Nevada Check Up Program



Nevada Check Up is the Children’s Health Insurance Program in the state, providing health coverage to uninsured residents under age 19. This program is designed for children who are unable to qualify for Medicaid due to their income being over 133 percent of the federal poverty level for children up to age 5, and over 100 percent for children between 6 and 18. To qualify, the child must not have any source of private or public health benefits, or be eligible for group coverage or Medicaid.

According to federal law, every CHIP program must accept and insure children without coverage of any income level. Those who have household incomes over 200 percent of federal poverty level are able to receive coverage for a fee. Children with income between 100 and 200 percent FPL are qualified for subsidized coverage, and will not have to pay more than small quarterly premium payments.

 

Program Income Eligibility

A child can qualify for benefits through Nevada Check Up if they are a U.S. citizen or qualified immigrant, and they cannot be considered eligible for Medicaid. Children also must not have health insurance within six months prior to application, or recently lost their benefits for reasons beyond their parents’ control. The program requires children to be under age 18 on the date coverage will become effective.

In relation to Federal Poverty Level, eligible children’s family income must follow the guidelines below for household size and annual earnings to qualify for Nevada Check Up.

 

 

Nevada Check Up Costs

The Nevada Check Up program does not require its members to pay copayments, deductibles, or coinsurance for covered benefits. Plan members do have to pay a quarterly premium, which varies based on household size and income, as indicated below. Premiums are charged per family as a whole, not by individual child. For example, if your family has a premium requirement of $25, multiple children will be covered by the $25 payment each quarter.

Premiums are not required for Native American families who belong to federally recognized tribes, or Eskimos, Aleuts, or Alaskan Natives. In order for these premiums to be waived, such families must indicate they are Native American by marking the proper section of the application, and record their child’s tribal affiliation in the optional ethnicity section. Verification of affiliation is also required.

 

 

Covered Services

Benefits provided by Nevada Check Up include a comprehensive set of medical services, as well as dental and vision care.  All types of care you will find covered by Medicaid are also covered by Nevada Check Up. Some of these benefits include the following:

  • Birth Control
  • Ambulance services
  • Comprehensive rehabilitation
  • Dental care
  • Eye exams and eyeglasses
  • Emergency room visits
  • Family planning
  • Hospital services
  • Hearing tests
  • Physician’s office visits
  • Durable medical equipment
  • EPSDT/Healthy Kids or Preventive and Wellness care for children
  • Home health care
  • Lab and X-ray services
  • Maternity care
  • Medical supplies and equipment
  • Mental health
  • Transportation services
  • Prescriptions
  • Waiver Program services
  • Specialist care
  • Occupational, physical, and speech therapy
  • Over-the counter drugs with a prescription
  • Immunizations

 

Nevada Check Up Providers and Plans

When you are found eligible for Nevada Check Up, you will be assigned a managed care organization based on the region of the state in which you reside. Several health insurance companies offer Nevada Check Up coverage, including Health Plan of Nevada, Anthem, and Amerigroup. If your particular area of Nevada is not served by an insurer for Check Up services, you will be required to use Nevada Medicaid providers in your region who accept Nevada Check Up.

Visit the Access to Healthcare site in order to find participating doctors, hospitals, and specialists in your service region.

Resources

Nevada Check Up

Health Plan of Nevada: Medicaid/Nevada Check Up

Call: 775-684-3777

Contact:

Nevada Check Up

Capital Plaza

1000 East Williams St, Ste. 200

Carson City, NV