Find 2018 Medicare Plans in Nevada - NV Medicare Insurance Overview

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Nevada Medicare Insurance

Medicare in Nevada

Medicare offers healthcare coverage to Nevada residents age 65 or older, or to those Nevada residents that suffer from certain medical disabilities. In 2015, 453,032 people are enrolled in Medicare in Nevada, accounting for 16% of the population in Nevada. In 2009 about $9,692 was spent on each Medicare enrollee in Nevada, approximately 6.49% lower than the national average of $10,365. From 2015 to 2030 the number of seniors in Nevada is projected to rise by an estimated 89.03% according to calculations based off of the 2000 Census. Therefore the number of Medicare enrollees in the state is also expected to substantially grow.

Local Medicare Resources

Seniors that reside in Nevada, their family, and their caregivers can receive free personalized and unbiased health insurance counseling through the State Health Insurance Assistance Program (SHIP). Another program called Senior Medicare Patrol (SMP) assists Medicare beneficiaries in detecting, avoiding, and reporting cases of Medicare fraud, waste, and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Nevada 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Nevada is $47.98, 23.21% less than the national average of $62.48. 47.27% of 2017 Medicare Part C insurance plans in Nevada have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Nevada the average annual drug deductible for Medicare Part C insurance plans with drug components is $71.25. 75% of 2017 Medicare Part C insurance plans with a drug component in Nevada have a $0 annual drug deductible.
  • 100.0% of 2017 Medicare Part C insurance plans without a drug component in Nevada have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Nevada is $3,820. 72.73% of 2017 Medicare Advantage plans in Nevada had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Nevada was 3.6 stars in 2017.
  • Among Nevada's 2017 Medicare Advantage plans with CMS star ratings:
    • 34.55% earned a score of 4 or 4.5 stars
    • 65.45% earned a score of 3 or 3.5 stars

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Nevada Medicare Insurance Companies

There are 15 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Nevada. Of these, the companies that offer the largest variety of plans to choose from are Humana, Hometown Health, and Anthem BCBS. In Nevada,. The following are all medicare insurance providers in Nevada:

Humana

9 Plans

Aetna

7 Plans

WellCare

3 Plans

Cigna

2 Plans

CALIFORNIA PHYSICIANS' SERVICE

2 Plans

2018 Best Medicare Plans in Nevada

There are 60 medicare plans in Nevada. The following are the 10 highest rated medicare plans in Nevada based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Hometown Health - Senior Care Plus: Value Basic Plan (HMO) - Washoe County
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from $0Hometown Health - Senior Care Plus: Value Rx Plan (HMO) - Washoe County
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from $45Hometown Health - Senior Care Plus: Value Rx Enhanced Plan (HMO) - Washoe County
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from $188Hometown Health - Senior Care Plus: Value Rx Select (HMO) - Washoe County
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from $0UnitedHealthcare - AARP MedicareComplete Plan 1 (HMO) - Clark County
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from $0Humana - HumanaChoice H5216-141 (PPO) - Clark County
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from $0Humana - Humana Gold Plus H6622-028 (HMO) - Clark County
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from $22Medco Medicare - Express Scripts Medicare - Saver (PDP)
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from $35Humana - HumanaChoice H5216-037 (PPO) - Clark County
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from $38SilverScript - SilverScript Choice (PDP)
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See all Medicare plans in Nevada

Best Nevada Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Nevada based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $223Hometown Health - Senior Care Plus: Freedom Rx Select Plan (PPO) - Churchill County
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from $121Hometown Health - Senior Care Plus: Freedom Rx Enhanced Plan (PPO) - Churchill County
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from $50Hometown Health - Senior Care Plus: Freedom Rx Plan (PPO) - Churchill County
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from $0Hometown Health - Senior Care Plus: Freedom Basic Plan (PPO) - Carson City County
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from $0Humana - Humana Gold Plus H6622-028 (HMO) - Clark County
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Best Nevada Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Nevada based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $96Aetna - Aetna Medicare Select Plan (PPO) - Clark County
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from $76Aetna - Aetna Medicare Platinum Plan (PPO) - Carson City County
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from $46Aetna - Aetna Medicare Choice Plan (PPO) - Clark County
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from $30UnitedHealthcare - Senior Dimensions Greater Nevada (HMO) - Lyon County
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from $0UnitedHealthcare - Senior Dimensions Southern Nevada (HMO) - Clark County
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Best Nevada Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Nevada based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $37Prominence Health Plan - Prominence Enhanced (HMO) - Washoe County
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from $0Prominence Health Plan - Prominence Plus (HMO) - Douglas County
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from $0Aetna - Aetna Medicare Platinum Plan (HMO) - Carson City County
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from $0Aetna - Aetna Medicare Select Plan (HMO) - Clark County
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from $96Aetna - Aetna Medicare Select Plan (PPO) - Clark County
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Best Nevada Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Nevada based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $223Hometown Health - Senior Care Plus: Freedom Rx Select Plan (PPO) - Churchill County
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from $121Hometown Health - Senior Care Plus: Freedom Rx Enhanced Plan (PPO) - Churchill County
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from $50Hometown Health - Senior Care Plus: Freedom Rx Plan (PPO) - Churchill County
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from $30UnitedHealthcare - Senior Dimensions Greater Nevada (HMO) - Lyon County
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from $25Anthem BCBS - Anthem Connect Plus (HMO) - Clark County
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Most Popular Medicare Doctors in Nevada

The following are the most popular medicare doctors in Nevada based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
RadiologyLAS VEGAS, NV
Neurological SurgeryRENO, NV
Internal MedicineHENDERSON, NV
RadiologyHENDERSON, NV
Neurological SurgeryLAS VEGAS, NV
Internal MedicineHENDERSON, NV
RadiologyLAS VEGAS, NV
DermatologyRENO, NV
Internal MedicineFORT WORTH, TX
RadiologyLAS VEGAS, NV
See all doctors accepting Medicare in Nevada

Browse Medicare Plans by Cities

  1. Las Vegas, NV
  2. Henderson, NV
  3. Reno, NV
  4. Sparks, NV
  5. Carson City, NV
  6. Elko, NV
See all cities in Nevada

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