Health insurer Anthem will no longer offer insurance plans on Nevada’s state exchange. Hundreds of U.S. counties are at risk of losing access to private health coverage in 2018 as insurers consider pulling out of those markets in the coming months. Nevada had said in June that residents in 14 counties out of 17 in the state would not have access to qualified health plans on the state exchanges. The insurer will still offer “catastrophic plans,” which can be bought outside the  exchanges and are only available to consumers under 30 years old or with a low income. Anthem blames the move on uncertainty over whether the Trump administration would maintain payments that keep costs down.