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2027 marketplace changes in Nevada

Which insurance companies are leaving the Nevada marketplace in 2027

Who is leaving, what's left in your county, and what to do before the deadline. Last checked October 5, 2026.

The short answer

No major insurer is leaving the Nevada marketplace for 2027.

  • What I checked: Every company that sold Nevada marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source

In 2026, 8 companies sold Nevada marketplace plans: Ambetter (Centene), Anthem (Elevance), CareSource, Hometown Health, Imperial, Molina, Select Health and UnitedHealthcare.

Sam Jaber, licensed health insurance broker

What this means in Nevada

I'm Sam Jaber, a broker licensed in Nevada who helps people choose individual health insurance by phone. Compared with many states, Nevada Health Link is seeing relatively little disruption for 2027. I haven't identified a company withdrawing from Nevada's marketplace.

Nevada has a sizable selection of insurers. In 2026, Nevada Health Link offered plans from eight companies: Ambetter, Anthem, CareSource, Hometown Health, Imperial, Molina, Select Health and UnitedHealthcare. All eight submitted 2027 filings on the federal rate review site. Molina specifically indicates its marketplace plans will continue. Imperial isn't actually a newcomer, despite appearing that way on some lists; it already participated in 2026. From Las Vegas and Henderson to Reno, Carson City and Elko, your existing insurer appears positioned to stay for 2027.

For some Nevada residents, changing insurers is already familiar. Aetna exited the state's individual marketplace for 2026. If you previously had Aetna, I'd carefully review the coverage you selected or were transferred into last year before renewing it.

What's on the Nevada marketplace

No Nevada county loses a marketplace insurer for 2027 from what I checked.

The Nevada marketplace had no PPO plans in 2026.

Other changes you may have read about

You've probably seen a few other names mentioned in news coverage of this. Here's what their actual situations look like.

  • Molina is not leaving Nevada: its 2027 filing says its plans are offered on the Nevada marketplace. source
  • Aetna left the individual marketplace in Nevada for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source

What happens to your plan

Your coverage doesn't end immediately just because the insurer is leaving. The existing policy continues through December 31, 2026, and you're entitled to written notice beforehand. Federal requirements call for at least 90 calendar days of notice when an insurer discontinues a plan, or at least 180 calendar days when it withdraws completely from a state's individual market. Haven't received anything yet? Contact your insurer and request the notice.

Here's where people often misunderstand the process. Under federal regulation 45 CFR 155.335, the marketplace may place you with another insurer when your current company has no remaining marketplace plan. That's permission, not a guarantee. State law and the regulator's instructions govern the transfer. Without specific direction, the marketplace chooses a "similar" plan. The regulation doesn't require anyone to verify that your doctors or medications are covered.

Purchased your coverage directly from the insurer rather than through the marketplace? Its automatic re-enrollment provisions don't apply to your policy. You'll have to select replacement coverage on your own.

Instead of using HealthCare.gov, Nevada operates Nevada Health Link, its own marketplace. Notices come directly from that exchange, and enrollment deadlines may differ from HealthCare.gov's December 15 cutoff for January 1 coverage and January 15 closing date. Verify the schedule on Nevada Health Link before making plans. Its notice will also identify any replacement coverage you might receive automatically if you take no action.

You might still qualify to enroll after the regular window closes. HealthCare.gov recognizes discontinued coverage as a qualifying event, and federal regulations allow 60 days before and 60 days after your old plan's termination to select replacement coverage. I wouldn't rely on that as your first choice. Make sure you're eligible before planning around those dates.

What to do now

The way I'd approach this depends on your particular situation and where things stand for you. Whichever route makes sense, the next step is the same: let's talk on the phone before the deadline.

Scenario 1 of 2

Your income qualifies you for help with the premium

When your household qualifies for a premium tax credit, marketplace coverage is generally the more affordable route because you can't apply that credit anywhere else. Still, don't accept an automatic plan selection without checking it. Compare every remaining insurer in your county before December 15, and verify your prescriptions and doctors against the new plan's network. Your old plan's network doesn't determine what the new one covers.

Scenario 2 of 2

You pay full price and you're healthy

If your income puts you outside the tax credit range, you're responsible for the entire marketplace premium, with your choices limited to the insurers serving your county. That's when I'd also consider private coverage. Medically underwritten plans use nationwide PPO networks, and their pricing reflects your health. Healthy applicants may pay less than the marketplace's unsubsidized rate. There are tradeoffs: insurers ask medical questions and can reject an application or exclude a preexisting condition. We'll review those details together before you decide.

You can still get a nationwide PPO in Nevada

Regardless of which insurers remain on your county's marketplace, I can help you obtain a nationwide PPO in Nevada. The Nevada marketplace had no PPO plans in 2026.

For healthy people paying the entire marketplace premium, it's worth comparing private, medically underwritten PPO coverage. These plans offer networks extending nationwide. I carry health insurance licenses in 36 states, including Nevada.

Questions about insurers leaving Nevada

Straight answers, no sales pitch.

Which insurance companies are leaving the Nevada marketplace in 2027?

No major insurer is leaving the Nevada marketplace for 2027. Every company that sold Nevada marketplace plans in 2026 has a 2027 rate filing on the federal rate review site.

If my insurance company leaves, will I be moved to a new plan automatically?

Possibly, but there's no guarantee. Federal rules permit the marketplace to assign a comparable plan from another insurer when state law and regulators allow it. HealthCare.gov specifically cautions that automatic re-enrollment isn't always available. And if your current coverage was purchased outside the marketplace, that process won't apply. My advice is to choose your replacement yourself.

What's the deadline to pick a new Nevada plan for 2027?

Because Nevada uses its own exchange, Nevada Health Link, don't assume HealthCare.gov's December 15 and January 15 deadlines apply. Confirm the dates directly with Nevada Health Link and make your selection early enough for January 1 coverage.

Can I still get a PPO in Nevada?

Yes. I can help you find a nationwide PPO available in Nevada. The Nevada marketplace had no PPO plans in 2026.

Sources

  • In 2026, 8 companies sold Nevada marketplace plans: Ambetter (Centene), Anthem (Elevance), CareSource, Hometown Health, Imperial, Molina, Select Health and UnitedHealthcare (CMS 2026 plan data) source
  • Nevada marketplace PPO plans in 2026: 0 of 17 counties; after the confirmed exits: 0 (CMS 2026 plan data) source
  • Molina is not leaving Nevada: its 2027 filing says its plans are offered on the Nevada marketplace. source
  • Aetna left the individual marketplace in Nevada for 2026, when CVS Health exited the individual exchange business where Aetna ran its own ACA plans. source
  • Every company that sold Nevada marketplace plans in 2026 has a 2027 rate filing on the federal rate review site. source
  • Nevada runs its own marketplace, Nevada Health Link, instead of HealthCare.gov source
  • HealthCare.gov says that by November 1 you should get 2 letters, one from your current insurance company and one from the Marketplace, and that in some cases you won't be automatically re-enrolled source
  • 45 CFR 155.335(j)(3): when no plans from the same insurer are available, the Exchange "may enroll the enrollee in a QHP issued by a different issuer, to the extent permitted by applicable State law", as the state regulator directs or, if it does not, "in a similar QHP from a different issuer, as determined by the Exchange" source
  • HealthCare.gov open enrollment starts November 1; enroll by December 15 for coverage that starts January 1, or December 16 to January 15 for coverage that starts February 1 source
  • 45 CFR 155.420: losing coverage is a triggering event, the loss date is the last day of the old plan's coverage, and the person has 60 days before and 60 days after it to pick a new plan source
  • HealthCare.gov lists "Your individual plan or your Marketplace plan is discontinued (no longer exists)" as a qualifying event for a special enrollment period source
  • 45 CFR 147.106: an insurer that drops a product must give written notice at least 90 calendar days before coverage ends; one that leaves a state's individual market entirely must give at least 180 calendar days notice and cannot return to that market for 5 years source

Last checked October 5, 2026. I update this page when the 2027 plan list publishes in late October.

Got a letter? Bring it to the call.

Call me with your county, the people who need coverage and the details of your notice. I'll compare the remaining Nevada marketplace plans with a nationwide PPO quote and help you decide before enrollment ends. I'm licensed in 36 states, and we can handle everything by phone.

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