NEWSROOM

If you offer prescription drug coverage through a group health plan, Medicare regulations require you to inform CMS and Medicare-eligible employees (sometimes retirees) annually at case install or renewal within 60 days window whether their employer-sponsored coverage is considered "creditable" under Medicare guidelines.

Coverage is considered creditable if it meets or exceeds the value of the standard Medicare Part D prescription drug plan.

It’s important to note that pharmacy plans within a high-deductible health plan (HSA-compatible) can be either creditable or non-creditable, depending on whether Medicare is the primary or secondary payer.

This guide highlights Medical plans that are classified as non-creditable. Any plans not listed in this guide are considered creditable.

Nevada Small Group
 

Carrier	Response
	Aetna Advantage Funding (AFA) Click here to view list of AFA CA and NV Medicare plans that Aetna believes may not be Medicare Creditable. AWH AFA AFA NV AWH Las Vegas OAAS 5500 HSA 80% E CY V25
	Small Group ACA All Anthem Small Group ACA plans are considered creditable for the 2026 plan year. View Anthem Blue Cross Blue Shield's NV Small Group ACA Plans flyer. Association Health Plan – Small Group AHP Non-Creditable Plans: Anthem Convenient Care HMO 8200/40%/9000 Rx 15/100%/100%/100% Lean Rx View Anthem Blue Cross Blue Shield's NV Small Group AHP Plans flyer. Association Balance Funding – Small Group ABF Non-Creditable Plans: Anthem Virtual Access Plus Balanced Guided Access HMO 25/8700 Lean Rx Anthem Virtual Access Plus Balanced PPO 25/8700 Lean Rx Anthem Convenient Care Balanced Guided Access HMO 50/9200 Lean Rx Anthem Virtual Access Plus Balanced Guided Access HMO 3500/9200 Lean Rx Anthem Balanced Choice PPO 5500/30%/9200 Lean Rx Anthem Virtual Access Plus Balanced PPO 5000/8700 Lean Rx Anthem Balanced Blue Priority PPO 1000/20%/8000 Lean Rx View Anthem Blue Cross Blue Shield's NV Small Group ABF Plans flyer.
	ACA Non-Creditable Plans: Prominence HMO Freedom 30 Bronze   Prominence HMO Select 30 Bronze   Prominence HMO Select 29 Bronze   Prominence HMO Select 26 Expanded Bronze   Prominence POS Freedom 23 Expanded Bronze   Prominence PPO Freedom 30 Bronze Association Health Plans All Prominence Health Plan Small Group Association Health Plans are considered creditable for the 2026 plan year.
	All Total Benefit Solutions Small Group plans are considered creditable for the 2026 plan year

Nevada Large Group
 

Carrier	Response
	Aetna Advantage Funding (AFA) View list of plans that Aetna has determined may not be Medicare Creditable.
	Non-Creditable Plans: Anthem Convenient Care HMO 8200/40%/9000 Rx 15/100%/100%/100% Lean Rx View Anthem's creditable coverage flyer.
	All of Prominence’s standard Large Group plans are considered creditable for the 2026 plan year. For custom Large Group and ASO plans, please contact PHPSalesTeam@uhsinc.com to confirm creditability status. View Prominence Health Plan's 2026 Creditable Coverage Guide.
	All Total Benefit Solutions Small Group plans are considered creditable for the 2026 plan year