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Qualifying for a Government Subsidy

(Financial Assistance)

If you qualify for a Health Insurance Subsidy (financial assistance), it’s kind of like getting a gift card from the Government to help you pay your health insurance premium. This subsidy is sent directly to the insurance company, which pays a portion of your premium, and you will be responsible to pay the remaining balance.

The only way to get a subsidy is to get a health insurance plan through Nevada Health Link (we will walk you through this).

Be careful not to get TOO MUCH subsidy. At the end of the year, the IRS will adjust what you’ve received, and what you should have received, and if you ended up getting too much subsidy, you’ll have to pay it back. If you didn’t get enough subsidy, you’ll get it back on your tax return. If your income goes up or down, or you had changes to your family, you need to notify us immediately so we can make the necessary changes. We can help you with this.

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One of our licensed agents will guide you step-by-step through your enrollment, answer your questions, and help you find the plan that’s right for you.

Begin Quote

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Continue Here

Finish Steps 3-4-5-6

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1). Calculate Your Income

This will determine your MAGI (Modified Adjusted Gross Income)

2). Determine Subsidy Eligibility

Using your MAGI, this chart will help determine if you qualify for a subsidy

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Begin comparing plans and selecting your coverage:

PLUS… check forbenefit eligibility

3). Location Options

Use the Nevada counties map to verify insurance availability

4). Select a Metal Tier

Choose between Platinum, Gold, Silver, or Bronze levels to balance your monthly premium with your potential out-of-pocket costs.

5). Compare Plan Networks & Coverage

Verify doctor and hospital networks, prescription coverage, and available urgent or emergency care.

6). Select Insurance Company & Plan

Compare available insurers and plans, reviewing premiums, deductibles, co-pays, coinsurance, and out-of-pocket maximums.

Before You Continue

Get Additional Financial  Assistance!

Do You Make Less Than 250% of the Federal Poverty Level?

 

You May Qualify for Extra Savings Through a Cost-Sharing Reduction

Receive Additional Assistance Called a Cost Sharing Reduction
Call for FREE Help
(702) 898-0554
This is anBenefit That Works Alongside Your Subsidy
Lowering Your Deductibles, Copays, and Out-of-Pocket Costs

 

2026 Health Insurance Subsidy Chart Federal Poverty Levels mobile

If your family size and income ranks you under 250% of the Federal Poverty Level you are most likely going to be eligible for additional assistance to reduce your overall out of pocket medical expenses like lower deductibles, and/or co-insurance, and/or out of pocket maximum, and/or co-pays. You must apply, and the enrollment process determines if you are eligible for the additional Cost Sharing Reduction.

Don’t Miss Out on This Added Benefit!

If your income is under 250% of the Federal Poverty Level, this Cost Sharing Reduction will cover more of your portion of the medical expenses. So in addition to getting the Advanced Premium Tax Subsidy, you’ll also have reduced deductibles, co-pays, and co-insurance.

If your income is under 250% of the Federal Poverty Level, this is a very important financial benefit you’ll want to take advantage of!​

Holding on

IMPORTANT! ⇒

Sadly, we’ve seen Nevadan’s enroll into a health insurance plan WITHOUT help from a broker/agent. They buy the cheapest health plan available, shopping for the cheapest premium possible, and remove themselves from being eligible for the Cost Sharing Reduction.

If they simply understood this benefit, in some instances for just a few dollars more a month, their deductible could go from around $7000 (example) down to sometimes as low as $0!

Considering there is no charge for an agents assistance, it just makes sense to use a professional.

Report All Changes ASAP

Reporting Changes to Your Household

It is VERY IMPORTANT to stay on top of your account when you get a subsidy from the Government. If your “Household” changes (including your income), you’ll need to update your account by contacting us.

Household Size and Income

Eligibility for a subsidy and additional help called cost-sharing reductions is based on annual household income and size of your household.

Do you have changes to your family size or income?

Call us to update your info.

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A Message From The IRS

We recommend you watch this video.

It’s VERY informative

Stay Up to Date

If your ‘Household’ changes (family members on your tax return) like having a baby, getting a divorce, getting married, or adoption, etc. Changes to your ‘Income’ like getting a job with benefits, lose your job with benefits, have an increase or decrease in your income… any changes to your income or changing from Part Time to Full Time or Full Time to Part Time. These household changes you’ll need to update your account by contacting us as your licensed health insurance agent.

The reason for this is because when you file your taxes next year, for this year, the IRS will look back at your overall household income and family size. If you received TOO MUCH subsidy, you’ll have to pay back the overage, and if you didn’t get all the subsidy you were entitled to, you’ll get credit for having too little subsidy.

Be Honest & Accurate

It is very important to be honest and accurate when filling out your application for a subsidy.

Step #3
Coverage by Location

Active Insurance Companies

Carrier Coverage by County

 

ON Exchange

2026 Nevada ON Exchange Health Insurance Carrier Coverage by County Map - mobile

HMO
♦ ON Exchange and OFF Exchange
>> ON Exchange: Serving ALL Nevada counties
>> OFF Exchange: Clark, Nye, Washoe

EPO
♦ OFF Exchange only
♦ Clark County only

HMO
♦ Referrals to see a specialist are not required
♦ ON Exchange and OFF Exchange
♦ Serving ALL Nevada counties

♦ Offering HMO & EPO in select counties
♦ OFF Exchange only
♦ Serving Carson City, Lyon, Washoe, Douglas, Storey

HMO & EPO
♦ ON Exchange and OFF Exchange
♦ OFF Exchange – Carson City, Lyon, Washoe, Douglas, Storey, Nye, Clark
♦ ON Exchange – Serving ALL Nevada counties
♦ PPO only available for “Catastrophic” plans (under 30 years old)

HMO & EPO
♦ ON Exchange only
♦ Serving Nye and Clark County

HMO
♦ ON Exchange only
♦ Serving Carson City, Washoe, Douglas, and Storey

HMO
♦ ON Exchange only
♦ Serving Washoe, Nye and Clark County

HMO
♦ ON Exchange only
♦ Serving Washoe, Nye and Clark County

HMO
♦ ON Exchange only
♦ Serving ALL Nevada counties

Step #4
Select a Metal Tier

Gold Silver Bronze Platinum

PLATINUM  |  GOLD  |  SILVER  |  BRONZE

 

Platinum

coversof your medical bills until you reach your out-of-pocket maximum

 

Gold

coversof your medical bills until you reach your out-of-pocket maximum

 

Silver

coversof your medical bills until you reach your out-of-pocket maximum

 

Bronze

coversof your medical bills until you reach your out-of-pocket maximum

Step #5
Compare Plan Networks & Coverage

Focus on the Important Things

Focus on What Matters Most

When researching health insurance plans or speaking with your agent

 

Review Key Coverage Details

Then evaluate the options that best fit your needs

Start With the Essentials

  • Doctors & Clinics:

    Check that your preferred providers are in-network

  • Prescriptions:

    Verify your medications are covered

  • Hospitals & Urgent Care:

    Make sure your nearby facilities are included

  • Plan Type:

    Decide whether you want an HMO, PPO, or EPO

  • Travel Coverage:

    See if you’re covered when traveling or relocating

  • Costs:

    Compare deductibles, copays, and coinsurance

  • Out-of-Pocket Limit:

    Note the maximum you might pay in a year

"

Then Consider Your Specific Needs

  • Chronic Conditions:

    Coverage for ongoing care like diabetes, heart disease, or high blood pressure

  • Rehabilitation & Recovery:

    Coverage for physical therapy, pain management, or post-surgery care

  • Behavioral Health Services:

    Coverage for counseling, mental health, or substance abuse programs

  • Virtual Care Options:

    Check if the plan includes telehealth or online visits, and whether your providers participate

  • Specialist Access:

    Confirm that the types of specialists you may need (e.g., cardiologists, endocrinologists, orthopedists) are available in-network

Step #6
Select a Preferred Carrier

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Health Insurance

From the Country's Top Insurance Companies

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New for 2026

Battle Born State Plans are Affordable Care Act certified health plans designed to meet premium reduction targets.

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Pink circle with white letters inside spelling out ambetter. To the right says from SilverSummit health plan
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Care Source logo
Pink circle with white letters inside spelling out ambetter. To the right says from SilverSummit health plan
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#1 - Call Us  ⇒  to begin your enrollment / make appointment

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Fast and Easy Enrollment

Enrolling into a health plan is fast and easy when you call one of our licensed and experienced health insurance agents.
 

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Please Be Careful…

So many times, we see honest, hard working people buying what they think are Qualified Health Insurance Plans...

 

only to find out later that their plan isn’t what they thought it was.

Then, when they find themselves in the hospital, they suffer the consequences of not understanding what they purchased and being severely underinsured.

Once you’ve terminated your qualified health insurance plan, if you don’t have a life event, you won’t be able to sign up for a new plan until the next Open Enrollment.

If the plan you are considering purchasing is a limited benefit medical plan, mini-medical plan, discount plan, indemnity plan, short-term plan, or looks and appears to be “insurance”, but does not cover the 10 “Essential Healthcare Benefits” then you are most likely buying a plan that is NOT considered to be a “Qualified Health Plan”. We STRONGLY recommend you do your research on these types of plans. Do a Google search or look at Yelp reviews of companies that sell these plans.

People are Selling FAKE Health Insurance
https://www.nevadainsuranceenrollment.com/health/insurance-scams/

Make Sure You're Buying a Qualified Health Plan

Health Insurance Metal Plans - Gold-Silver-Bronze-Platinum
Qualified Health Plans are certified by Nevada Health Link verifying they provide the 10 essential health benefits. These plans follow required limits on how much you the member has to pay, and how much the insurance company pays. These health insurance plans meet rigorous requirements, including covering pre-existing conditions with no maximum lifetime or annual limits.
 

QHP’s (Qualified Health Plans):

Will Cover Your Medical Costs With NO Maximum Lifetime and Annual Limits

PLATINUM | GOLD | SILVER | BRONZE
♦ Platinum covers 90% of your medical bills until you reach your out-of-pocket maximum
♦ Gold covers 80% of your medical bills until you reach your out-of-pocket maximum
♦ Silver covers 70% of your medical bills until you reach your out-of-pocket maximum
♦ Bronze covers 60% of your medical bills until you reach your out-of-pocket maximum
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We help clients all across Nevada. Whether you’re in Las Vegas, Reno, or anywhere in between.

You can enroll right from home! Call us, hop on a video chat, or join a secure screen-share session where you’ll see your agent’s screen as they walk you through every step of your enrollment.

Easy. Personal. Wherever you are.

 

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