Plan Year 2023 Documents and Rates

PLAN YEAR 2023 (July 1, 2022 – June 30, 2023)

To review plan options, dependent eligibility, years of service subsidy and premium cost under the Consumer Driven Health Plan (CDHP PPO), Low Deductible PPO Plan (LD PPO), Premier (EPO) Plan, or Health Plan of Nevada (HMO), view the Benefit Guide.

View the Plan Comparison
View the Rates

View the Qualifying Life Events Guide

Effective July 1, 2022, the Consumer Driven Health Plan (CDHP), Low Deductible PPO (LD), and Premier Plan (EPO), networks (Aetna Signature Administrators) are being replaced with UnitedHealthcare Choice Plus (northern Nevada and out-of-state) and Sierra Health-Care Options (southern Nevada). To find in-network providers for PY23 please visit the Find a Provider tool on PEBPs homepage. PPO and EPO members are encouraged to confirm the network status of provider(s) before receiving health care services beginning July 1, 2022.

Plan Year 2023 Master Plan Documents

Consumer Driven Health Plan PPO (CDHP) MPD
Low Deductible PPO (LD) MPD
Premier Plan (EPO) MPD
Enrollment and Eligibility MPD
Flexible Spending Accounts MPD
Health and Welfare Wrap Plan- Actives
Health and Welfare Wrap Plan – Retirees
Section 125 Health and Welfare Benefits
Medicare Exchange Health Reimbursement Arrangement Summary
Dental Plan and Summary of Benefits for Life Insurance

Health Plan of Nevada (HMO)

Employee Enrollment Booklet
HPN Member Kit
Benefit Schedule
Pharmacy Rx Rider
Drug Benefit Guide
Vision Care Rider
HPN Website –

Summary of Benefits and Coverage

Consumer Driven Health Plan – Individual
Consumer Driven Health Plan – Family
PEBP Premier Plan – Individual and Family
Low Deductible Plan – Individual
Low Deductible Plan – Family
Health Plan of Nevada – Individual and Family

Voluntary Products

Please click here to learn more about voluntary benefits and vendor information.
Or view the Voluntary Products FAQs

Express Scripts Price Your Medications

Express Scripts administers pharmacy benefits for the Consumer Driven Health Plan (CDHP PPO), Low Deductible Plan (LD PPO), and Premier Plan (EPO). Just like your medical plan covers visits to your doctor, your Express Scripts prescription plan covers the medication your doctor prescribes. Use the Price Your Medication and Find a Provider Tool.

PY23 CDHP Pharmacy Benefit Summary
PY23 EPO Pharmacy Benefit Summary
PY23 LD PPO Pharmacy Benefit Summary

Via Benefits Medicare Exchange Retirees

Retirees and their eligible spouses/domestic partners enrolled in a medical plan through Via Benefits may newly enroll in or opt-out of their current PEBP dental coverage during open enrollment. To make changes online, log on to your E-PEBP Portal.

View Dental Rates and Monthly HRA Contributions
View PEBP and Medicare Guide

Information for Retiree Late Enrollment

Retiree Late Enrollment is the time when retired state employees and retired employees from a PEBP participating local government (or the surviving spouse or domestic partner of such retirees) can reinstate PEBP retiree coverage one time. To learn about Retiree benefits and eligibility view the Benefit Guide.