Nevada Health Insurance

State Government Insurance Programs Offered

Pre- existing Condition Insurance Plan (PCIP) Run by U.S. Department of Health and Human Services www.PCIP.gov

866-717-5826

The Pre-Existing Condition Insurance aims to provide health insurance to those who have difficulties getting coverage because of a pre-existing condition. Coverage includes a wide range of benefits which includes hospital care, primary care, specialty care, and prescription drugs. Eligibility: 1. Must be a U.S. resident living in Nevada. 2. Must be uninsured for at least six months. 3. Must have a qualified pre-existing health condition.

Medicaid dwss.nv.gov

775-684-3600 800-992-0900

Medicaid offers coverage to low-income individuals and families who cannot pay for their medical care. Applicants for this program should meet financial and other eligibility requirements. Benefits for this program include physician services, inpatient hospital, outpatient services, home health services, dental & vision, laboratory & x-ray, ambulatory surgery centers, non-emergency transportation, nursing, family planning, Healthchek (EPSDT) program services, Medicare Premium Assistance, Eligibility: 1. Must be U.S. citizens or legal residents living in Nevada. 2. Must not exceed income limits: Pregnant women: 200% of the Federal Poverty Level (FPL) children aged 0-18: 150% of the FPL. Workers with disabilities: 250% of the FPL, with an asset limit of $10,580, must be 16 to 64 years old, with disability, must be employed. Aged, blind, or disabled: Singles earning 64% of the FPL with an asset limit of $1,500; couples earning 83% of the FPL with an asset limit of $2,250.

Nevada Check Up www.nevadacheckup.state.nv.us

877-543-7669 800-360-6044 775-684-3777

Nevada Check Up program offers low-income, comprehensive health coverage to qualified children under 19 years. Services covered include: physician services, inpatient and outpatient hospital services, lab and X-ray, prescription drugs, immunizations, dental, vision, mental health, and many more. Eligibility: 1. Must be a U.S. citizen or qualified resident living in Nevada. 2. Must be under 19 years old. 3. Must not have health insurance coverage within the last six months prior to enrollment or lost coverage beyond parents' control. 4. Must not be eligible for Medicaid. 5. Income must be between 100% to 200% of the FPL.

Nevada Early Intervention Services (NEIS) health.nv.gov/BEIS.htm

800-522-0066

Nevada's Early Intervention Services aims to identify infants and toddlers who have, or who are at-risk for developmental delays; to address individual needs of children with developmental delays; and promote learning and participation in family and community life through the cooperation of families, caregivers, and other providers. Early Intervention services include medical services for diagnostic or evaluation purposes, health services, physical and occupational therapy, psychological services, audiology services, speech and languages services, and many more. Eligibility: 1. Must be a child under the age of 36 months; and a resident of Nevada. 2. Has been diagnosed with a qualified condition like autism, blindness, deafness, Down syndrome, and other conditions that can result to a developmental delay, or 3. Shows signs of developmental delays such as in speech and motor skills.

Women’s Health Connection (WHC)

888-463-8942 775-684-4285

The Women's Health Connection is a no-cost breast and cervical cancer early detection program available to eligible women in Nevada. Services include breast and cervical cancer screening services, clinical breast exams, mammograms, Pap smears, and pelvic exams. Eligibility: 1. Must be women residing in Nevada, 40 years or older. 2. Must not have health insurance, HMO coverage, Medicaid, Medicare Part B, or current health insurance does not cover the services in the program. 3. Must not exceed income limit of 250% of the federal poverty level.

Medicare www.medicare.gov

Medicare 800-633-4227 www.medicare.gov Medicare Prescription Drug Program 800-633-4227 Senior Rx 866-303-6323 www.dhhs.nv.gov/SeniorRx.htm

This health care system is administered by the federal government and provides health insurance coverage to Americans aged 65 and above or those younger than 65 but have a disability or end-stage renal disease. Coverage has four parts: Part A: provides inpatient care in hospitals and rehabilitative centers. Part B: provides doctor and some preventive services and outpatient care. Part C: provides Medicare benefits through Medicare Advantage. Part D: provides prescription drug coverage. Eligibility: 1. Must be a U.S. citizen or permanent U.S. resident. 2. Must be 65 years or older, with you or your spouse having worked in a Medicare-covered employment for at least ten years; or have a qualified disability or end-stage renal disease, regardless of age.