Exchange Offers Greater Savings Because Of ARP

April 29, 2021

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Source: Pahrump Valley Times, by Staff Report

Nevada Health Link, the online health insurance marketplace operated by the Silver State Health Insurance Exchange, is offering even bigger coverage savings to eligible uninsured and insured off-Exchange Nevadans in accordance with the American Rescue Plan Act of 2021 passed by Congress and signed into law by President Biden on March 11.

Changes made after the ARPA implementation will take effect as early as June 1. Nevada Health Link is the only place Nevadans can shop and compare more than 50 comprehensive health plans to access increased and expanded financial assistance to lower monthly insurance premiums through ARPA. In addition, ARPA increases the opportunity for Nevadans to receive subsidies for the first time, including those making over 400% of the federal poverty level.

“With these important new policies in place, now is the time for Nevadans to take advantage of the wide range of affordable, high-quality health insurance options available through Nevada Health Link,” said Heather Korbulic, executive director of the Silver State Health Insurance Exchange. “Whether you are uninsured or looking for a new plan to meet your personal and financial needs, Nevada Health Link offers an easy path to finding the right health insurance.”

“For the first time since the Affordable Care Act, there are bigger savings for individuals and families who may not have been eligible for savings prior to the passage of this legislation,” said Janel Davis, communications officer for the Exchange. “Nevadans who are facing the deep economic ramifications of the pandemic can breathe a sigh of relief knowing they may be eligible for increased or expanded subsidies.”

Uninsured Nevadans can enroll under this special enrollment period until 11:59 p.m. Aug. 15 by submitting an application for health insurance on Nevada Health Link.

Monthly premiums are based on yearly estimated household income. No Nevadan will pay more than 8.5% of income in premiums for the second lowest-cost silver plan (or benchmark plan) in the county where they reside. Plan premiums may go up and down annually depending on income changes, but increased benefits are set for two years. ARPA calculates the amount of the reduction using the cost of the second-lowest silver plan, income and age to determine monthly premium reductions.

Thousands of Nevadans who are currently enrolled in health insurance through Nevada Health Link will qualify for subsidies that will lower their costs dramatically. The system makes it simple for customers to log in and understand their savings.

Nevadans qualify for lower deductibles, copayments and co-insurance when using their health plan through Nevada Health Link. Nevadans also can benefit from cost-sharing reductions, no annual deductibles and low copays/co-insurance under a silver-level plan. For gold or bronze plan enrollees, the regular deductibles, copayments and co-insurance apply.

Up to 50 plans from five carriers are available, including Health Plan of Nevada, SilverSummit (Ambetter), Anthem HMO Co, Friday Health Plans and SelectHealth. Nevada Health Link also offers up to 27 dental plans from six dental carriers and has recently partnered with VSP to offer vision plans.

Households earning more than the current cap of 400% of the federal poverty level – about $51,000 for an individual and $104,800 for a family of four in 2021 – are now eligible for subsidies. With the passage of ARPA, 41,000 Nevadans earning more than 400% of the federal poverty level are now eligible to receive larger subsidies. In some cases, lower-income enrollees could have their premiums eliminated completely.

Any Nevadan who was eligible for any type of approved unemployment compensation in 2021 will be eligible for coverage through Nevada Health Link with a $0 premium for the remainder of 2021. This includes regular unemployment compensation, Pandemic Emergency Unemployment Compensation, Extended Unemployment Compensation and Pandemic Unemployment Assistance.

Approximately 80% of Nevadans who are enrolled in off-exchange Affordable Care Act-compliant coverage are now eligible to enroll through Nevada Health Link with access to reduced premiums. All plans cover the ACA’s 10 essential health benefits, such as pre-existing conditions and all COVID-19-related diagnosis and treatment.

Nevadans who are eligible for other coverage such as Medicaid, Medicare or affordable employer-sponsored coverage do not qualify.

Nevadans can provide income and household information to find out if and how much their monthly premiums will decrease. Customers will be eligible for the new benefits on the first of the following month, and they will start to see those benefits in their accounts when the updates required under the new law are made.

 

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