Essential Health Benefits
Selection of 2017 EHB Benchmark Plan
All non-grandfathered health benefit plans in the individual and small group markets (whether on the Nevada HealthLink or off-exchange) must cover all Essential Health Benefits (EHB) in compliance with the Affordable Care Act. In December 2012 after numerous meetings with interested Nevada consumers, the Nevada Commissioner of Insurance, Scott J. Kipper selected a small group plan from the Health Plan of Nevada as the 2014-2016 EHB Benchmark Plan for the State.
This year the Commissioner must now select a plan to be used as the EHB Benchmark for plans available in the year 2017. This selection process will be similar with the one utilized in 2012. The Division of Insurance will post the 10 possible plans from which the selection will be made for public review (see below) along with the Schedule of Benefits for those plans. We welcome comments regarding these plans prior to the July 1, 2015 selection date. To simplify a comparison of those plans we have also included a summary PowerPoint presentation and a table that lists the benefits with each plan’s coverage.
Please submit comments on the possible selection or the selection process to the Division’s Public Information Officer, Yeraldin Deavila at firstname.lastname@example.org .
Small Group Plans:
- Sierra Health and Life: SHL Solutions PPO Platinum
- Health Plan of Nevada: HPN Solutions HMO Platinum
- Health Plan of Nevada: HPN Solutions POS Gold
State Employee Plans:
- Nevada PEBP: Self Funded PPO Plan
- Nevada PEBP: Health Plan of Nevada HMO
- Nevada PEBP: Hometown Health Plan HMO
Largest HMO Plan:
Federal Employee Plans:
Table comparing 52 separate benefits on each of the above 10 plans: Plan Comparison
PowerPoint presentation on EHB Benchmark Plan selection process. EHB Presentation
Current EHB Benchmark Plan
All current non-grandfathered health benefit plans in Nevada’s individual and small group markets are based on the medical coverages provided by the existing EHB Benchmark Plan from the Health Plan of Nevada. The summary of those benefits is available at:
The dental benefits associated with the current EHB Benchmark Plan are similarly available for review at:
These current benefits will remain the EHB Benchmark Plan until December 31, 2016.