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Nevada Check Up

Nevada Check Up is the state Children’s Health Insurance Program (CHIP) offered to uninsured children under age 19 who do not qualify for Children’s Medicaid, or have access to any other form of insurance.  The program offers a low-cost alternative for children in families who cannot afford health insurance, but whose income is too high to receive Medicaid. As the program is geared towards families with a slightly larger amount of income, there are payments for Nevada Check Up in a quarterly premium charge. Other than the premium, Nevada Check Up has no additional costs for services.

Services covered through Nevada Check Up are identical to Medicaid. If a child needs a certain type of treatment for a pre-existing condition, chronic illness, or disability, the program will cover these services. Additional services will be covered for children with special health needs, as Check Up extends coverage to include benefits related to their condition.

 

Nevada Check Up Eligibility

Nevada Check Up is open to children from birth through age 18 who are Nevada residents, U.S. citizens or legal immigrants. Legal residents must have up to five years of residency.  The child applying must also not have had any health insurance for the past six months, or recently lost their coverage for reasons beyond their parents’ control. The income guideline for Check Up is between 100 and 200 percent of the Federal Poverty Level, as it relates to the number of individuals living in the household.

 

 

Premiums

The only cost associated with the Nevada Check Up program is a quarterly premium,  assigned by the size of your family and your overall income level. Considerate of expenses, the program does not charge any fee for services, coinsurance, or a deductible, and issues one premium for each family, as opposed to charging for children separately. Some Nevada residents, however, are exempt from paying premiums.

Native American families belonging to federally recognized tribes, Eskimos, Aleuts, and Alaskan Natives are not required to pay a premium, as they are rightfully entitled to coverage. These families must provide proof of their child’s tribal affiliation and include this on the Check Up application to have their premiums waived.

 

Benefits

Nevada Check Up offers the same services as Nevada Medicaid to its members. These intend to cover the majority of necessary health care benefits from preventive care screenings and exams to prescriptions and surgical procedures.

 

  • Ambulance and transportation
  • Physician services
  • Comprehensive rehabilitation
  • Dental care
  • Birth control
  • Vision care, including eye exams and glasses
  • Family planning
  • Hospital services
  • Hearing exams
  • Durable medical equipment
  • Preventive services, including EPSDT
  • Immunizations
  • Emergency care
  • Home health care
  • Lab and X-ray services
  • Maternity care
  • Medical supplies
  • Mental health care
  • Prescriptions
  • Occupational, physical, and speech therapy
  • Over-the-counter drugs with a prescription
  • Rural health clinics
  • Waiver Program services

 

Receiving Care

Depending where you are located, you will have access to providers and health care services through your region’s available Medicaid providers or a Managed Care Organization. Families and children living in Clark County or Washoe City will receive health services through a Managed Care Organization, which will be either Health Plan of Nevada or Amerigroup. Once you have selected your MCO, your care will be organized through one of their primary care doctors, and you may receive services through their provider network. As long as a provider in your MCO’s network accepts Nevada Check Up, you will be able to use them for free medical services. Those who live in rural areas will be able to receive care through any Medicaid doctor or facility accepting Nevada Check Up.

 

Application

To apply for Nevada Check Up, you have several options. Complete the application online through ACCESS Nevada for the most quick and efficient process. You may also pick up a tangible application at one of many facilities, including Family Resource Centers, Boys & Girls Clubs, and Welfare offices. If you wish to have a paper application sent to your home, call (877) 543-7669 for an English or Spanish version.

 

Resources

Nevada DHHS: Nevada Check Up

Apply for Benefits

Contact Nevada Check Up:

1000 East William Street, Ste 200

Carson City, NV 89701

(775) 684-3777

(877) 543-7669

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