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Nevada real estate investors

Here's how real estate investors in Nevada are saving money on their health insurance this year

Nevada Health Link doesn't offer PPO coverage, but I can help you get a nationwide PPO privately. If you spend part of the year in Nevada and the rest elsewhere, here's how to choose a plan that covers you in both locations.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. I'm licensed to broker health insurance in 36 states, including Nevada. If you're a Nevada landlord or property manager, I can help you set up coverage over the phone.

Say you're a couple in your late fifties with several Las Vegas condos and a fourplex. Nevada is your primary legal residence, which means you shop for marketplace insurance through Nevada Health Link. But you escape the valley heat from June through September at your Idaho lake cabin, then head to Colorado every holiday to see the grandkids. You're spending time in three states and want access to care without finding different doctors everywhere. The challenge is that Nevada Health Link offers HMOs and EPOs centered on providers in Nevada.

You can still get a nationwide PPO in Nevada

For 2026, the 138 individual medical plans available through Nevada Health Link consist of 131 HMOs and 7 EPOs. Not a single one is a PPO.

I can arrange a private nationwide PPO for you in Nevada. Your health determines the pricing, and the national provider network can include the Idaho clinic near your cabin and Colorado urgent care near your grandchildren. You're not limited to in-network doctors around Las Vegas.

The split-year problem

Outside their provider networks, HMOs and EPOs typically cover emergencies only. Spend a third of your year away from Nevada, and you could be without coverage for regular appointments, follow-up care or prescription visits during that time. A Nevada-based network becomes less useful the longer you're gone.

Start by asking yourself these questions:

  • Where do you spend time outside Nevada, and how many months are you gone each year?
  • Are your doctors located in different states?
  • Does either person need ongoing appointments to manage prescriptions?
  • Is someone in your household dealing with a medical condition? Let me know so I can price both coverage routes accordingly.

How your rental income figures in

Your marketplace savings depend partly on net rental income and most withdrawals from IRAs and 401(k) accounts. That's important if you're an investor using retirement funds before 65. Rental activity is generally reported on Schedule E, with management costs, repairs, interest and depreciation reducing the total. When you sell, the gain counts in the closing year. For tax years after 2025, there's no repayment limit on excess premium credit you received.

Scenario 1 of 3

Healthy household, income past the credit range

For a couple spending different parts of the year in different states, a nationwide PPO is often the better fit. The insurance company evaluates each applicant's health before deciding whether to accept, reject or accept with a particular condition excluded. Healthy people frequently get premiums below Nevada Health Link's unsubsidized rates, with access to a network across the states they visit.

Scenario 2 of 3

Income in the credit range

When your rental earnings and account withdrawals leave you eligible for a credit, Nevada Health Link will generally cost less, particularly if you spend most months at home. Just account for limited routine coverage while traveling. You may need to schedule prescriptions and regular appointments for the months you're back in Nevada.

Scenario 3 of 3

A very low-income year

If your income on paper falls far enough, Nevada's expanded Medicaid program covers qualifying adults earning up to 138% of the federal poverty level. Have your tax preparer estimate your annual income before applying. If rental earnings improve, report the increase promptly.

Where the Nevada figures come from

  • Nevada runs its own state-based marketplace, Nevada Health Link, instead of using HealthCare.gov Source
  • Of the 138 individual medical plans on Nevada Health Link for 2026, 131 are HMOs and 7 are EPOs; none is a PPO Source
  • HMOs and EPOs generally cover care outside their network only in an emergency Source
  • Net rental income and most IRA and 401(k) withdrawals count toward household income for marketplace savings Source
  • Rental income and expenses are generally reported on Schedule E Source
  • There is no cap on repaying excess advance premium tax credit for tax years after 2025 Source
  • Nevada expanded Medicaid; KFF lists its income limit for adults at 138% of the federal poverty level Source

Questions real estate investors ask me

Straight answers, no sales pitch.

Will a Nevada Health Link plan cover me while I'm living in another state for the summer?

Usually, emergencies are the exception. Nevada Health Link offers HMO and EPO plans, and routine treatment outside their networks generally isn't covered.

Is there a PPO on Nevada Health Link?

No. Nevada Health Link's 138 individual medical options are exclusively HMOs and EPOs. If you're healthy, I can help you purchase a private nationwide PPO.

Do retirement withdrawals count toward my marketplace income?

Yes. Net income from rentals counts, as do most distributions from IRAs and 401(k) accounts.

Are my health premiums deductible against the rentals?

Have your tax preparer answer that one. Business profits determine the self-employed deduction, but rental income normally appears on Schedule E. How you've structured property ownership matters.

Where do you spend your year?

Let me know where you live in Nevada, where you stay during the other months, your net rental income and everyone needing insurance. I'll help you find coverage that works in both locations.

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