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Our Services Are Always 100% Free

Speak with a licensed agent: 702-840-1111

Medicare in Sparks Nevada

In 2022, approximately 565,000 residents of Nevada received Medicare coverage, according to the Centers for Medicare & Medicaid Services (CMS). As a Medicare beneficiary living in Sparks, you may have several options when it comes to your Medicare coverage. Some of those choices may include:

Original Medicare is the federally administered health-care program for eligible United States citizens and legal permanent residents of at least five continuous years who are 65 and older. You may also be eligible for Medicare coverage if you’re under 65 through disability or certain health conditions, including end-stage renal disease and amyotrophic lateral sclerosis (ALS, or Lou Gehrig’s disease).

Nevada Medicare can provide free personalized assistance and show you a solution that gives you peace of mind, so you can focus on the things you want. Our Customer Care Team stands ready to help you with any topic. Remember our services are always free.

In Sparks, as in the rest of the country, Original Medicare comes in two parts: Part A and Part B.

  • Medicare Part A covers inpatient hospital, skilled nursing facility, some home health visits, and hospice care.
  • Medicare Part B covers doctor services, outpatient care, and some home health and preventive medical services.

Original Medicare doesn’t cover everything. For example, Original Medicare offers limited prescription drug coverage; you’ll normally have to join a separate Medicare Prescription Drug Plan for help with most medications. Original Medicare also doesn’t pay for most types of long-term care, also known as custodial care. This includes care you receive at home or in a nursing home when personal care (such as help with getting dressed or bathing) is the only help you need.

Original Medicare, Part A and Part B, also does not pay for routine vision, routine dental services, or hearing. Some of these benefits may be available through a Medicare Advantage plan.

A Medicare Part D Prescription Drug Plan (PDP) is stand-alone coverage that you can purchase to help pay for your prescription drug costs in Original Medicare. These plans work alongside your Original Medicare coverage and are available from private insurance companies approved by Medicare and doing business in Nevada.

Medigap (Medicare Supplement) insurance plans are also offered by private insurance companies and can help you pay your out-of-pocket costs for services covered under Original Medicare.

As an alternative way to get your Original Medicare benefits, you may be eligible to enroll in a Medicare Advantage plan in Nevada. Offered by private insurance companies that contract with CMS, these plans provide at least the same level of Medicare benefits as the federal program (with the exception of hospice care, which is paid by Medicare Part A).

In addition, many Medicare Advantage plans also include additional coverage beyond Original Medicare, such as routine dental and vision care. Unlike Original Medicare, some plans may include prescription drug coverage alongside medical coverage. Also known as Medicare Advantage Prescription Drug (MA-PD) plans, these plans provide your Medicare Part A, Part B, and Part D benefits under a single plan.

To be eligible for a Medicare Advantage plan, you must have Medicare Part A and Part B, live in the service area of a Medicare Advantage plan, and not have end-stage renal disease (with some exceptions).

Keep in mind that you’ll need to keep paying your Medicare Part B premium, in addition to any additional premium required by your Medicare Advantage plan.

To find and compare Medicare plan options in Sparks, contact us at Nevada Medicare.

 

2022 Medicare Statistical Trends in Nevada 

  • 263,432 of Medicare beneficiaries (47%) in Nevada were enrolled in Medicare Advantage plans and other health plans. 301,768 individuals (53% of Medicare beneficiaries) were enrolled in Original Medicare Part A and/or Part B.
  • In 2022, 165,140 Medicare beneficiaries in Nevada received Part D prescription drug coverage either from a Medicare Prescription Drug Plan or from a Medicare Advantage Prescription Drug plan. Over half of these individuals received their Part D prescription coverage through a Medicare Advantage plan that included this benefit.
  • 98% of Nevada residents with Medicare have access to a Medicare Advantage plan.
  • 46 Medicare Advantage plans are available in Nevada.
  • 23 Medicare Prescription Drug Plans are available in Nevada.
  • 78% of people with Medicare Part D have access to a plan with a lower premium than what they paid in 2021.
  • 31% of people with Medicare Part D are eligible for Extra Help (also called the Low-Income Subsidy, or LIS).
  • $1.90 is the lowest monthly premium for a Prescription Drug Plan (premiums may be lower for individuals who qualify for Extra Help or higher for individuals who select the lowest premium Prescription Drug Plan and who also pay a late-enrollment penalty).

 

NevadaMedicare.com and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. 

Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year.

To learn more about how Medicare works and what it covers for Nevada beneficiaries in Sparks please go to New to Medicare in Learn About Medicare.

Compare Medicare in Sparks Nevada

As mentioned above, we can provide you help and compare benefits, coverages, formularies, in your area. Based on that report, we will recommend the top 3-5 most cost-effective plans in Sparks.

Working with Nevada Medicare is free to you. The price you pay for your coverage is exactly the same as if you enrolled directly with an insurance company.

The benefit to you is that you have an advocate to turn to with questions and concerns. If Medicare or an insurance company ever denies your claim, we are here to help you with appeals, reconsiderations, as well as drug exceptions.

Additionally, we can also walk you through the annual Part D drug plan analysis to ensure you always pay the lowest costs for your medications.

Our Medicare help is always free Contact Us.