Best Health Insurance Plans in Nevada

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Compare Health Insurance Plans in Nevada

Curious about health care in the Silver State? According to a study by US News, Nevada has the 35th best health care in the nation. The study considers access, quality, and public health.

Health Care Choices in Nevada

There are several ways for NV residents to access health care in their state.

  1. Employer-provided
    1. From your employer
    2. Through your spouse's employer
    3. Through COBRA
  2. Individual or family plans
    1. Through HealthCare.gov
    2. Directly from a health insurance company
  3. Government-assisted
    1. Medicare
    2. Medicaid

Where do most Nevada residents get their health insurance coverage?

Nevada Health Insurance Sources
Sources Percent
Employer-Provided 50%
Individual or family 5%
Medicaid 18%
Medicare 15%
Other Public Care 4%
Uninsured 9%
Source: Kaiser Family Foundation, Health Insurance Coverage of the Total Population

Nine percent of Nevada residents are uninsured, matching the national average. That’s good news for policyholders. A high percentage of uninsured people raises premiums for insured people.

Nevada Health Insurance Costs and Rate Factors

NV residents spend an average of $6,714 per year on health care, less than the national average. So, what determines prices in Nevada? Prices vary from person to person, but depend on these factors:

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Body Mass Index

According to the CDC, the higher your body mass, the higher your risk for serious health conditions. That’s why insurance companies analyze your BMI to determine your risk-level. A higher BMI means higher monthly premiums.

In 2016, NV had a 25.8 percent obesity rate, the ninth lowest rate in the country. Out of the many state residents who used QuoteWizard to compare health insurance plans, 29 percent have a BMI in the obese range.

Tobacco Use

Smokers pay more for health insurance due to the substantial risks from tobacco use. About 16.5 percent of state residents are smokers, the 20th lowest rate in the country.

Age

According to HealthCare.gov, older people tend to pay up to three times more for health care than younger people. NV residents who used QuoteWizard to shop for health insurance are, on average, 41 years old.

Plan Type

Marketplace plans come in metal tiers: bronze, silver, gold, and platinum. The more coverage you want, the more you’ll pay in monthly premiums.

How much should you expect to pay in NV? These are the average prices for each plan type for a middle-aged state resident in 2018:

Nevada Martketplace Plan Rates
Bronze Silver Gold
$329 $415 $472
Source: Kaiser Family Foundation, Change in Average Marketplace Premiums by Metal Tier

Premiums for gold plans cost about 43 percent more than bronze plan premiums. That’s because gold plans cover 80 percent of medical costs, whereas bronze plans only cover 60 percent of costs.

Residents may also qualify for a catastrophic plan, the lowest level of coverage available. Catastrophic plans have low monthly premiums, but a yearly deductible of $7,150. It may save you money to purchase a bronze or silver plan if you need to use your insurance.

Location

Your location plays a large role in your monthly premiums. That’s because every state has different rules, regulations, and providers for health insurance.

Also, providers use a community-rating to determine your insurance costs. Rates are partly based on the combined claims that everyone files. So, if your neighbors file an abnormally high number of claims, your rates could rise.

So, your state’s overall health plays role in your premiums. According to America’s Health Rankings, NV is the 37th healthiest state in the nation.

Nevada Health Insurance Companies

Residents have a few different options for health insurance companies. These companies offer both individual and family plans in your state:

Nevada Health Insurance Laws

The Affordable Care Act limits what insurance companies can use to determine the price of your policy.

There’s a limit to how much you’ll pay out-of-pocket for marketplace plans. In 2018, the out-of-pocket maximum is $7,350 for an individual plan and $14,700 for a family plan.

NV state law requires health insurance companies to offer at least some coverage for the following services:

  • Hospice coverage
  • Cancer screenings
  • Autism spectrum disorders
  • Management and treatment of diabetes
  • Drugs or devices for contraception
  • Treatment for abuse of alcohol or drugs
  • Complications of pregnancy

There are additional services that providers need to offer. Check out the complete list on cms.gov.

Medicare and Medicaid in Nevada

Medicare and Medicaid are both government-funded health care programs that NV residents can qualify for. Medicare covers seniors, whereas Medicaid helps low-income families and children.

Medicare

Residents 65 and older qualify for Medicare. There are several coverage options within the program, including parts A, B, C, D, and supplemental coverage plans. You may also qualify for one of these Medicare Savings Programs:

Qualified Medicare Beneficiaries (QMB):

  • Single person with a monthly income between $710 and $958.
  • Couple with a monthly income between $1,060 and $1,293.

Special Low-Income Medicare Beneficiaries (SLMB):

  • Single person with a monthly income between $958 and $1,149.
  • Couple with a monthly income between $1,293 and $1,551.

Qualifying Individuals (QI-1):

  • Single person with a monthly income between $1,149 and $1,293.
  • Couple with a monthly income between $1,551 and $1,745.

Qualified Disabled Working Individuals (QDWI):

  • Single person with a monthly income below $1,915.
  • Couple with a monthly income below $2,585.

Medicaid

Medicaid is meant for low-income families and children. These are the state’s Medicaid financial requirements:

Nevada Medicaid Financial Requirements
Household Size Maximum Yearly Income
1 $16,146
2 $21,892
3 $27,637
4 $33,383
5 $39,129
6 $44,874
7 $50,620
8 $56,365

Nevada Division of Insurance

Website:
Homepage
Insurance Commissioner:
Barbara Richardson
Insurance Hotline:
(888) 872 – 3234
Office Hours:
Monday - Friday
8:00 am to 5:00 pm
File a Consumer Insurance Complaint
Complaint Page

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