Nevada Medicare Insurance Plans

Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Nevada.

Medicare Supplement Insurance (Medigap) Policies

The state flag of Nevada | Nevada Medicare Insurance Plans

Nevada does not mandate plan providers to sell Medicare Supplement Insurance (or Medigap) policies to Medicare recipients under age 65. Some plan providers may still offer Medicare supplement options to those under 65, but they may charge higher costs or set other restrictions that do not apply to those 65 and older.  Learn more at CMS.gov.

COBRA and Mini-COBRA Policies (Small Group)

If you work for an employer that has over 20 full-time em ployees, then the federal COBRA law applies. If you work for an employer that has under 20 full-time employees, Nevada has a state continuation program, similar to COBRA, that says plans with 2-19 employees may be eligible for up to 18 months, dependents can qualify for up to 36 months.  You can find more information here.

Medicare Savings Program in Nevada

Nevada offers four Medicare Savings Programs that individuals who qualify may apply for through the Nevada Department of Health and Human Services Division of Health Care Financing and Policy.

*The following data is from 2017 and is based on federal amounts. If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.

  • *Qualified Medicare Beneficiaries (QMBs): For individuals with a monthly income under $1,010 or couples with a monthly income under $1,355 who are receiving Medicare Part A, the state pays all premiums, deductibles, copayments, and coinsurance for Medicare Parts A and B.
  • *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income under $1,208 or couples with a monthly income under $1,622 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
  • *Qualified Individuals (QIs): For individuals with a monthly income under $1,357 or couples with a monthly income under $1,823 who are receiving Medicare Parts A and B, the state pays the Medicare Part B premium.
  • *Qualified Disabled and Working Individuals (QDWIs): For individuals with a monthly income under $4,045 and couples with income under $5,425 who lost disability benefits due to earnings and are eligible to enroll in Medicare Part A, the state pays the Medicare Part A premium.

*Data from Medicare.gov

According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.

Nevada State Health Insurance Assistance Program (SHIP)

Nevada SHIP is a state-wide program through the Aging and Disability Services Division of the Department of Health and Human Services. Volunteer counselors provide free one-on-one assistance for seniors and their families, as well as answers to common Medicare questions like choosing a plan and processing claims. The SHIP program also actively participates in community outreach and refers to other state and community service providers.

Low-Income Subsidy (Extra Help) for Prescription Drugs

In 2017, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple).

If you live in Nevada and have questions about the benefits listed above or how to choose the health care coverage that meets your needs, consult with one of our licensed sales agents for customized guidance. Our licensed sales agents can help you compare Medicare insurance plans to help you find the best plan to fit your needs.