Medicare Plans in Nevada in 2022
Medicare is a federal health insurance program that pays for some of your healthcare costs once you turn 65. Believe it or not, where you live has a significant impact on what types of Medicare coverage you have access to.
Being aware of your state-specific Medicare rights can help you to find the best plan options possible. That’s why it’s so important to have a good understanding of the nuances of Medicare in your state. Below we’ll be explaining your Medigap, Medicare Advantage, and Part D options in Nevada.
How To Apply for Medicare in Nevada
If you are a Nevada resident who is only interested in enrolling in Original Medicare, you can do so through your local Social Security office. You can sign up in-person, online, or over the phone as early as three months before your 65th birthday.
However, if you want to enroll in a Medicare Advantage plan, Medicare Supplement Insurance, or Part D drug coverage, we recommend you speak with a licensed insurance agent. They can walk you through the process and help you to find the right plan for you.
Reach out to a team member here at Medicare Plans Direct today to have all of your Medicare-related questions answered.
Medicare Supplement Plans in Nevada
Which Medigap plans are available to you in Nevada will depend on a number of factors, such as which insurance company you enroll with and where you reside.
The most popular Medigap plan in Nevada as of 2019 was Plan F, with 54% of the state’s Medigap enrollees choosing this plan.
However, beneficiaries who first became eligible for Medicare on or after January 1, 2020 will no longer be allowed to enroll in Plan F. Plans G and N are good alternatives.
Medigap Enrollment in Nevada
If you are interested in enrolling in Medigap insurance in Nevada, the best time to do so is during your Medigap Open Enrollment Period (OEP).
This occurs when you first become eligible for Medicare and enroll in Medicare Part B, and it lasts for 6 months. During this time, you can enroll in any Medigap plan offered in your area regardless of your health history.
Unless you qualify for a guaranteed issue right, you may have to undergo medical underwriting if you want to sign up for a Medigap plan after your OEP finalizes. In this case, insurance companies reserve the right to deny you coverage and/or charge you higher rates.
Examples of guaranteed issue rights in Nevada include moving out of your Medicare Advantage plan’s coverage area, a change in retiree benefits, and losing your employer coverage.
Beneficiaries under the age of 65 who qualify for Medicare because of a disability are not granted any special Medigap protections in Nevada. They can try to enroll in Medicare Supplement Insurance during their 6 month Medigap OEP, but insurance companies are not required to provide them coverage.
According to Medicare’s Medigap plan finder tool, there was one Medigap insurance company in Nevada that sold Medicare Supplement Insurance to beneficiaries under the age of 65 in 2021. However, it is common for these individuals to face significantly higher premiums should they choose to enroll in a Medigap plan.
People who enroll in Medicare before they turn 65 will have another OEP during the six months following their 65th birthday. When this happens, they are allowed to sign up for any Medigap plan offered in their area without having to undergo medical underwriting.
Nevada Medigap Birthday Rule
As of January 1, 2022, Medigap enrolles in the the state of Nevada have access to a special annual Medicare Supplement enrollment period.
In most states, unless you qualify for a guaranteed issue right, you usually have to undergo medical underwriting if you want to modify your Medigap coverage after your OEP finalizes. In this case, insurance companies reserve the right to deny you coverage or charge you a higher premium.
However, the state of Nevada offers people an annual opportunity to modify their Medigap coverage. If a person already has Medicare Supplement Insurance, they can make changes to their plan once a year during an open enrollment period that starts on their birthday and lasts for 60 days after.
This Nevada “Birthday Rule” permits Medigap enrollees to switch to a plan with equal or lesser benefits outside of their OEP without having to undergo medical underwriting.
Additionally, Nevada Medicare Supplement Insurance companies must remind their Medigap enrollees of this opportunity every year (at least 30 days but not more than 60 days before each beneficiary’s enrollment period begins).
Medigap Premiums in Nevada
Medigap premiums in Nevada can be influenced by a number of factors, such as age, sex, smoking status, and more. Which plan you choose, when you enroll, and the company you enroll with can also impact how much you pay for your Medicare Supplement Insurance monthly premium.
The vast majority of Nevada Medigap insurance companies use an attained-age rating system when it comes to determining monthly premiums. This means that your monthly premium will likely increase as you get older, which is important to consider when choosing a Medigap plan.
A few companies offer issue-age rated plans. In this case, premiums are determined by the age you were when you enrolled in the policy.
There were 29 insurance companies that sold Medigap coverage in Nevada in 2021. Though Medigap plans’ benefits are federally standardized, companies can decide how they want to set premium rates. For that reason, we always recommend consulting with a knowledgeable insurance agent before deciding on a Medicare Supplement to ensure that you are getting the best value plan for you.
Medicare Advantage Plans in Nevada
Another coverage option for people looking for more benefits than those offered by Original Medicare is Medicare Advantage. Also known as Medicare Part C, these plans provide the coverage that you get with Original Medicare benefits on top of additional coverage options, which can include prescription drug coverage, hearing coverage, vision coverage, dental coverage, and more.
Many Nevada residents over the age of 65 choose Medicare Part C as their preferred coverage option, and 43.3% of Medicare beneficiaries in the state were enrolled in a Medicare Advantage plan in 2021. There are 94 Medicare Advantage plans offered in Nevada in 2022. This is up from 77 plans in 2021, representing a 22.10% increase in plan availability.
100% of Medicare beneficiaries have access to at least one Medicare Advantage plan in 2022. However, which Medicare Advantage plans you have available to you depends on where exactly you reside, as plan availability varies from county to county.
For example, Medicare enrollees who live in Clark County can choose between 67 plans in 2022, while residents of smaller counties have significantly fewer options (there are only 2 plans offered in Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Mineral, Pershing, and White Pine).
When it comes to monthly premiums, what you pay for your Medicare Advantage plan depends on where you live, the plan that you choose, and more. In 2022, the average Part C monthly premium for Nevada Medicare beneficiaries is $3.41. Plus, all Nevada Medicare enrollees have access to at least one plan with a $0 monthly premium.
Deciding which is the right Medicare Advantage plan for you is best done with the help of an experienced insurance agent. Here at Medicare Plans Direct we help you make the best Medicare choices possible at no extra cost to you. Reach out today to receive free Medicare advice.
Medicare Part D in Nevada
Another thing for Nevada Medicare beneficiaries to keep in mind is their Medicare Part D prescription drug plan options. In 2022, there are 22 stand-alone prescription drug plans available to Nevada Medicare enrollees.
How much you will have to pay for your Part D premium depends on where you live and which insurance company you purchase your plan through. In 2022, the average Part D premium in Nevada is $44.24.
You can also find drug plans with $0 deductibles, though insurance companies usually charge higher monthly premiums for these plans. In 2022, there are four no-deductible plans available to Nevada residents, and the lowest-cost stand-alone Medicare prescription drug plan with a $0 deductible has a monthly premium of $63.50.
It is usually a good idea to enroll in prescription drug coverage when you are first eligible if you foresee it being necessary in the future. If you don’t sign up for Medicare Part D when you first qualify and don’t have some other form of creditable drug coverage, you could face late enrollment penalty fees down the road.
Some Medicare Advantage plans include coverage for your prescription drugs, but if you are enrolled in Original Medicare and/or a Medigap policy, you will need a stand-alone drug plan to cover your prescription medication costs.
At Medicare Plans Direct, we’re here to help you navigate your Medicare enrollment journey. Reach out today for a free consultation with a licensed insurance agent.