Nevada health insurance marketplace: history and
news of the state’s exchange

BCBS of Nevada and Bright Health offering plans for 2018; cost of CSR added to silver premiums,making other
metal levels particularly affordable

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Louise Norris
Individual health insurance and health reform authority; broker
March 22, 2018

More Nevada coverage

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    Insurance Guide
    • A guide to health insurance in
      your state.
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    • Your state’s Medicaid expansion,
      eligibilty, contacts
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    • Insurance for those over 64

Highlights and updates

  • 2018 enrollment down 4.6% from 2017
  • One insurer in 2017, but Bright Health joined in 2018
  • Average rate increase 15.6%, including added premiums to cover CSR cost
  • Cost of CSR added to silver exchange, other metal levels particularly cheap for some
  • 2018 rates and new insurer indicate death spiral no longer a danger

Nevada exchange overview

In 2013, 20.3% percent of the population was uninsured. By 2015, that number has decreased by 39% to 12.3% thanks to the Affordable Care Act.

Nevada is the only state where off-exchange plans are available year round. However, there is a three month waiting period before new enrollees are fully covered. The Nevada Health Link is a state-run exchange that utilizes The state is working towards having its own enrollment platform by 2019. There plans to be two carriers offering coverage—Silver Summit and Health Plan of Nevada. For 2019, the average rate increase is only .4%.

In 2017, 91,003 people enrolled in 2018 coverage through the open exchange. That was a 2.2% increase over last year’s enrollment. Since 2014, the number of residents enrolling in the open exchange has increased steadily.

Nevada and Medicaid

Nevada was of the states that expanded Medicaid in 2014. Due to the expansion, 204,000 people were eligible for coverage. As of 2017, the average monthly Medicaid has grown by 298,810 from 2013 which is a 90% increase.

Medicare Enrollment

In past years, 86% of Nevada Medicare recipients qualify on age alone which is just slightly more than the national average whereas 14% qualify due to a disability. Medicare spends about $8,763 per enrollee each year and spends overall $3.3 billion annually. Those enrollees who want more out of Medicare can opt for a Medicare Advantage Plan. 34% of enrollees opt for a Medicare Advantage Plan. Additionally, about 60% of Nevada Medicare beneficiaries have stand-alone prescription plan.

Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for Her state health exchange updates are regularly cited by media who cover health reform and by other health insurance experts.