Insurances Accepted
GEMS accepts many insurance plans and programs. Please browse below for the public and private/commercial insurance plans we currently accept. You can also call us at 702-589-9686 to learn more or to ask questions.
Public Insurance Programs
Medicaid - Traditional and Managed Care Plans
GEMS accepts both Traditional Medicaid and the following Medicaid managed care plans:
- Anthem Blue Cross and Blue Shield
- Health Plan of Nevada
- Molina Healthcare of NV
- SilverSummit Healthplan
Nevada Check-Up (CHIP)
GEMS accepts the following Nevada Check-Up (CHIP) plans:
- Anthem Blue Cross and Blue Shield
- Health Plan of Nevada
- SilverSummit Healthplan
Medicare - Traditional
GEMS accepts Traditional Medicare.
Medicare Advantage Plans
GEMS accepts the following Medicare Advantage Plans:
- Aetna
- Aetna Medicare Choice Plan (PPO)
- Aetna Medicare Eagle Plan (PPO)
- Aetna Medicare Elite Plan (PPO)
- Aetna Medicare Premier Plan (HMO-POS)
- Aetna Medicare Select Plan (HMO-POS)
- Aetna Medicare Select Plan (PPO)
- Aetna Medicare Value Plus Plan (HMO-POS)
- Aetna Medicare Platinum (PPO) H5521-557 – Effective 2025
- Alignment Healthplan of Nevada
- Anthem Blue Cross and Blue Shield Medicare Group
- Blue Medicare Advantage (PPO)
- Anthem Blue Cross and Blue Shield Medicare Individual
- Anthem MediBlue Plus (HMO) – NV
- Anthem Medicare Advantage (HMO) – NV
- Cigna
- Molina Healthcare of NV
- Molina Medicare Choice Care (HMO)
- Molina Medicare Complete Care (HMO D-SNP)
- WellCare by Allwell from SilverSummit Healthplan
- Wellcare Dual Access (HMO D_SNP) H6446
- Wellcare No Premium (HMO) H6446
- Wellcare No Premium Open (PPO) H8458
- Wellcare Specialty No Premium (HMO C-SNP) H6446
Market Place / Commercial / Private Insurance Plans
Aetna
- Aetna HealthFund Plans
- Aetna Choice® POS II (Aetna HealthFund®)
- Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
- In NetworkAetna Open Access® Managed Choice® POS (Aetna HealthFund®)
- In NetworkOpen Access Aetna Select℠ (Aetna HealthFund®)
- In NetworkOpen Choice® PPO (Aetna HealthFund®)
- Aetna Open Access Plans
- Aetna Choice® POS II (Open Access)
- Aetna Health Network Only℠ (Open Access)
- Aetna Health Network Option℠ (Open Access)
- Aetna Select℠ (Open Access)
- Elect Choice® EPO (Open Access)
- Managed Choice® POS (Open Access)
- North Carolina State Health Plan – Effective 2025
- Aetna Premier Care Network Plus
- 2024 Plan Providers
- Aetna Premier Care Network Plus (APCN Plus) – Choice POS II
- In NetworkAetna Premier Care Network Plus (APCN Plus) – Open Access Aetna Select
- 2024 Small Group Under 51 employees
- Nevada Elect Choice Open Access (OAEPO)
- In NetworkNevada HealthNetworkOnly (HNOnly)
- Aetna with Innovation Health
- Aetna with Innovation Health Aetna Select
- In NetworkAetna with Innovation Health POS
- In NetworkAetna with Innovation Health PPO
- Aetna Signature Administrators
- Aetna Standard Plans
- Open Choice® PPO
- Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
- Aetna Select℠
- Aetna Voluntary Plans
- HMO
- Managed Choice® POS
- QPOS®
- Aetna Medicare Advantage Plans
- Aetna Medicare Choice Plan (PPO)
- Aetna Medicare Eagle Plan (PPO)
- Aetna Medicare Elite Plan (PPO)
- Aetna Medicare Premier Plan (HMO-POS)
- Aetna Medicare Select Plan (HMO-POS)
- Aetna Medicare Select Plan (PPO)
- Aetna Medicare Value Plus Plan (HMO-POS)
- Aetna Medicare Platinum (PPO) H5521-557 – Effective 2025
- National Advantage Program (NAP)
- National Advantage™ Program
Anthem Blue Cross and Blue Shield
- Anthem Blue Cross and Blue Shield
- Anthem Alliance (Select Network)
- Anthem Choice PPO (Tier 1 Pathway PPO – Tier 2 PPO) – NV
- Anthem HealthSync (Select Network)
- Blue Access Choice (St Louis) (Select Network)
- Blue Alternative (Select Network)
- Blue Open Access POS (Select Network)
- Blue Preferred POS (Select Network)
- BlueChoice Adv Open Access (Select Network)
- BlueChoice Open Access (Select Network)
- BlueChoice Options (Select Network)
- BlueValue (Select Network)
- Boyd Gaming Network – NV
- Century Preferred Tiered (Select Network)
- Choice EPO
- Choice PPO
- CO Pathway (Select Network)
- Convenient Care HMO – NV
- Guided Access HMO – NV
- High Value Network (Select Network)
- HMO – NV
- HMO Nevada – NV
- Horizon Managed Care Network (Select Network)
- Lumenos plans – NV
- National PPO (BlueCard PPO Basic)
- National PPO (BlueCard PPO)
- Network S (Select Network)
- NetworkBlue (Select Network)
- POS
- PPO – NV
- Preferred-Care Blue (KC) (Select Network)
- Select PPO (Select Network)
- Traditional
- Traditional PPO
- UK-EPO
- UK-Indemnity
- UK-Medicare Carve-Out
- UK-PPO
- Anthem Blue Cross and Blue Shield Medical (Individual & Families)
- HMO Nevada (EPO) – NV
- Pathway – PPO – NV
- Anthem Blue Cross and Blue Shield Medical Networks
- Anthem Choice PPO (Tier 1 Pathway PPO – Tier 2 PPO) – NV
- Guided Access HMO – NV
- HMO Nevada – NV
- Pathway PPO – NV
- PPO – NV
- Anthem Blue Cross and Blue Shield Medicare Group
- Blue Medicare Advantage (PPO)
- Anthem Blue Cross and Blue Shield Medicare Individual
- Anthem MediBlue Plus (HMO) – NV
- Anthem Medicare Advantage (HMO) – NV
GEMS also accepts the following public insurances from Anthem Blue Cross and Blue Shield
- Nevada Check-Up (CHIP) – NV
- Nevada Medicaid – NV
Alignment Healthplan of Nevada
GEMS accepts Alignment Healthplan of Nevada Medicare Advantage Plan
Ambetter from SilverSummit Healthplan
- Ambetter from SilverSummit Healthplan
- Core / Focus Network: 2024 Bronze| Silver| Gold
Cigna
- Cigna Network: Nevada OPA
- Carelink Plans – OA Plus
- Carelink Plans – Open Access Plus
- ChoiceFund OA Plus
- OAP with ChoiceFund
- Cigna Network POS: Nevada OPA
- Carelink Plans – OA Plus
- Carelink Plans – Open Access Plus
- ChoiceFund OA Plus
- OAP with ChoiceFund
- Cigna PPO
- Cigna PPO
- Choice Fund PPO
- Cigna Medicare Advantage Plan
Health Plan of Nevada
- Health Plan of Nevada: Medical
- HPN On Exchange
- HPN Off Exchange
- Health Plan of Nevada Group Plans
- HPN Southern NV- HMO
- HPN Balance- HMO
- HPN Southern Nevada- POS Tier I
- HPN Soutern Nevada- POS Tier II
GEMS also accepts the following public insurances from Health Plan of Nevada
- Nevada Check-Up (CHIP) – NV
- Nevada Medicaid – NV
Molina Healthcare of NV
- Molina Healthcare of NV
- Molina Marketplace
- Molina Healthcare of NV Medicare Advantage Plans
- Molina Medicare Choice Care (HMO)
- Molina Medicare Complete Care (HMO D-SNP)
GEMS also accepts the following public insurances from Molina Healthcare of NV
- Nevada Medicaid – NV
Select Health
GEMS accepts all Select Health plans EXCEPT the Value Plan product.
Sierra Health and Life
- Sierra Health and Life Employer Plans
- SHL Southern Nevada and Utah- EPO/ PPO/ HSA
- Sierra Health and Life Individual Plans
- MySHLSolutions- EPO/HSA
SilverSummit Healthplan
GEMS accepts the following public insurances from SilverSummit Healthplan:
- Nevada Check-Up (CHIP) – NV
- Nevada Medicaid – NV
WellCare by Allwell from SilverSummit Healthplan
- WellCare by Allwell Medicare Advantage Plans
- Wellcare Dual Access (HMO D_SNP) H6446
- Wellcare No Premium (HMO) H6446
- Wellcare No Premium Open (PPO) H8458
- Wellcare Specialty No Premium (HMO C-SNP) H6446
