Our review of every 2026 health plan on Nevada's marketplace found four patterns that affect how to compare plans in this state.
- Nevada's market splits along geographic lines. Northern Nevada centers on Reno and Renown Health's regional system. The southern market, anchored in Las Vegas, has a different carrier set and different networks.
- The 2026 market is structurally different from prior years. Enhanced federal subsidies expired at the end of 2025, pushing average premiums up 26%. Nearly 82% of Nevada Health Link's 2026 enrollees received subsidies averaging $516 a month in reductions, per Nevada Health Link's 2026 enrollment report. The unsubsidized rate and your actual cost after subsidies can differ by thousands of dollars a year.
- Nevada's 26% average premium increase has two causes. Expiring federal subsidies account for part of the jump. Rising medical costs (including broader insurer coverage of GLP-1 medications like Ozempic and Wegovy) account for the rest. Some Nevada plans have already reduced or eliminated GLP-1 coverage for weight loss in 2026. Check your plan's formulary if this affects your household.
- Nevada has no PPO plans on its marketplace. Every plan is an HMO or EPO. HMO plans require a primary care referral before any specialist visit. EPO plans skip that step. You see specialists directly, but still only in-network.











