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 – September 17, 2022

Medicare Advantage, also known as Medicare Part C, is a program that combines the benefits of Medicare Parts A and B into a single plan. Unlike Original Medicare, private insurers provide Medicare Advantage. Those insurers must at least offer Original Medicare benefits, but many insurers go further than this, providing additional benefits to their customers. Companies may provide vision and dental cover, transportation to medical appointments or other value-added services.

Medicare allows Medicare Advantage providers to set their own out-of-pocket costs but may also provide prescription drug coverage. The insurance companies have some leeway when it comes to setting rules for using in-network care providers. Beyond this, these companies must abide by the rules set by the Centers for Medicare and Medicaid Services. The Medicare Advantage program is popular in Nevada. There are just over 566,000 individuals in the state who are eligible to join Medicare Advantage, and the enrollment rate in 2020 was about 40% compared to 42% nationwide.

This guide looks at the Medicare Advantage plans available in Nevada and what those plans cover. It also discusses the eligibility requirements for Medicare Advantage in Nevada and how seniors can find the plans that best suit their individual needs.

The Top 10 Medicare Advantage Plans in Nevada

There are numerous insurance companies offering Medicare Advantage plans in Nevada. This means eligible individuals have a lot of choices in terms of networks, coverage and additional benefits. The following table lists the 10 most popular Medicare Advantage providers in the state, ranked by the number of users enrolled. Most providers offer more than one Medicare Advantage plan, so the cost information shown is a range. The enrollment figures displayed are the combined total of all the Medicare Advantage plans state providers offer. The plan information is up to date as of April 2022. Seniors can get the latest information about the plans available in their area by visiting Medicare.gov.

Name

Total Enrollment

Star Rating

Min Cost

Max Cost

Plan Types

UnitedHealthcare

100,142

4

$0

$32

HMO, PPO

Humana

69,548

4

$0

$152

HMO, PPO

Aetna Medicare

32,356

3

$0

$49

HMO, PPO

Senior Care Plus

19,013

4

$180

$180

HMO

Prominence Health Plan

16,640

3.5

$0

$0

HMO

Anthem Blue Cross and Blue Shield

13,624

3.5

$0

$0

HMO, PPO

Wellcare by Allwell

5,003

0

$0

$30

HMO, PPO

Alignment Health Plan

2,238

0

$0

$0

HMO

SelectHealth

1,441

5

$0

$0

HMO

SCAN Health Plan

1,016

0

$0

$0

HMO

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.

Visit Website
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.

Visit Website
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.

Visit Website

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.

Visit Website
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.

Visit Website Email