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Nevada Division of Insurance Seeking Public Input on Essential Health Benefits

Nevada Division of Insurance Seeking Public Input on Essential Health Benefits

September 20, 2012
CARSON CITY – The Nevada Division of Insurance (NVDOI) is seeking public input on the selection of Nevada’s essential health benefits plan.

The essential health benefits plan for Nevada will be the benchmark set of health care services that will be required in all individual and small group health insurance plans starting in 2014.

Nevada must select an existing health plan to set the benchmark for the items and services included in the essential health benefits package. Nevada must choose one of the following 10 plans as the benchmark plan:

  1. Health Plan of Nevada Point-of-Service
  2. Aetna PPO
  3. Anthem PPO
  4. Nevada PEBP High-Deductible Health Plan
  5. Nevada PEBP Health Plan of Nevada HMO
  6. Nevada PEBP Hometown Health Plan HMO
  7. Government Employees Health Association
  8. FEHBP/ Blue Cross-Blue Shield Standard
  9. FEHBP/ Blue Cross-Blue Shield Basic
  10. Clark County School District/Health Plan of Nevada HMO

Plan documents, agendas and other support materials can be found at http://doi.nv.gov/ehb.aspx.

The benefits and services included in the health insurance benefits plan selected by the State of Nevada would become the essential health benefits package.

The Nevada Division of Insurance is seeking public comment at four public meetings being held across the state. Those meetings will be located at:

• Elko
Thursday, September 20, 2012
1 p.m.
Elko County Commissioners’ Chambers
Nannini Administration Building
540 Court Street, Suite 102
Elko, NV 89801


• Henderson
Wednesday, September 26, 2012
2 p.m.
Henderson City Council Chambers
Henderson City Hall
240 Water Street
Henderson, NV 89015

Las Vegas
Wednesday, September 26, 2012
6 p.m.
Room K-101
Charleston Campus
College of Southern Nevada
6375 W. Charleston Blvd.
Las Vegas, NV 89146

• Reno
Thursday, September 27, 2012
6 p.m.
Room 205
Vista Building
Truckee Meadows Community College
7000 Dandini Boulevard
Reno, NV 89512

Public comment can also be submitted in writing to the Commissioner of Insurance at 1818 E. College Pkwy., Suite 103, Carson City, NV 89706 or by fax at (775) 687-0788 or by email to Adam Plain at aplain@doi.nv.gov. All written public comment must be received by September 27, at 5 p.m.

After the public comment period has closed the NVDOI will make a recommendation to Governor Sandoval regarding which essential health benefits should be required for Nevada.

What are Essential Health Benefits:
A set of health care service categories that must be covered by certain plans, starting in 2014.

The Affordable Care Act requires health insurance policies offered in the individual and small group markets, both inside and outside of the Silver State Health Insurance Exchange, to offer a comprehensive package of items and services, known as essential health benefits. Essential health benefits must include items and services within at least the following 10 categories: ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care.

Insurance policies must cover these benefits in order to be certified and offered in the Exchange. All Nevada Medicaid plans must also cover these services by 2014.