Essential Health Benefits

After receipt of public input the Division has now confirmed our selection of Health Plan of Nevada’s HPN Solutions HMO Platinum small group plan as the 2017 EHB Benchmark plan for Nevada.  The federal authorities were properly notified of the selection in late June 2015 as required.   

The details of that plan are displayed below with the Schedule of Benefits and the Evidence of Coverage available in the links provided. 

Health Plan of Nevada: HPN Solutions HMO Platinum 2017 EHB Benchmark:

HHS Approved 2017 NV EHB Benchmark Plan 

Schedule of Benefits 

Evidence of Coverage 

Summary of Benefits with Drug Category Count 

In preparation for the selection of the 2017 EHB Benchmark Plan the Division displayed the 10 plans eligible for this distinction on this webpage.  In displaying these plans we included the Evidence of Coverage if distinct from the plan documents as well as the Schedule of Benefits, a table comparing 53 separate benefits by plan and our PowerPoint presentation on the EHB selection process.  After this information was available for a few weeks our leadership conducted town hall meetings to discuss the pros and cons of each possible selection.  We also requested and received comments from interested parties and organizations.  For any further information regarding the selection of the process to determine the selection, please contact the Division’s Public Information Officer, Yeraldin Deavila.

Comments Recieved on the 2017 EHB Benchmark Plan

As part of our 2017 EHB Benchmark selection process the Division solicited comments at the state level and the Center for Medicare & Medicaid Services (CMS) sought input nationally regarding the plans under consideration.  It is our practice, in line with our commitment to openness and transparency of our actions, to make those comments public for your review and consideration.  We received four comments from CMS and seven directly to our offices.  All eleven are available below and designated as to their state or federal receipt. 

  EHB Benchmark Comment 1 - Nevada

  EHB Benchmark Comment 2 - Nevada

  EHB Benchmark Comment 3 - Nevada

  EHB Benchmark Comment 4 - Nevada

  EHB Benchmark Comment 5 - Nevada

  EHB Benchmark Comment 6 - Nevada

  EHB Benchmark Comment 7 - Nevada

  EHB Benchmark Comment 1 - Federal

  EHB Benchmark Comment 2 - Federal

  EHB Benchmark Comment 3 - Federal

  EHB Benchmark Comment 4 - Federal


Current 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.The summary of those benefits is available at:

Nevada EHB Benchmark Plan  

The dental benefits associated with the current EHB Benchmark Plan are similarly available for review at:

Nevada Dental Check Up

These current benefits will remain the EHB Benchmark Plan until December 31, 2016.