Nevada expanded Medicaid under the ACA. If your income falls below certain thresholds, you or your children may qualify for comprehensive coverage at little or no cost — and a broker can help you check eligibility for free.
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Under the ACA Medicaid expansion, Nevada covers adults aged 19–64 with incomes up to 138% of the Federal Poverty Level (~$21,500/year for a single person). There is no asset test — only income is considered for eligibility.
Nevada Check Up provides low-cost health coverage for children and teens under 19 in families that earn too much for Medicaid but can't afford private insurance — generally between 138% and 200% FPL. Premiums are very low and coverage is comprehensive.
Pregnant women in Nevada may qualify at higher income levels than the standard adult threshold, ensuring prenatal and delivery care is covered for more families. Coverage can begin immediately upon eligibility determination.
Eligibility is based on your household's Modified Adjusted Gross Income (MAGI) as a percentage of the Federal Poverty Level. These are approximate thresholds — a broker verifies your exact eligibility at no charge.
| Household Size | Medicaid Limit (~138% FPL) | Nevada Check Up Upper Limit (~200% FPL) |
|---|---|---|
| 1 person | ~$21,500/year | ~$31,200/year |
| 2 people | ~$29,000/year | ~$42,000/year |
| 3 people | ~$36,500/year | ~$52,900/year |
| 4 people | ~$44,000/year | ~$63,700/year |
| 5 people | ~$51,500/year | ~$74,600/year |
Income above Medicaid but below ~$58,000? You likely qualify for ACA premium tax credits on Nevada Health Link — meaning a subsidized private plan may cost far less than you expect. A broker compares both Medicaid eligibility and marketplace options for your situation, so you know exactly which path is better.
Primary care, specialist visits, wellness exams, vaccinations, and preventive screenings — most with zero or minimal cost-sharing for Medicaid enrollees.
Inpatient stays, ER care, and surgery are covered. Medicaid's broad network often includes Critical Access Hospitals that some private plans exclude — especially important for rural Nevada residents.
Nevada Medicaid covers a broad formulary at very low or no copay — significant savings for enrollees managing chronic conditions with ongoing medications.
Unlike most ACA private plans, Nevada Medicaid includes adult dental (cleanings, fillings, extractions) and vision (exams and glasses) — a meaningful advantage over marketplace alternatives.
Mental health treatment, substance use disorder services, and counseling are covered — including both inpatient and outpatient behavioral health care.
Non-emergency medical transportation (NEMT) is a Medicaid benefit — particularly valuable for rural Nevada residents traveling long distances to covered medical appointments.
A licensed Nevada broker checks your eligibility for Medicaid, CHIP, and marketplace subsidies — and helps you find the right coverage path. Free, no obligation.