Best Medicare in Nevada

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Contributor, Benzinga
Updated: February 5, 2020

Compare Medicare Advantage plans and quote side-by-side to get the best rate here.

What’s in store for you when you qualify for Medicare? Let Benzinga guide you so you understand all the ins and outs of Medicare in Nevada.

The Best Medicare in Nevada:

What is Medicare?

Medicare is a federal health insurance program only available to individuals who meet specific qualifications. You may be able to opt into a Medicare plan if you:

  • Are 65 or older
  • Have a disability
  • Need dialysis or a transplant due to end-stage renal disease

Medicare is different from the health insurance plans you have probably had in the past. It’s offered in parts:

Part A: This part of Medicare provides hospital insurance. It covers inpatient hospital stays, hospice care and care in a skilled nursing facility. In some cases, it can also be used to cover the costs of home health care.

Part B: This is the part of Medicare that you use for medical coverage. It can be used for many types of outpatient care, such as doctor visits, medical supplies and other medical services.

Part C: This part of Medicare is where things start to change. Part C of Medicare is actually an alternative to Original Medicare that combines both Part A and Part B coverage. Private insurance companies are the ones who offer these Medicare Advantage plans.

Part D: Your prescription drugs are covered by this part. Typically, Part D of Medicare is offered as a supplemental plan that you can add to your Original Medicare coverage. Some Medicare Advantages may already include prescription drug coverage.

Legalities of Medicare in Nevada

Medicare is a health insurance program offered and regulated by the federal government. If you enroll in an Original Medicare program, you can receive coverage for your medical services as long as the provider accepts Medicare insurance.

Medicare Advantage plans are offered by private insurance companies. These companies must be approved by the Medicare program to offer Medicare Advantage plans. However, these plans are not regulated by the federal government. Private insurance companies can restrict the providers covered by its Medicare Advantage plan. If you enroll in a Medicare Advantage plan, your insurance company can also require you to receive a referral from your primary care doctor to receive coverage for a specialist visit.

Medicare Advantage plans may also include Medicare Part D plans. The insurance company that offers the plan may only cover generic drug treatments. 

You may also want to explore Medicare supplemental insurance, also known as Medigap coverage. This supplemental option is designed to fill gaps in your Medicare coverage. You cannot carry Medigap coverage if you also have a Medicare Advantage plan.

Types of Medicare Advantage Plans

Like many other types of health insurance, Medicare Advantage plans allow you to choose the plan type that works best for your needs. These are the 2 most common plan types that you will probably see.

Health Maintenance Organization (HMO)

Health maintenance organizations (HMOs) plans bundle Parts A and B of Original Medicare coverage. Some HMO plans also cover prescription drug, vision, dental and hearing coverage. Health insurance companies have a network of participating providers. HMO plans only offer coverage for visits with doctors and facilities that are within your plan’s network. It may also require you to receive a referral from your primary care doctor before it will cover a visit with a specialist. 

Preferred Provider Organization (PPO)

Preferred provider organization (PPO) Medicare Advantage plans also bundle Parts A and B of Original Medicare coverage. Like HMO plans, your PPO plan may also include prescription drug coverage, vision, dental and hearing coverage. Your health insurance company will have a network of participating providers with your PPO plan.

Unlike HMO plans, you will not be restricted to only receive coverage for visits with participating providers. If you decide to visit an out-of-network provider, you can expect to pay more for your visit than you would if you visited a participating provider. PPO plans do not require you to receive a referral from your primary care doctor before it will cover a specialist visit.

Check out a few terms you’ll need to understand before you choose health insurance:

Deductible: Every health insurance plan has a deductible. The deductible is the amount of money you’ll need to pay out-of-pocket for your medical services. After you’ve met your deductible, your health insurance provider will begin to pay for your medical costs. This only applies to services that are covered by your health insurance policy.

Coinsurance: Once you’ve met your deductible, your policy may require you to make coinsurance payments. Coinsurance payments are a percentage of each medical service that you will need to pay yourself. Your health insurance provider will cover the remaining cost of your covered medical services.

Copay: Your health insurance policy may require copays instead of coinsurance. Copays work the same way as coinsurance payments work — it’s the amount you need to pay for your medical services after you’ve met your deductible. Copays are a set dollar amount you’ll pay for medical services instead of a percentage of your bill.

Premium: Your premium is the amount you’ll need to pay to keep your health insurance policy active. Most premiums are split into monthly payments.

Out-of-pocket maximum: The out-of-pocket maximum is the amount of money you’ll be required to pay out-of-pocket for your covered medical services. This includes payments you make before you meet your deductible and coinsurance or copays after you’ve met your deductible. Your health insurance company will pay 100% of your covered medical costs until your plan ends if you hit your out-of-pocket maximum.

How to Sign Up for Medicare in Nevada

There are a few different ways you can sign up for Medicare in Nevada. If you want to enroll in Original Medicare, you can:

  • Enroll online.
  • Call Social Security at 800-772-1213 Monday through Friday from 7 a.m. to 7 p.m.
  • Sign up in person by visiting a Social Security office near you.

If you’re interested in Medicare Advantage plans, you can start by reviewing the plans that are available in your area. Plans can vary by county, so be sure to enter your ZIP code to make sure the plan you’re interested in is available in your area.

To enroll in a Medicare Advantage plan, you can:

  • Visit the insurance company’s website to enroll online.
  • Request a paper enrollment form from the insurance company.
  • Call 800-MEDICARE (800-633-4227).

Average Cost of Medicare Advantage Plans in Nevada

The cost of Medicare Advantage plans can vary depending on a number of factors, including the level of coverage and where you live. You can find a few examples of the average costs of Medicare Advantage plans in Nevada below. Remember, you’ll need to review plans in your area for the most accurate information.

Plan NameCompany Plan TypeHealth and Drug Costs
Humana Gold Plus H6622-056HumanaHMO$0
Allwell MedicareAllwellHMO$0
Aetna Medicare Prime PlanAetnaHMO$0
Anthem MediBlue StartSmart PlusAnthem Blue Cross and Blue ShieldHMO$15.18
UnitedHealthcare Medicare Advantage FocusUnitedHealthcare HMO$88

Best Medicare Insurance Providers in Nevada

Now it’s time to look at some provider options. Here are some of our favorite Medicare insurance providers in Nevada.

UnitedHealthCare Health Insurance
Best For
  • Same day coverage available

1. Best Overall in Nevada: UnitedHealthcare

UnitedHealthcare offers a number of affordable Medicare Advantage plans to meet the needs of Nevada’s residents. It’s one of the largest health insurance companies in the United States. UnitedHealthcare can offer you a large network of participating health insurance providers all across the United States.

This can be useful if you travel often and want to be sure you have an in-network provider available to you if you need medical assistance. UnitedHealthcare’s large network may also make it easier to keep your doctors as you transition to a new insurance provider.

Humana Medicare Advantage
Best For
  • Medicare Advantage Plans

2. Most Affordable in Nevada: Humana

Humana is a health insurance company that has provided Medicare Advantage plans for as long as the Medicare program has been around. Humana offers affordable Medicare Advantage plans to its members.

Some of the Humana plans available in Nevada offer health plans and drug deductibles as low as $0. Humana plans in Nevada also offer an out-of-pocket maximum as low as $999 for in-network services.

Aetna Health Insurance
Best For
  • Member support

3. Best for Low Copays: Aetna

Aetna offers both HMO and PPO Medicare Advantage plans to residents in Nevada. These Medicare Advantage plans come with both health plans and drug deductibles as low as $0. Several of its plans also feature $0 copays on primary care doctor visits. Aetna offers plans with $0 copays for specialists.

This can help you save a significant amount of money over time if you expect to receive treatment for medical conditions. Specialists can be allergists, cardiologists, gastroenterologists and others.

Best For
  • Special Needs Plans

4. Best for Variety of Options: Allwell

Allwell offers a number of Medicare Advantage plans to fit the needs of each of its members. It offers standard Medicare Advantage HMO and PPO plans. It also offers more specific Medicare Advantage plans, including a plan designed for those with chronic conditions such as diabetes.

You can also enroll in an Allwell plan that allows you to combine Medicare and Medicaid coverage into a single plan. Each Medicare Advantage plan from Allwell may offer additional benefits, such as prescription drug, vision, hearing and dental coverage.

Anthem Blue Cross Medicare Advantage
Best For
  • Submiting and tracking claims

5. Best for Resources: Anthem BlueCross BlueShield

Anthem BlueCross BlueShield offers a number of resources to help its customers understand their health care options. It offers Medicare Advantage plans with health plan and drug deductibles as low as $0 each.

You can also expect out-of-pocket maximums as low as $1,500 for in-network covered medical services. You can find resources to help you decide which type of Medicare coverage is right for you on Anthem’s website. Its resources can help you make the best decision for your health care needs.

Which Medicare Option is Right for Me?

Consider your medical needs to decide which Medicare option works for you. Ask yourself how often you visit each of your doctors. Look into the Medicare plans your doctors work with. These factors can help you decide which health care coverage fits you best.

Frequently Asked Questions

1) Q: What are the different parts of Medicare?

Medicare has 4 parts named Parts A, B, C, and D. Part A provides hospitalization coverage while Part B provides outpatient coverage, like doctor visits. Parts A and B make up Medicare’s core coverages. Part C is provides private-market Medicare plans, called Medicare Advantage Plans. Part C coverage often includes additional benefits. Medicare Part D provides coverage for prescription drugs. Get a Medicare Insurance Quote through the top providers here.

2) Q: Is Medicare free?

Because there are 4 parts to Medicare, there can be different cost structures. Most people won’t have to pay for Medicare Part A (hospitalization). Eligibility for premium-free Part A is based on your work history during which you paid Medicare taxes. Many people do pay a monthly premium for Medicare Part B, however, which covers outpatient medical services, like doctor visits. Deductibles also apply to services covered under Medicare Parts A and B, so you’ll pay a part of the annual cost.

Medicare Parts C and D are optional coverages and have premium costs of their own. Medicare Part C refers to Medicare Advantage Plans that offer additional coverage in exchange for a monthly premium. Part D, the prescription plan, reduces the cost of medications but also requires a monthly premium. Subsidies may be available for low income households to help reduce overall Medicare costs.

3) Q: Do I need to sign up for Medicare?

If you signed up for Social Security before age 65, you were enrolled in Medicare automatically but benefits will begin at age 65. In most cases, there are penalties for not enrolling at age 65, so it pays to sign up on time. Click here to get a medicare quote in minutes from the best providers. 

If you have employer coverage, you may be able to delay Medicare coverage while your work plan is still in force. However, the size of the employer determines whether you’ll pay a penalty for not enrolling at age 65. Employees (and their spouses) of companies that offer group health insurance to 20 or more people are usually exempt from late sign-up penalties if they are covered by the employer’s plan.