Essential Health Benefits
The Affordable Care Act (ACA) lists ten general categories of Essential Health
Benefits (EHB) that all individual and small group health plans are required to
cover. States determined the specific
services that must be covered under each EHB category by selecting a benchmark
plan from among various options allowed by the United States Department of
Health and Human Services (HHS).
The current Nevada EHB Benchmark plan, for plan years 2017 and beyond, was selected by the Division after receipt of public input and is Health Plan of Nevada’s HPN Solutions HMO Platinum plan. The links below display the details of the plan as well as the Schedule of Benefits and the Evidence of Coverage.
HHS Approved 2017 - 2025 NV EHB Benchmark Plan
Schedule of Benefits
Evidence of Coverage
These documents are indicative of the types of coverage available under all individual and small group plans. Selection of the HPN Solutions HMO Platinum plan in 2017 is not an endorsement by the Division of Insurance of that particular plan or insurer.