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Nevada Medicaid

Anthem Blue Cross and Blue Shield Healthcare Solutions provides all your Nevada Medicaid benefits, like care from a PCP you choose, pharmacy benefits, preventive care and more — all at no cost to you. We know health care is about more than just doctor visits, so our benefits are designed to make a difference in your life.


Am I eligible?

To get Nevada Medicaid benefits through Anthem, you must have limited income and live in one of our service areas. Generally, Medicaid members are in the following categories:

  • Under age 21
  • A pregnant woman
  • A family with children
  • Childless adult aged 19-64 who meets federal income requirements
See if you’re eligible.

What you get with Nevada Medicaid

We offer benefits to help you feel better and live your best life — Benefits you’ll notice in your every day

There are no copays for covered services.

Maintaining good health is important. With Anthem, you go to one main person for your health care. He or she can be a doctor, a nurse practitioner or a physician’s assistant. This person is called your primary care provider or PCP. Anthem has a large network of doctors and nurses who help our members.

Find a PCP in your area

Everyone struggles at times, and everyday problems can lead to depression, anxiety, and alcohol or drug abuse. We’re here if you or a family member needs help. We have doctors, therapists and counselors to help you with your behavioral health needs. All behavioral health services and treatments are private and you don’t need a referral from your PCP.

Find a provider in your area

Text-based peer support

Our text-based peer support services program provides peer-led crisis services to members age 13 and older via text. The program allows members to engage with a qualified mental health professional and receive information. They engage in dialogue with clinicians to establish rapport and determine needs. Our qualified mental health professionals provide counseling and crisis intervention as needed.

Your benefits include eye exams once every 12 months. You don’t need a referral from your PCP for eye care benefits.

Nevada Medicaid members under 21 also get eyeglasses or contact lenses (if medically necessary). Members can call EyeQuest at 1-800-787-3157
(TTY 1-800-466-7566) for help finding an Anthem eye doctor in your area.

As an Anthem member, you get extra benefits — beyond what you expect. These include:

  • Extra transportation benefits
  • Free cellphone with free monthly minutes, data and text messages.
  • Bedside delivery of medications — Medications delivered to you when you’re discharged from a hospital setting so you don’t have to stop on your way home.
  • Annual sports physical from an Anthem PCP for members ages 6-18.
  • Annual Boys & Girls Club memberships for members ages 5-14.

We’ll help you take control of your health with these special program

  • 24/7 NurseLine for answers to your medical questions and concerns any time, day or night
  • LiveHealth Online to see a doctor anytime via online video chat, when you need an appointment fast 
  • Disease management programs to help you control ongoing conditions like asthma, diabetes, heart disease, HIV and more
  • New Baby, New Life℠ education and rewards program for pregnant women and new moms
  • Health education classes
How often do you get rewarded for doing something good for your health?

Healthy Rewards is a program that pays you for taking control of your health. You can earn $10, $20 or $30 for completing activities such as wellness check-ups, diabetic screenings, mammograms, refilling your medication, etc. To learn more and enroll, visit https://www.anthem.com/nv-rewards or call 1-877-868-2004.

Find out more information about:
  •  How the program works
  • What rewards are available and which you may be eligible for
  •  How often you can earn a reward for each activity
  •  When you will receive your Healthy Rewards debit card
  •  Which stores you can spend your reward dollars
  •  And more!

You must be enrolled in the Healthy Rewards program to earn rewards for your healthy activities.
  • $15 incentive for a prenatal visit in the first trimester or within 42 days of enrollment into Anthem Blue Cross and Blue Shield Healthcare Solutions
  • $40 incentive for attending at least six prenatal care visits
  • 20 incentive for attending a postpartum visit 21 to 56 days after delivery
For more information, visit  Healthy Rewards or call 1-877-868-2004 (TTY 711). 

We put tools and technologies in your hands to make it easier to access care and services. Your Care Plan is a tool for Nevada Medicaid Case Management members to help you:

  • Stay connected with your care coordinator
  • Get your care coordinator’s phone number and email address
  • Send secure messages about diagnoses, goals, medicines, services and more
  • View your goals and objectives
  • Check due dates and statuses of goals and objectives
Go to Your Care Plan

You get a wide range of prescription and over-the-counter medicines when you choose Anthem.

How to get your prescriptions

Getting your prescriptions filled is easy. Simply take your written prescription to a plan pharmacy or ask your doctor to call it in. Be sure to show the pharmacy your Anthem member ID card.

It’s good to use the same pharmacy every time you fill a prescription. That way, your pharmacists will know about problems that could occur when you’re taking more than one drug. If you use more than one pharmacy, you should tell each pharmacist about all the medicines you’re taking.

Find a pharmacy

Express Scripts

We work with Express Scripts to provide your medicines.

Express Scripts Online Registration Form

Express Scripts Reimbursement Form

Express Scripts Mail Order Form
Preferred drug list

We have a list of commonly prescribed drugs your doctor can choose from. It’s called a Preferred Drug List (PDL). Covered drugs include prescription drugs and certain over-the-counter (OTC) medicines. There are no copays for drugs listed on the PDL when you have a prescription from your doctor. Your benefit includes many OTC medicines when you have a prescription from your doctor.

Your doctor may need to get preapproval from us for certain drugs. You’ll also need preapproval for brand-name drugs when generics are available. Your doctor’s request should tell us why a specific drug is needed and how much is needed. Drugs listed on the PDL with a PA beside them need preapproval. You can email and ask us for an exception at wrkgp-submitmyexceptionreq@anthem.com.

Preferred Drug List (English)
Preferred Drug List (Spanish)

Searchable formulary

Use our searchable formulary to find brand-name and generic drugs that are listed on your PDL.

You can search for your drug by doing any of the following:

  • Typing the name (at least first three letters) of the drug in the search box
  • Using the A-Z list to search by the first letter of your drug
  • Clicking on the therapeutic class of the drug
Searchable Formulary

If you need a drug that isn’t listed on our formulary, you or someone you choose to act for you can request a formulary exception. Just email submitmyexceptionreq@anthem.com.

Drug interactions and side effects

Learn more about drug interactions or side effects on the  Express Scripts Drug Information page.

Your member resources

Member handbook

Your member handbook is your go-to-guide for health services. It tells you how you can get the most from your benefits. Read it to find out about:

  • Your benefits
  • Special programs and services like wellness care for adults and children, disease management and behavioral health
  • Your rights and responsibilities as an Anthem member
  • How to choose a primary care provider
  • How to get help if your doctor’s office is closed
  • How to reach Anthem Member Services if you have questions

Need a handbook mailed to you?

Call Member Services at 1-844-396-2329 (TTY 711).