Nevada contractors and builders

Here's how general contractors and builders in Nevada are saving money on their health insurance this year

You can still get a nationwide PPO in Nevada, even though the state's own marketplace sells none. Here's how builders who relocate to Las Vegas or Reno get their family's coverage sorted in the move.

Sam Jaber, licensed health insurance broker

Hi, I'm Sam Jaber. I broker health insurance and nothing else, from Tampa, and Nevada is among the states where I hold a license, so a phone call covers it.

A lot of contractors working in Nevada didn't start here. They built for years in California, Arizona or Utah, then moved the business to Henderson, Summerlin, North Las Vegas or Reno for the work, the growth or the cost of living. When you relocate a company, the health plan usually can't come along: a state's individual plans are sold for that state's residents, and Nevada runs its own marketplace. This page walks through resetting your coverage as part of the move.

You can still get a nationwide PPO in Nevada

If you had a PPO back home, here's the reassurance: you can still get a nationwide PPO in Nevada, and I can arrange it.

Don't expect it from Nevada Health Link. The state's exchange lists 138 individual medical plans for 2026 from 9 insurers, 131 HMOs and 7 EPOs, with no PPO at all. Those two types typically pay nothing for a non-emergency visit outside their network. A PPO still pays for those visits, with a bigger share on you, and skips referrals. Private PPO plans that underwrite on health come with networks spanning the country, which is handy for a family that still sees doctors back in the state you left.

The move opens a window

Relocating to a new ZIP code or county can qualify you for a special enrollment period, usually 60 days, so you don't have to wait for the fall to buy a Nevada plan. Line it up with your moving date so there's no stretch without coverage.

Your new marketplace is Nevada Health Link, not HealthCare.gov. The federal premium tax credit works there the same way, based on household profit for the year after materials, subs, trucks, equipment, permits and insurance. A note for full-price buyers: KFF reports Nevada's average benchmark premium for a 40-year-old rose 20.0% from 2025 to 2026.

Scenario 1 of 3

We just moved the company to Las Vegas or Reno

This is the family this page is built around. Here's the order I'd do things in:

  • Settle the moving date and your new Nevada address, since the special enrollment window is tied to the move.
  • If everyone is healthy and you want to keep seeing doctors in more than one state, price a medically underwritten nationwide PPO. The application asks about your health, and the carrier issues the policy, says no, or issues it with a single prior condition excluded. For a healthy household, that review is how the premium can come in under Nevada Health Link's full price.
  • If your first Nevada year will be lighter while you rebuild a customer list, check whether the credit puts a Nevada Health Link HMO or EPO ahead on cost.
Scenario 2 of 3

Someone at home needs ongoing care

A chronic condition or a must-have prescription in the family makes Nevada Health Link the safer landing spot, because no marketplace plan can refuse you or price you on health. The real work is finding a Nevada network that includes new specialists to replace the ones you're leaving, and confirming your medications are covered.

Scenario 3 of 3

A slow first year in a new state

Starting over in a new market can mean a thin year. Nevada adopted the Medicaid expansion, so a household with income up to 138% of the federal poverty level can qualify while the business finds its footing. Separately, workers' comp, which your new Nevada company may need, only covers injuries on the job.

Where the Nevada figures come from

  • Nevada runs its own state marketplace, Nevada Health Link, rather than HealthCare.gov Source
  • For 2026, Nevada Health Link offers 138 individual medical plans from 9 insurers: 131 HMOs and 7 EPOs, and none is a PPO Source
  • HMO plans generally don't cover care outside their network except in an emergency, EPO plans cover out-of-network care only in an emergency, and PPO plans cover out-of-network care at a higher cost without a referral Source
  • Moving to a new ZIP code or county can qualify you for a special enrollment period, which usually lasts 60 days Source
  • The average benchmark marketplace premium for a 40-year-old in Nevada rose 20.0% from 2025 to 2026 Source
  • Nevada has adopted the Medicaid expansion; adults qualify with income up to 138% of the federal poverty level Source

Questions general contractors and builders ask me

Straight answers, no sales pitch.

Can I keep my out-of-state health plan after moving to Nevada?

Usually you'll need a Nevada plan. Moving to a new ZIP code or county can qualify you for a special enrollment period, usually 60 days, to choose one.

Are there PPO plans on Nevada Health Link?

Not for medical coverage; the 2026 plans are HMOs and EPOs. A healthy builder can get a nationwide PPO outside the marketplace through me.

Does Nevada use HealthCare.gov?

No. Nevada runs its own marketplace, Nevada Health Link.

Can a Nevada contractor get Medicaid in a slow year?

Possibly. Nevada expanded Medicaid to adults with household income up to 138% of the federal poverty level.

Tell me about the move

Where you're moving from, your new Nevada county, your moving date and who's coming with you are the essentials. I'll time the switch, price each choice, and tell you if any of your current coverage is worth keeping.

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