Medicare Advantage Plans in Nevada
Discover Nevada Advantage Plan providers, compare plan types, see plan prices, and understand the best time to enroll in a Medicare Advantage plan.
Signing up for a Medicare Advantage plan in Nevada will expand your health insurance plan to include complete Medicare Part A and Part B coverage with a variety of wellness benefits and prescription drug plans. Beneficiaries who spend at least six months a year in one service area and have an interest in simplifying their medical coverage should learn more about Medicare Advantage plans in Nevada.
Top rated Medicare Advantage providers in Nevada
- Aetna: Aetna’s HMO also has earned high-quality ratings.
- Humana: Humana has signed up almost a third of all Medicare Part C plans in Nevada.
- Renown Health: This smaller insurance company has a 10-percent share of the state’s MA plan marketing.
Popular Medicare Advantage plan types in Nevada
Best for network freedom: Medicare Advantage PPO
Preferred Provider Organizations, also known as PPOs, are the more lenient type of Medicare Advantage plan in Nevada. While each plan has a network of healthcare providers that offer the lowest prices to members, beneficiaries are permitted to seek care from out-of-network providers. They just might pay higher out-of-pocket costs to do so.
Most PPO plans don’t require beneficiaries to select a primary care physician. Referrals are often not required to see a specialist.
While some $0 premium PPOs are available in Nevada, premiums can go up to $100 for some plans.
Best for lowest out-of-pocket: Medicare Advantage HMO Plan
Health Maintenance Organizations, also known as HMOs, are more restrictive than PPO plans, but they’re also more cost effective. Beneficiaries are required to see network providers exclusively. In return, they receive lower costs that make their overall health care more affordable.
HMO plans require beneficiaries to select primary care physicians and ask for referrals or plan approval before seeing specialists. Some medical procedures and types of medical equipment may also need prior approval for plan coverage.
Most beneficiaries have access to $0 premium HMO plans.
Best for low income or health conditions: Medicare Advantage D-SNP
Special Needs Plans, also known as SNPs, are reserved for beneficiaries with qualifying disabilities or financial limitations. Each plan is dedicated to one specific chronic health condition like end-stage renal disease, cancer, or diabetes. Low-income plans require beneficiaries to meet strict income qualifications before enrolling.
SNPs offer specialized benefits designed to help beneficiaries manage their chronic health conditions. There are HMO and PPO plans available, but they aren’t all available in every service area.
Beneficiaries can use Medicaid in addition to their Medicare Advantage plan. That’s the best way to minimize or eliminate out-of-pocket costs.
Nevada Enrollment Facts:
- About 215,000 beneficiaries are enrolled in Medicare Advantage plans. This coverage is valuable for beneficiaries worried about coinsurance, deductibles, copayments and other out-of-pocket costs that may get out of control with Original Medicare.
- Overall, about 39% of Medicare beneficiaries in Nevada have signed up for a MA plan. The percentage nationwide is about 42%.
How much does Medicare Advantage in Nevada cost?
The average monthly premium for a Medicare Advantage Prescription Drug Plan (MAPD) in Nevada was less than $12 per month. Compared to $20 or more in many other states, Nevada is one of the more affordable states for Medicare coverage.
All Nevada counties offer $0 premium HMO plans, and most offer $0 premium PPO plans. In addition to the monthly premium, beneficiaries enrolled in Advantage health plans may have some out of pocket costs, including:
- Part B premium
- Plan deductibles
- Copays for doctor visits
- Out-of-network charges
The standard monthly Medicare Part B premium for 2022 is $170.10. The annual Part B deducible for 2022 is $233.
Some Medicare Advantage plans cover the premium for Part B at least partially. Not all plans have deductibles, and most copayments are affordable when required. Out-of-network charges are avoidable by sticking to network providers if possible.
|Plan Type||Premium Range|
|PPO Plan||$0.00 to $12.00|
When can I enroll in a Medicare Advantage plan?
Initial Enrollment Period
Every Nevada beneficiary has an initial enrollment period that serves as their first chance to select a Medicare Advantage plan. It starts three months prior to the month the beneficiary turns 65 and ends three months after their 65th birthday month. That gives every beneficiary seven months to act on their eligibility for Original Medicare and Advantage plans.
Open Enrollment Period – AKA Annual Election Period
From October 15 to December 7 every year, beneficiaries have the opportunity to join a Medicare Advantage plan or make changes to their existing policies.
Medicare Advantage Open Enrollment Period
From January 1 to March 31 each year, beneficiaries already enrolled in Medicare Part C have the option to switch plans or move back to Original Medicare.
Special Enrollment Periods – Special Circumstances
Beneficiaries experiencing special life circumstances may qualify for a special enrollment period at any time of the year. One of the most common qualifications is moving out of the service area for a plan with a small regional provider network.
5-star Special Enrollment Period
If you’re enrolled in a Nevada Medicare Advantage plan and want to switch to a 5-star plan offered in your area, you can do so one time between December 8 and November 30. This special enrollment period is limited to beneficiaries already enrolled in Medicare Part C going to 5-star plans.
Special Enrollment Periods if you get “Extra Help”
Beneficiaries receiving Medicare’s Extra Help have more opportunities to switch, join, and drop Medicare Advantage plans. They can make changes one time during each of the following periods:
- January – March
- April – June
- July – September
Those qualified for Medicare and Medicaid can make one change to their Medicare Advantage or Part D plan during each of these periods annually. Medicare beneficiaries receiving Extra Help only for prescription drug coverage can only make changes to their Part D prescription drug plans.
Medicare Advantage Highlights:
- Medicare Advantage plans enhance the coverage provided by Original Medicare.
- Every plan is required to include all of the coverage offered by Medicare Part A and Medicare Part B.
- Medicare Advantage plans are administered by private insurance companies.
- Provide additional coverage like prescription drug plans, fitness center memberships, and routine vision, dental and hearing services.
- Medicare Part C is growing in popularity throughout Nevada.
- More beneficiaries than ever are choosing to combine their medical and wellness benefits in one plan due to the cost savings and convenience.
- The standard monthly Medicare Part B premium for 2022 is $170.10.
- The annual Part B deducible for 2022 is $233.
Nevada State Links
Ready to Learn More?
We help educate Medicare beneficiaries on their Medicare Advantage options and help them go through the process of reviewing and comparing plans. We work with most of the nation’s top-rated Medicare Advantage carriers. Give us a call today, or request a quote online to learn more about plan options.