Ambetter from SilverSummit Healthplan Offers Health Insurance in Nevada in 2026

Rhea-AI Summary

Ambetter from SilverSummit Healthplan (NYSE: CNC) will offer statewide health insurance plans in Nevada for plan year 2026 through Nevada Health Link. Open enrollment runs Nov. 1, 2025–Jan. 15, 2026, with enrollment by Dec. 15, 2025 for coverage starting Jan. 1, 2026. Plans cover essential health benefits including preventive care, maternity, pediatric, mental health, hospital and prescription drug benefits; some plans include dental and vision.

Member services for 2026 include the Ambetter Perks discount program, the My Health Pays rewards program (up to $500 in 2026), 24/7 virtual care, mobile online enrollment, and a Tribal Sponsorship Program to simplify tribal billing.

Insights

Market Access Analyst

Centene unit expands Ambetter plans statewide in Nevada for plan year 2026, with open enrollment from Nov. 1, 2025 to Jan. 15, 2026.

Ambetter from SilverSummit Healthplan will offer statewide Affordable Care Act marketplace plans through Nevada Health Link for plan year 2026. The product includes standard essential health benefits, some plans with dental and vision, telehealth via Virtual 24/7 Care, a rewards program that pays up to $500 in 2026, and a Tribal Sponsorship Program to streamline billing for tribal organizations. The open enrollment window runs from Nov. 1, 2025 through Jan. 15, 2026, with an enrollment cutoff of Dec. 15, 2025 for Jan. 1, 2026 coverage.

Key dependencies and practical risks rest on enrollment and subsidy eligibility systems which the platform supports by letting users determine financial subsidy eligibility and save in-progress applications. The announcement confirms digital accessibility (mobile enrollment and saved progress) and member-facing benefits, but it contains no enrollment targets, pricing, network adequacy metrics, or competitive context; those missing items limit assessment of scale and financial impact.

Items to watch near term: actual marketplace enrollment counts and subsidy mix during the Nov. 1, 2025–Jan. 15, 2026 window, the proportion of plans including dental/vision, and reported uptake of the My Health Pays program by year-end 2026. These metrics will indicate whether the stated statewide availability translates into meaningful member growth and utilization.

During open enrollment, starting Nov. 1, residents can access affordable plans from Ambetter from SilverSummit Healthplan statewide.

LAS VEGAS and RENO, Nev., Nov. 3, 2025 /PRNewswire/ -- Ambetter from SilverSummit Healthplan, a product offered by a Centene Corporation (NYSE: CNC) company, a leading healthcare enterprise that provides insurance to under-insured and uninsured populations through Nevada Health Link, Nevada's Health Insurance Marketplace, will offer a variety of affordable health insurance plans to Nevada residents statewide for plan year 2026. The open enrollment period for the Health Insurance Marketplace runs from Nov. 1, 2025, through Jan. 15, 2026. Enroll by Dec. 15, 2025, for coverage starting Jan. 1, 2026. 

"As a leading provider on the Nevada Health Link, we're proud to offer coverage across the state. Since 2018, Ambetter from SilverSummit Healthplan has remained committed to expanding access to quality, affordable healthcare for all Nevadans. Whether you're in Las Vegas, Reno, Carson City, Elko, or anywhere in between, our members benefit from one of the most comprehensive provider networks in Nevada," said Plan President and Chief Executive Officer of Ambetter by SilverSummit Healthplan, Eric Schmacker.

Ambetter from SilverSummit Healthplan offers its members access to quality care and convenient services. 2026 benefits and offerings include: 

• Affordable and Reliable Coverage:
  Ambetter from SilverSummit Healthplan  provides coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations and prescription drug coverage. Some plans also include dental and vision coverage.
• Ambetter Perks:
  Ambetter from SilverSummit Healthplan  offers additional services to support your health and financial well-being through the Ambetter Perks program for members in Nevada. This program gives members access to discounts on a variety of products and services, including wellness activities, financial tools, memberships, out-of-pocket prescription costs and over-the-counter health items. It also includes services that promote healthy lifestyles and address social factors that impact health. The Ambetter Perks program is open to all members.
• Convenient Online Enrollment:
  Through the Ambetter from SilverSummit Healthplan  website, people can browse and compare coverage options, determine their eligibility for financial subsidies and directly enroll in coverage — all in one place. The platform is accessible through mobile devices, so people can enroll using smartphones. If a person is unable to complete enrollment all at once, the system will save progress and provide reminders to finish enrollment.
• My Health Pays*:
  Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active and leading a healthy lifestyle. Through the program, members can complete health-related activities and challenges to earn up to $500 in rewards in 2026. These rewards can be used for health-related expenses such as copays and deductibles (pharmacy copays are excluded). My Health Pays also allows members to set and reach health goals at their own pace by providing seasonal suggestions for activities and guidance to help stay on track.
• Virtual 24/7 Care**:
  Virtual 24/7 Care offers members a licensed provider via telehealth for members to access care for illnesses such as flu, skin conditions, ear infections, fever and respiratory infections — all from the comfort of their home.

To support members through the 2026 renewal process and beyond, Ambetter from SilverSummit Healthplan is offering a range of tools and programs designed to make coverage easier to understand and maintain. These include the Tribal Sponsorship Program, which simplifies and streamlines the billing process for tribal organizations that are managing healthcare for their members. 

Nevada residents interested in learning more about Ambetter from SilverSummit Healthplan or enrolling in a health plan during the open enrollment period may visit ambetterhealth.com/en/nv.

About Ambetterfrom SilverSummit Healthplan 
Ambetter from SilverSummit Healthplan serves under-insured and uninsured populations through the Nevada Health Link. Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc., which is a Qualified Health Plan issuer in Nevada. For more information, visit ambetterhealth.com/en/nv. This is a solicitation for insurance. For information on your right to receive an Ambetter from SilverSummit Healthplan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit ambetterhealth.com/en/ and scroll to the bottom of the page. 

*Healthcare-related costs will vary by member and the plan in which you are enrolled. Funds expire immediately upon termination of insurance coverage. My Health Pays® rewards cannot be used for pharmacy copays. Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit Member.AmbetterHealth.com for more details. Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means.

**Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 Care cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 Care program. Ambetter Health does not provide medical care. Medical care is provided by individual providers, which are independent contractors and not agents of Ambetter Health.

 

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SOURCE Ambetter from SilverSummit Healthplan

FAQ

When is Nevada open enrollment for Ambetter from SilverSummit Healthplan (CNC) for 2026 coverage?

Open enrollment runs Nov. 1, 2025–Jan. 15, 2026, with Dec. 15, 2025 as the deadline to enroll for coverage starting Jan. 1, 2026.

What coverage does Ambetter from SilverSummit Healthplan (CNC) offer in Nevada for 2026?

Plans cover essential health benefits including preventive care, maternity and newborn care, pediatric services, mental health, hospitalizations and prescription drugs; some plans add dental and vision.

How much can members earn with the My Health Pays program for Ambetter (CNC) in 2026?

Members can earn up to $500 in rewards in 2026 for completing health-related activities; rewards can be used for eligible health expenses.

Can Nevada residents enroll in Ambetter from SilverSummit Healthplan (CNC) via mobile devices?

Yes. The Ambetter website supports browsing, subsidy checks and direct enrollment via mobile devices, with saved progress and reminders.

Does Ambetter from SilverSummit Healthplan (CNC) provide telehealth services in 2026?

Yes. Members have access to 24/7 virtual care for common illnesses and conditions via licensed telehealth providers.

What is the Tribal Sponsorship Program offered by Ambetter in Nevada for 2026?

The Tribal Sponsorship Program streamlines billing for tribal organizations that manage healthcare for their members to simplify renewals and payments.