollment Process

The first step of the enrollment process is to provide some basic information about your income and household composition by answering a few questions using our exchange eligibility pre-screener tool. If the tool identifies potential Medicaid/CHIP eligibility then you will be directed to submit a Medicaid application.

Eligibility

The Affordable Care Act is intended to provide the lowest cost health coverage for an individual or family based on their income level. For individuals or families whose income is below 138% of the Federal Poverty Line (FPL) the lowest cost option is often Medicaid. Individuals or families whose income is greater than 138% FPL typically will not qualify for Medicaid, but may qualify for financial assistance such as insurance subsidies known as Advance Premium Tax Credits (which lower monthly insurance premiums) or Cost Sharing Reductions (which lower the cost of medical services). In addition, adults who do not qualify for Medicaid may still have children who qualify for assistance through the Children’s Health Insurance Program (CHIP). The most important part of the enrollment process, then, is to determine which level(s) of coverage you or your family may qualify for.

Enrollment Periods

Enrollment for a Qualified Health Plan (QHP) through Nevada Health Link is typically limited to the Open Enrollment Period, which occurs only once per year.  The Open Enrollment period begins on November 1st and ends on December 15th. In order to receive coverage by January 1st, you must complete your application by December 15th.  For more information on Open Enrollment please see What is Open Enrollment?

Individuals who experience certain types of life changes may qualify for a “Special Enrollment Period (SEP),” which allows for changes in enrollment outside of the Open Enrollment period. Qualifying Life Events include changes to income/employment, residence, or family composition. To learn more about SEP, read our Blog.

If you’re looking for coverage for plan year 2019:

  • See if you qualify for a Special Enrollment Period due to a life event like losing coverage, getting married, or having a baby, you will enroll at HealthCare.gov
    • Please note: if you enroll on HealthCare.gov in a Special Enrollment Period for plan year 2019 after October 24, 2019 you MUST actively shop Nevada Health Link during Open Enrollment in order to secure coverage for plan year 2020.
  • See if you qualify for Medicaid or NV Check-Up
  • Contact Nevada Health Link by calling: 1-800-547-2927; email us at: CustomerServiceNVHL@exchange.nv.gov

There are no limitations on the enrollment period for Medicaid or CHIP. If you qualify, coverage can begin immediately, any time of year.

Get Help With Enrollment

Nevada Health Link provides a number of options for help with the enrollment process. For a complete list of resources please visit our Get Help page.

For free in-person assistance please use the broker directory to locate a licensed agent/broker or enrollment professional near you.

    • Get answers to the most commonly asked questions by visiting Nevada Health Link’s FAQ page on the platform
    • You can also locate an agent/broker by calling our customer service line and inputting your zip code 1-800-547-2927
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