Nevada Individual Health Insurance-

Nevada Individual Health Insurance plans are available at extremely affordable rates. Most Major Nevada Health Insurance Carriers offer a large selection of products (both employer sponsored or Individual plans) to meet the ever-changing needs of consumers. Whether you're self-employed, between jobs, an early retiree or uninsured, we'll find the right Nevada Individual Health Insurance plan for you.
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The Basics-

How does a PPO work?
As a member of a PPO (Preferred Provider Organization) plan, you will be guided thru a pricing structure to use the services of an "in network" group of Doctors, Hospitals, Clinics, etc...With a PPO plan, services rendered by an out-of-network physician are typically covered at a lower % than services rendered by an "in-network" physician. Health-Plans-Nevada.com Agents have the ability to help you search your local providers to make sure that you can use your new Nevada Health Insurance at your choice of providers...

How does a HMO plan work?
HMO (Health Management Organizations) plans typically enable members to have lower out-of-pocket healthcare expenses but also offer less flexibility in the choice of physicians or hospitals than other health insurance plans. As a member of an HMO, you’ll be required to choose a primary care physician (PCP) which you must see prior to being referred to a specialist.

How does an HSA work?
HSA's and HDHP's are a great way for people to control their health care costs. Here are some basics: http://www.ustreas.gov/offices/public-affairs/hsa/


What is a co-payment?
A "co-payment" or "co-pay" is a specific charge that your Health Insurance plan may charge for specific medical services or supplies. Most likely referred to as "Dr visit fee" in your Nevada Health Plan summary.

What is deductible?
A "deductible" is a specific dollar amount that your Health Insurance Company may require that you pay out-of-pockt each year before your Health Insurance plan begins to make payments for claims. Most PPO plans have deductibles that must be met before any claims will be paid.

What is co-insurance?
Co-Insurance is the dollar amount that you are required to pay for a medical claim or procedure, apart from any co-payments or deductibles. If there is a 20% co-insurance requirement, then a $200 medical bill will cost you $40 and the plan will pick up the remainder.

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What is a Nevada Health Savings Account (High Deductible Health Plan)?

HDHP (High Deductible Health Plan) are used in conjunction with a "medical savings account" or HSA (Health Savings Account). Higher Deductible Health Plans are normally lower in monthly premiums than the "traditional" Nevada Health Insurance Plan. A Health Savings Account is a medical savings account that has tax advantages available to Nevada residents who enrolled in (and use) a High Deductible Health Plan. I know it sounds confusing, but here is link to a great video that will explain it a lot better!  Unlike the "old" FSA's (flexible savings accounts), deposited funds roll-over and accumulate year over year if the funds are not spent (you keep your money!)... HSA's are owned by the Individual and funds may be used to pay for qualified medical expenses without federal liability. Withdrawls for non-qualified medical expenses are subject to penalty just like when you take money out of an IRA early.

Who is eligible in Nevada for an HSA account?

1. You must be enrolled in a High Deductible Health Plan (HDHP) and not have any disqualifying coverage.

2. You cannot be enrolled in Medicare..This normally eliminates anyone over the age of 65. There are other alternatives for 65+ clients, please educate yourself...

3. You cannot be the primary applicant and also be a dependent on another person's tax returns. However, you can keep whatever HSA $$if someone does become ineligible.

4. Family members may have their own HSA, depending they each meet the eligibility rules. They can also be covered through the HSA of someone else in the Family. For example, a husband may use his HSA to pay for a spouse's expenses even though she may have her own HSA.

What can I use the money on in my HSA Account?

You are able to use the money (tax-free) on "qualified medical expenses" ; you can find those answers on the Health Savings Account Qualified Medical Expenses or call us and we can help clarify. In a nutshell, not only does it cover things that may be included in Health Insurance plan, but also things that may not be covered like:

• over the counter medications
• dental and vision costs
• lodging for medical care
• medical equipment
• mental health expenses
• pregnancy and maternity costs.

One thing to remember is that even though you can use the money in your account for these expenses, not everything counts towards your deductible. At death, if a surviving spouse is the designated beneficiary of an HSA, it becomes a HSA for that widow or widower. If someone other than a surviving spouse is the designated beneficiary, the HSA is terminated as of the date of death and the fair market value becomes taxable income to that person. If there is no designated beneficiary, the remaining assets become part of the deceased's estate.