Table of Contents

Medicare Plans by State

STATE -Select-
  • Alabama
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
Page Reviewed / Updated – December 23, 2023

Unlike traditional Medicare, which is split into Part A for hospital coverage and Part B for medical coverage, Medicare Advantage combines these elements under a single plan and often includes additional benefits. Most Medicare Advantage Plans cover prescription drugs, while others provide extras such as vision, dental and hearing coverage. Some plans will even pay for fitness programs and transportation to doctor’s appointments. Although Medicare Advantage does include costs such as premiums and deductibles, it streamlines coverage and benefits into a single plan, minimizing the separate premiums seniors would otherwise pay under Original Medicare enrollment. 

Medicare Advantage Plans can vary since they are offered through private insurance companies rather than the federal government. Private insurers are required to provide services equal to Original Medicare, but they can choose what additional options to include. Also, unlike the universal nature of traditional Medicare, which provides coverage for any facility or provider that accepts Medicare, Medicare Advantage usually involves a network of providers and doctors to maximize discounts. Because of this, seeing a physician outside of the network can increase out-of-pocket costs.

Medicare Advantage Plans attract a large number of the over 583,000 eligible Nevada seniors, and the plans have grown in popularity since 2022. Enrollment in 2023 sits at 49% of those eligible, which is slightly higher than the national average of 48% and reflects a 9.09% increase over the total number of enrollees in 2022. With the number of eligible enrollees only growing 2.96% over the last year, this increase is significant and indicates growing interest in these Medicare alternatives.

When deciding between Original Medicare and Medicare Advantage, older adults can use this guide to understand the key differences between the two and see what plans are available in Nevada. Seniors can also explore eligibility requirements and find plans that fit their needs and budgets.

The Top 10 Medicare Advantage Plans in Nevada

Any private health insurance provider can offer Medicare Advantage, and Nevada features numerous options from various providers. Nevada seniors can choose their care networks and additional benefits as they shop for health plans that best fit their needs. The table below shows the top 9 Medicare Advantage providers in the state based on the number of enrollees and offers price ranges for different plan options. The information provided is accurate as of July 2023. The latest information on plans available in Nevada can be viewed at Medicare.gov.

Name

Enrollment

Medicare Star Rating

Monthly Cost Range

Plan Types

UnitedHealthcare

102994

2.5

$0 – $180

HMO

Humana

86014

3.5

$0 – $34

PPO, HMO

Aetna Medicare

43361

3

$0 – $32

PPO, HMO

Prominence Health Plan

17705

4

$0 – $0

HMO

Anthem Blue Cross and Blue Shield

9102

2.5

$0 – $0

HMO

SelectHealth

2792

5

$0 – $0

PPO, HMO

SCAN Health Plan

1258

N/A

$0 – $0

HMO

ATRIO Health Plans

647

4

$0 – $20

PPO

Wellcare by Allwell

574

N/A

$0 – $0

PPO

How Medicare Advantage Plans Work in Nevada

Before selecting a Medicare Advantage plan in Nevada, seniors should understand the different types of available plans. Providers typically offer several plan options, including Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs). Each plan has different requirements relating to the need for referrals, in-network care providers and how the plan handles care through out-of-network providers. Plans may also differ in terms of the prescription drug cover offered. Seniors can find descriptions of the four most common plan types below:

Medicare Advantage Plan Types Graphic

What Medicare Advantage Plans Cover in Nevada

Medicare Advantage plans cover everything Medicare Parts A and B cover, except hospice care. In addition to basic coverage for preventative screenings, hospital care and durable medical equipment, Medicare Advantage plans may provide additional benefits such as prescription drug coverage, hearing aids and vision or dental care. Individual insurance companies can set their own policies for what they do and do not cover outside of the federally required elements of Medicare Parts A and B. 



Coverage Available With Medicare Parts A & B?

Coverage Available With Medicare Advantage?

Preventive Screenings

Yes

Yes

Hospital Care

Yes

Yes

Durable Medical Equipment

Yes

Yes

Prescription Drugs

No

Yes**

Vision Care

No

Yes*

Dental Care

No

Yes*

Hearing Aids

No

Yes*

*Select plans offer this coverage

** Most plans offer this coverage

Eligibility for Medicare Advantage in Nevada

To qualify for Medicare Advantage, seniors must already have Medicare Parts A and B, live in the plan’s service area and meet all basic Medicare eligibility requirements. These requirements include holding U.S. citizenship or being a permanent legal resident who has lived and worked in the United States for at least five years. Nevada seniors must be aged 65 or over to qualify for Medicare or be living with a qualifying disability or illness. As with other forms of health insurance, Medicare has set enrollment periods. Seniors can only enroll in a new plan during these enrollment periods. There are also predefined periods during which seniors can change plans. The following table provides more information about enrollment periods.

  • Initial Coverage Election Period: This is the initial 7-month period, coinciding with one’s 65th birthday, during which everyone is eligible to enroll in a Medicare Advantage plan.
  • Annual Election Period (AEP): Also referred to as the Open Enrollment Period, this the time of year when anyone over 65 can enroll in Medicare Advantage for the first time or change to a new plan.
  • Medicare Advantage Open Enrollment Period: During this period, those who are already enrolled in Medicare Advantage can switch to a different plan or switch back to Original Medicare.

Start Date

End Date

Initial Coverage Election
Period

3 Months Before One’s
65th Birth Month

3 Months After One’s
65th Birth Month

Annual Election Period
(AEP)

October 15th

December 7th

Medicare Advantage Open
Enrollment Period

January 1st

March 31st

Additionally, Medicare Advantage plan participants can change their plan outside of these enrollment periods under certain qualifying circumstances, such as moving to a new state.

How to Find & Choose a Medicare Advantage Plan in Nevada

Navigating the many intricacies of Medicare Advantage plan types, insurers, and the specific plan options available by region can be a difficult and time-consuming task. Below are several resources we’ve created to help you through the process.

First is a downloadable PDF that you can use as a guide to help you compare plans as you research. Finally, we have listed a number of organizations that you can contact with experts that will help you determine whether Medicare Advantage is right for you and what plans you should consider.

Choose a Medicare Advantage Plan



State-Wide Medicare Advantage Resources

State Health Insurance Assistance Program (SHIP)

Nevada’s Department of Health and Human Services offers an information and counseling program known as the State Health Insurance Assistance Program (SHIP). This program gives Medicare members access to a network of volunteers around the state who provide one-on-one assistance and counseling on many issues related to aging, insurance and the variety of Medicare options available. Counselors can help seniors assess which plan is the most appropriate for their needs, including eligibility and the appeal process, as well as assistance enrolling in a Prescription Drug Plan (Part D), if needed.

Contact Info

The toll-free counseling number for all Nevada residents is 1-800-307-4444. Help is also available from SHIP volunteers at various counseling sites and local senior centers.

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Nevada Office for Consumer Health Assistance (OCHA)

The Office for Consumer Health Assistance is another resource that helps Nevada residents access health care and prescription drugs and understand their rights under various plans and policies. This includes managed care, insurance provided by an employer, the Employee Retirement Income Security Act, Medicare and Medicaid. State residents who aren’t insured, or are underinsured, can also receive assistance and access to resources from the OCHA.

Contact Info

Seniors can call the OCHA during regular business hours at 1-702-486-3587 or toll-free at 1-888-333-1597. Alternatively, in the case of specific issues and complaints regarding a health insurance company or hospital, seniors can print and fill out a request for assistance form.

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Medicare Savings Programs (MSP)

Nevadans with low-incomes may benefit from the Medicare Savings Programs available in the state, which help people gain and maintain access to health care by paying their Medicare premiums and co-pays. As of 2020, these programs can help eligible residents save at least $104.90 per month. Eligibility is split into four categories that are largely based on income, and this eligibility category determines which benefits are provided. The specific income and resource limits for each category are listed on the website.

Contact Info

Call a local Family Resource Center to make an appointment or contact a MIPPA partner for assistance.

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Local Medicare Advantage Resources

Nevada Care Connection

The Aging and Disability Services Division operates various resource centers around the state under the Nevada Care Connection program. The purpose is to help Nevadans find out which options are available for them in matters related to aging, disabilities and insurance. Caregiver support and veterans services are also available. Nevada Care Connection staff can help make health care more accessible and individualized by providing information tailored to the individual and helping them connect with appropriate governmental agencies and health care providers.

Contact Info

Visit the Nevada Care Connection website to find the closest resource center, as well as local phone and email contacts.

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Senior Medicare Patrol 

The Senior Medicare Patrol is made up of volunteers in local communities who help seniors and their families and caregivers detect and report Medicare fraud and keep their personal information secure. SMP staff give presentations at seniors fairs and community events.

Contact Info

Seniors can call the SMP Helpline (888) 838-7305, visit www.nevadasmp.org, or email [email protected] for more information.

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