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North Las Vegas Medicare Guide 2025: Plans, Costs, and Local Healthcare Resources

Complete Medicare guide for North Las Vegas residents. Discover Medicare Advantage plans, Medigap options, local healthcare providers, and enrollment assistance in North Las Vegas.

📍 North Las Vegas, Clark County📖 11 min read📅 Updated 1/15/2025

📅 2026 Updated Guide Available!

Get the latest Medicare information for North Las Vegas with 2026 costs, new plans, and enrollment changes.

North Las Vegas residents have access to excellent Medicare options in 2025, with over 35 Medicare Advantage plans and comprehensive Medigap coverage available. This complete guide covers everything North Las Vegas seniors need to know about Medicare plans, local healthcare resources, and enrollment assistance in Clark County's fastest-growing city.

🏥 North Las Vegas Medicare Key Facts 2025

  • • 35+ Medicare Advantage plans available in North Las Vegas
  • • Average Medicare Advantage premium: $0-$45/month
  • • Major insurers: Humana, UnitedHealthcare, Aetna, Anthem, Health Plan of Nevada
  • • 8+ major hospitals and medical centers serving North Las Vegas
  • • Growing senior population with expanding healthcare infrastructure

Medicare Basics for North Las Vegas Residents

North Las Vegas, with over 250,000 residents, offers Medicare beneficiaries a wide range of healthcare options. As part of Clark County, North Las Vegas seniors benefit from the competitive Las Vegas metropolitan Medicare market while enjoying the community's unique advantages and growing healthcare infrastructure.

Why North Las Vegas is Great for Medicare Beneficiaries

  • Competitive Plan Options: Access to the same extensive Medicare plan selection as Las Vegas
  • Growing Healthcare Infrastructure: New medical facilities and expanding services
  • Affordable Living: Lower cost of living compared to other parts of Clark County
  • Senior-Friendly Communities: Age-restricted communities like Aliante and Sun City Aliante
  • Easy Access: Close proximity to Las Vegas medical centers and specialists

Medicare Parts Overview for North Las Vegas Seniors

  • Part A (Hospital Insurance): Covers inpatient hospital stays, skilled nursing, and some home health services. Most North Las Vegas seniors receive Part A premium-free.
  • Part B (Medical Insurance): Covers doctor visits, outpatient services, and medical equipment. Standard premium is $185/month in 2025.
  • Part C (Medicare Advantage): Popular in North Las Vegas with many $0 premium options offering extra benefits.
  • Part D (Prescription Drugs): Essential coverage for medications, included in most Medicare Advantage plans.

Medicare Advantage Plans in North Las Vegas

North Las Vegas residents can choose from over 35 Medicare Advantage plans, many with $0 monthly premiums and comprehensive benefits. The city's location within Clark County provides access to the same competitive market as Las Vegas.

Top Medicare Advantage Plans Available in North Las Vegas (2025)

InsurerPopular PlanPremiumStar RatingSpecial Benefits
HumanaHumanaChoice H5216-309$0/month4.5 stars$2,500 dental, SilverSneakers
UnitedHealthcareAARP Medicare Advantage$0/month4.0 stars$3,000 dental, hearing aids
AetnaAetna Better Health Premier$0/month4.0 stars$2,000 dental, vision
AnthemAnthem MediBlue Access$25/month4.0 starsStrong local network
Health Plan of NevadaHPN Medicare Advantage$15/month3.5 starsLocal focus, competitive rates

Medicare Advantage Benefits Popular in North Las Vegas

Most Medicare Advantage plans in North Las Vegas include:

  • Prescription Drug Coverage: Part D benefits included in most plans
  • Dental Coverage: $1,000-$3,000 annual benefits for cleanings, fillings, and preventive care
  • Vision Benefits: Eye exams, glasses/contact allowances
  • Hearing Aids: $500-$2,500 annual benefits
  • Fitness Programs: SilverSneakers, gym memberships, fitness classes
  • Transportation: Rides to medical appointments
  • Over-the-Counter: $50-$200 quarterly allowance for health items
  • Telehealth Services: Virtual doctor visits and consultations

Healthcare Facilities Serving North Las Vegas

North Las Vegas residents have access to excellent healthcare facilities both within the city and in nearby Las Vegas. The area's healthcare infrastructure continues to expand to serve the growing senior population.

Hospitals and Medical Centers in North Las Vegas

North Vista Hospital

  • Address: 1409 E Lake Mead Blvd, North Las Vegas, NV 89030
  • Phone: (702) 649-7711
  • Services: Emergency care, surgical services, cardiac care, women's services
  • Network Status: Accepted by most Medicare Advantage plans
  • Parking: Free parking available

Centennial Hills Hospital Medical Center

  • Address: 6900 N Durango Dr, Las Vegas, NV 89149 (serves North Las Vegas)
  • Phone: (702) 835-9700
  • Services: Full-service hospital, Level III trauma center, cardiology, oncology
  • Special Features: Newest hospital in the area, state-of-the-art facilities

Specialty Care Centers

  • Comprehensive Cancer Centers of Nevada - North Las Vegas: Oncology and cancer treatment
  • Nevada Heart & Vascular Center: Cardiac and vascular specialists
  • Southwest Medical Associates: Multi-specialty medical group with North Las Vegas locations
  • Desert Radiologists: Imaging and diagnostic services
  • Fremont Emergency Services: 24/7 emergency and urgent care

Nearby Las Vegas Medical Facilities

North Las Vegas residents also have easy access to major Las Vegas hospitals:

  • Sunrise Hospital & Medical Center: 15 minutes south via I-15
  • University Medical Center (UMC): Nevada's only Level I Trauma Center
  • Valley Hospital Medical Center: Full-service hospital with excellent cardiac care
  • Summerlin Hospital Medical Center: Award-winning hospital in nearby Summerlin

Medigap Options in North Las Vegas

North Las Vegas residents can choose Medigap (Medicare Supplement Insurance) to work with Original Medicare. This provides more flexibility in choosing healthcare providers and predictable costs.

Popular Medigap Plans in North Las Vegas

PlanMonthly PremiumCoverageBest For
Plan G$185-265Most comprehensiveThose wanting maximum coverage
Plan N$120-170Good coverage with small copaysBudget-conscious seniors
High Deductible Plan G$45-75Coverage after $2,800 deductibleHealthy seniors, catastrophic protection

Medigap vs Medicare Advantage in North Las Vegas

  • Provider Freedom: Medigap allows you to see any Medicare provider nationwide
  • Predictable Costs: Know your monthly premium with minimal surprise bills
  • No Networks: No referrals needed, no network restrictions
  • Travel Coverage: Works anywhere in the United States
  • Stability: Benefits don't change annually like Medicare Advantage plans

Prescription Drug Coverage in North Las Vegas

North Las Vegas seniors need prescription drug coverage through either a standalone Part D plan (with Original Medicare) or through a Medicare Advantage plan that includes drug benefits.

North Las Vegas Area Pharmacies

  • CVS Pharmacy: Multiple North Las Vegas locations
  • Walgreens: Several convenient locations
  • Smith's Pharmacy: Kroger affiliate with competitive pricing
  • Walmart Pharmacy: Low-cost options at multiple locations
  • Costco Pharmacy: Competitive prices for members
  • Albertsons/Sav-On Pharmacy: Local grocery store pharmacies

Part D Coverage Phases (2025)

  • Deductible Phase: $590 (you pay full cost)
  • Initial Coverage: Plan copays until $5,280 total drug costs
  • Coverage Gap: 25% of costs until $8,550 out-of-pocket
  • Catastrophic Coverage: 5% of costs or small copays

Medicare Costs in North Las Vegas (2025)

Understanding Medicare costs helps North Las Vegas seniors budget effectively for healthcare expenses.

Original Medicare Costs

  • Part A: $0 premium for most people, $1,676 deductible per benefit period
  • Part B: $185/month standard premium, $257 annual deductible
  • Part D: Average $55/month in North Las Vegas area

Medicare Advantage Typical Costs

  • Monthly Premium: $0-$45 (60% of plans have $0 premium)
  • Primary Care Visit: $0-$15 copay
  • Specialist Visit: $25-$50 copay
  • Hospital Stay: $200-$395 per day (days 1-5)
  • Emergency Room: $90-$120 copay
  • Annual Out-of-Pocket Maximum: $3,000-$8,300

Medicare Enrollment Assistance in North Las Vegas

North Las Vegas seniors have several local and nearby resources for Medicare enrollment help and counseling.

Nevada SHIP (State Health Insurance Assistance Program)

Las Vegas SHIP Office (serves North Las Vegas):
Address: 3320 W. Sahara Ave, Suite 100, Las Vegas, NV 89102
Phone: 1-800-307-4444
Services: Free, unbiased Medicare counseling and enrollment assistance

Social Security Administration

North Las Vegas Social Security Office:
Address: 1825 Civic Center Dr, North Las Vegas, NV 89030
Phone: 1-800-772-1213
Services: Medicare enrollment, benefit information, card replacement

Senior Centers and Community Resources

  • North Las Vegas Senior Center: 2450 W Cheyenne Ave, North Las Vegas, NV 89032
  • Pearson Community Center: 1625 W Carey Ave, North Las Vegas, NV 89032
  • Silver Mesa Recreation Center: 2555 N Walnut Rd, Las Vegas, NV 89115

Medicare Considerations by North Las Vegas Neighborhood

Aliante/Sun City Aliante (ZIP: 89084, 89085)

  • Demographics: Active adult community with many Medicare beneficiaries
  • Healthcare Access: Close to Centennial Hills Hospital and Aliante Hospital
  • Transportation: Many Medicare Advantage plans offer transportation benefits
  • Considerations: Higher income residents may prefer Medigap for provider flexibility

Eldorado/Las Vegas Paiute (ZIP: 89030, 89031)

  • Healthcare Access: Served by North Vista Hospital and community health centers
  • Medicare Advantage: Popular due to extra benefits and $0 premium options
  • Considerations: Check plan networks for preferred local providers

Central North Las Vegas (ZIP: 89032, 89033)

  • Healthcare Options: Multiple urgent care centers and medical offices
  • Transportation: RTC bus routes with senior discounts
  • Medicare Plans: All major insurers have provider networks in this area

Special Considerations for North Las Vegas Seniors

Growing Community Benefits

  • New Healthcare Facilities: Expanding medical infrastructure keeps pace with population growth
  • Senior Housing: Multiple age-restricted communities with healthcare partnerships
  • Transportation Options: Improving public transit and medical transportation services

Medicare Advantage Network Considerations

  • Provider Networks: Ensure your doctors participate in your chosen plan
  • Hospital Coverage: Verify coverage for North Vista Hospital and preferred Las Vegas facilities
  • Prescription Coverage: Check that local North Las Vegas pharmacies are in-network

Choosing the Right Medicare Plan in North Las Vegas

Consider these factors when selecting Medicare coverage in North Las Vegas:

Healthcare Needs Assessment

  • Current Doctors: Verify provider participation in plan networks
  • Prescription Medications: Check formularies and pharmacy networks
  • Health Conditions: Consider ongoing care needs and specialist access
  • Hospital Preferences: Ensure preferred facilities are covered

Budget Considerations

  • Monthly Premiums: Medicare Advantage vs Medigap + Part D costs
  • Out-of-Pocket Costs: Copays, deductibles, and maximum limits
  • Extra Benefits Value: Dental, vision, hearing aid coverage
  • Transportation Needs: Plans offering medical transportation

Lifestyle Factors

  • Travel Plans: Nationwide coverage vs local network restrictions
  • Provider Relationships: Maintaining current doctor relationships
  • Technology Comfort: Telehealth services and digital tools
  • Community Connections: Plans popular in your neighborhood or community

Important Medicare Enrollment Deadlines

Initial Enrollment Period

  • When: 3 months before through 3 months after your 65th birthday
  • Coverage Start: 1st day of your birthday month (if born on 1st) or month after
  • Late Enrollment: Penalties may apply if you delay without creditable coverage

Annual Open Enrollment (October 15 - December 7)

  • Change Medicare Advantage Plans: Switch between plans or return to Original Medicare
  • Add/Change Part D: Enroll in or switch prescription drug plans
  • Add Medigap: May require medical underwriting outside of guaranteed issue periods

Medicare Advantage Open Enrollment (January 1 - March 31)

  • One-Time Change: Switch to different Medicare Advantage plan
  • Return to Original Medicare: Add Part D plan if needed

Next Steps for North Las Vegas Seniors

Ready to explore your Medicare options in North Las Vegas? Follow these important steps:

  1. Assess Your Current Situation
    • List current medications and dosages
    • Identify preferred doctors and hospitals
    • Evaluate your healthcare budget and priorities
    • Consider your lifestyle and travel needs
  2. Research Available Plans
    • Use Medicare.gov Plan Finder tool
    • Compare Medicare Advantage vs Original Medicare + Medigap
    • Check provider networks and prescription coverage
    • Review plan star ratings and member satisfaction
  3. Get Professional Guidance
    • Contact Nevada SHIP for free, unbiased counseling
    • Speak with licensed insurance agents familiar with North Las Vegas
    • Attend Medicare education workshops at local senior centers
    • Ask questions about anything you don't understand
  4. Enroll During the Right Time
    • Mark your calendar for enrollment periods
    • Don't wait until the last minute to make decisions
    • Have all necessary information and documents ready
    • Keep copies of your enrollment confirmation
  5. Review and Adjust Annually
    • Plans can change benefits and costs each year
    • Your healthcare needs may evolve
    • New plans may become available
    • Take advantage of Annual Open Enrollment to reassess

Get Personalized North Las Vegas Medicare Help

Choosing the right Medicare plan is a personal decision that depends on your health needs, budget, and lifestyle. North Las Vegas residents have excellent options, but navigating them can be complex.

Our licensed Nevada Medicare specialists understand the North Las Vegas healthcare market and can help you compare plans, understand costs, and find the best coverage for your specific situation. Contact us today for a free, no-obligation consultation tailored to your needs in North Las Vegas.

Frequently Asked Questions

What Medicare plans are available in North Las Vegas?

North Las Vegas residents have access to the same Medicare plans as other Clark County residents, including over 35 Medicare Advantage plans, all standardized Medigap plans, and numerous Part D prescription drug plans.

Which hospitals in North Las Vegas accept Medicare?

North Vista Hospital is the main hospital in North Las Vegas and accepts Medicare. Residents also have access to major Las Vegas hospitals including Sunrise Hospital, UMC, Valley Hospital, and Centennial Hills Hospital.

Are there Medicare Advantage plans with $0 premium in North Las Vegas?

Yes, approximately 60% of Medicare Advantage plans available in North Las Vegas have $0 monthly premium. These plans often include prescription drug coverage and extra benefits like dental and vision.

How do I find Medicare help in North Las Vegas?

Nevada SHIP provides free Medicare counseling. You can reach them at 1-800-307-4444. There's also a Social Security office in North Las Vegas and several senior centers offering Medicare education.

What's the difference between Medicare Advantage and Medigap in North Las Vegas?

Medicare Advantage replaces Original Medicare with private insurance, often including extra benefits. Medigap supplements Original Medicare, providing more provider choice and predictable costs. Both options work well in North Las Vegas depending on your needs.