Nevada is a State-Based Health Insurance Exchange
Whether you’re looking for health insurance for yourself or your family, you may become familiar with the states health insurance website, Nevada Health Link. This is the only place to go where you can get a subsidy (government assistance) to help pay for your health insurance in Nevada.
IMPORTANT: You can still use a Heath Insurance Agent. Their services are available to guide you either on or off the exchange.
In most cases, when someone is talking about state-based health insurance, they’re referring to a health insurance plan that is regulated by the Department of Insurance in that state. These plans are sold through state health insurance exchanges. Another viable option is enrolling directly with the health insurance carriers without getting a government subsidy with the help of brokers and agents.
State-Based Health Insurance Exchanges And The Affordable Care Act
In 2010, when the Affordable Care Act was signed into law, states were given the option of choosing whether they wanted to establish their own state-based health insurance exchanges or whether residents would instead obtain health insurance through the federally run platform, known as HealthCare.gov.
Some states already had their own exchanges and decided to simply continue making health insurance accessible to residents that way. While others switched from their own exchange to the federal exchange.
State-based health insurance exchanges come with a lot of benefits to residents. For example, in some states, insurers have to meet coverage and rate requirements for their plans to be sold on the state exchange, ensuring that residents have access to better coverage. In some cases, states may even give priority to health insurance companies that offer benefits that align with the overall health needs of the state. Using the federal portal Healthcare.gov is more expensive than using our own State Based Exchange too.
The Difference Between The Two Exchanges
While both on-exchange and off-exchange health insurance plans can provide great coverage, there are some key differences between the two.
On-exchange health insurance plans are purchased through government-created marketplaces online. Off-exchange health insurance plans, on the other hand, are purchased from a health insurance company. They can be purchased directly from the company or they can be purchased through an agency like Nevada Insurance Enrollment.
Having a broker is a huge benefit! At no additional cost to you, an insurance agent can provide you with the information about all the different health insurance companies and their plans as well as assist you with policy questions year round.
3 Reasons to Consider Purchasing an Off-Exchange Plan
More Choices for Health Insurance
On-exchange health insurance are usually HMO plans which limit the freedom to see any provider you are wanting to see. They can only be purchased during “open enrollment” or anytime with a provable “life event” such as, permanent move to NV, loss of coverage from employer, birth of baby, marriage, etc. By purchasing an off-exchange plan through Nevada Insurance Enrollment, you may have greater access to more plans like EPO’s and PPO’s which allow you to see providers without referrals. However, you cannot receive a Government subsidy when buying off-exchange.
Larger Provider Networks
Buying an off-exchange PPO plan gives you the option of selecting a plan that will cover your current doctor, in or out of the network. Most on-exchange plans generally have smaller provider networks, requiring that you pick a primary doctor that is in their network.
Affordability
Our agents are available for in-person visits. All of our agents are licensed, experienced and want to help you get the best plan at the lowest price you are entitled to, whether it is an on-exchange or off-exchange plan.
Reach Out To Nevada Insurance Enrollment
With so many options available, finding great health insurance coverage can be a challenge. At Nevada Insurance Enrollment, our health insurance agents are here to help you make sense of your options to find coverage that will fit your needs and budget.
Recent Posts
Things Potentially NOT Covered By Your Health Insurance
To be fair, in recent years, health insurance companies have made strides towards transparency. If you have an ACA-compliant plan, there are many services that your health insurance is legally required to cover, taking some of the guesswork out of budgeting for health expenses.
Medical Loss Ratio
This Medical Loss Ratio states that when a family or individual buys a medical plan, 80% of every dollar collected and paid to an insurance company MUST pay medical claims/research. So that leaves the insurance company to pay ALL of their expenses with the remaining 20%. .20 cents on the dollar for their employees, buildings, broker costs, etc.
Why Does Health Insurance Have an Open Enrollment?
The Affordable Care Act / Obamacare, put specific enrollment periods in place to prevent people from only enrolling in health insurance when they were sick or needed surgery.
Search This Website
Most Popular Pages
By page visits (this month)
#1) Health Insurance Subsidy Chart
#2) Health Insurance
#3) Health Insurance WITH a Subsidy
#4) Insurance Blog
#5) Request a Quote
Top 5 Most Popular
By page visits (this month)
#1) Health Insurance Subsidy Chart
#2) Health Insurance
#3) Health Insurance WITH a Subsidy
#4) Insurance Blog Posts
#5) Request a Quote
Recent Posts
Affordable Care Act Pros and Cons: Will It Last?
While a lot of good has come from the law, there have been serious downsides as well, leaving many to wonder whether the ACA will stand the test of time or be repealed and replaced.
What is Covered By Obamacare?
Preventive services are covered under the Affordable Care Act at no cost to the insured. This means there is no co-payment or deductible. There are specific services provided for all adults and specific benefits provided to women and children.
What Happens If You Forget To Pay Your Premium By The Due Date?
Life happens, and while you should make every effort to pay your health insurance premium on time, health insurance plans generally will have grace periods. You may have a grace period of 30 days, or if your insurance plan is through Nevada Health Link (on-exchange), it may be up to 90 days.
Where To Go: Emergency Room or Urgent Care?
There are distinct differences between hospital emergency rooms and traditional urgent care centers, including the level of care that can be provided at each location.