Nevada Healthcare/Insurance/Benefits

Some low-income residents of Nevada can now get healthcare benefits through the Expanded Nevada Medicaid. Enrollment began in October 2013. Residents can enroll at any time. Information can be found at the Nevada Access (link is external) website at https://dwss.nv.gov/ and click “Contact Us” on the left menu bar or by calling Toll Free 1-877-543-7669.

For individual assistance with enrolling in Expanded Nevada Medicaid or a Qualifying Health Plan you may contact a “Navigator Organization”. A Navigator is an individual or organization that’s trained and able to help consumers, small businesses, and their employees as they look for healthcare coverage options through the Nevada Health Link Marketplace. The Navigator can assist with explaining eligibility and completing enrollment forms. These individuals and organizations are required to be unbiased and cannot direct you to a plan or product. Their services are free to consumers. The certified Navigator Organizations in Nevada are:

  • Ramirez Group (Statewide) – 702-530-5249
  • Nevada Primary Care Association (Northern Nevada) – 775-887-0417
  • Consumer Assistance and Resource Enterprise (CARE) (Southern Nevada) – 702-836-9033

Medicare

For assistance with Medicare, contact a Nevada SHIP Counselor at 702-486-3478 or Toll Free 1-800-307-4444. Additional Medicare information can be obtained from the Federal Medicare website: www.medicare.gov

Division of Insurance

As the Health Insurance marketplace changes due to Healthcare Reform, understanding the health insurance you are purchasing is more important than ever. The Nevada Division of Insurance can answer those questions as well as investigate complaints regarding healthcare insurance plans and Navigator Organizations. You can contact the Division of Insurance at 775-687-0700 (Northern Nevada), 702-486-4009 (Southern Nevada), or 888-872-3234 (toll free). Or, you can visit their website at http://doi.nv.gov/Consumers/Health-Accident-Insurance/

State of Nevada Office of Consumer Health Assistance

The mission of the Governor’s Office for Consumer Health Assistance (GovCHA) is to enable all Nevadans to access information they need to better manage their health care concerns, and to assist consumers and insured employees in understanding their rights and responsibilities under various health care plans and policies of industrial insurance.

GovCHA assists Nevadans in resolving their health care related issues:

  • Access to Healthcare Resources
  • Appealing Insurance Denials
  • Reviewing Hospital and other Medical Bills
  • Patient Rights and Responsibilities
  • Prescription Assistance Resources
  • Small Business Employer Healthcare Resource Information
  • Uninsured Resources
  • Workers’ Compensation Claim Process, Education, and Guidance

To open a case, you may call 702-486-3587. For residents outside Southern Nevada, call toll free at 1-888-333-1597. You may also open a case by downloading GovCHA’s forms from their website: www.govcha.nv.gov or by emailing them at CHA@govcha.nv.gov  GovCHA does not charge a fee for their assistance.