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This resource identifies the Medicare Part D creditable coverage status of Nevada group health plans effective during the 2026 plan year. It applies to plans with new or renewal effective dates between January 1 and December 1, 2026, including coverage that continues into 2027.

Word & Brown has gathered creditable coverage determinations from our fully insured carrier partners to help Nevada brokers and employers identify plans classified as non-creditable for 2026. These determinations apply for the duration of the employer's 2026 plan year, unless a change in coverage affects the plan's creditable status.

New federal Medicare Part D testing requirements take effect for plan years beginning in 2027. As a result, plans that qualified as creditable under the 2026 standards may be considered non-creditable when they renew in 2027.

Understanding Which Plan Year's Determination Applies

Nevada employers should reference the Medicare Part D creditable coverage status applicable to their current group health plan year, even when that plan year extends into the following calendar year.

For example, a group renewing November 1, 2026, would generally continue using its 2026 creditable coverage determination through October 31, 2027. When the group renews November 1, 2027, the employer should review its creditable coverage status under the updated 2027 standards.

Employers are required to notify Medicare-eligible employees and dependents whether their prescription drug coverage is creditable or non-creditable. An annual notice must be distributed before October 15 each year (no later than October 14), with additional notices required in certain circumstances, including when individuals first become covered or their plan's creditable coverage status changes.

For Nevada plans effective in 2027, employers should consult our 2027 Nevada Medicare Part D Creditable Coverage listing to review determinations under the new testing requirements.

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.
	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

  The information herein was collected from sources deemed reliable including information from various carriers. We have not verified nor can we guarantee the accuracy, timeliness or completeness of such information, which is provided on an “AS-IS” basis. It is solely your responsibility to verify this information before making decisions or incurring costs based on such information.  Further, you should contact the carrier for full details regarding the products and programs contained herein.