Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 · 65779NV0120004
Aetna Health of Utah Inc. offers this marketplace health insurance plan (Plan ID 65779NV0120004) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.
Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Nevada). Submit changes before the deadline to avoid a coverage gap.
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Special Enrollment Periods
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Report the event within 60 days.
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Enter accurate income to maximize Advanced Premium Tax Credits.
Standard Bronze On Exchange Plan plans like this one keep deductibles and copays lower if you qualify.
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Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).
Variant 65779NV0120004-01 (Standard On Exchange Plan) currently displayed.
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Variant attributes
Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 · Variant 65779NV0120004-01
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2025
CSR Variation Type
Standard Bronze On Exchange Plan
HIOS Product ID
65779NV012
Metal Level
Expanded Bronze
Plan ID (Standard Component ID with Variant)
65779NV0120004-01
Plan Marketing Name
Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7
Plan Variant Marketing Name
Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7
Issuer & service area
Issuer-provided metadata for this variant.
Issuer Actuarial Value
64.94%
Issuer ID
65779
Market Coverage
Individual
Multiple In Network Tiers
No
National Network
No
Network ID
NVN003
Out of Country Coverage
No
Out of Service Area Coverage
No
Out of Service Area Coverage Description
Except for Emergencies
Service Area ID
NVS003
State Code
NV
Cost sharing & actuarial values
Issuer-provided metadata for this variant.
Medical Drug Deductibles Integrated
Yes
Medical Drug Maximum Out of Pocket Integrated
Yes
SBC Scenario, Having a Baby, Coinsurance
$300
SBC Scenario, Having a Baby, Copayment
$0
SBC Scenario, Having a Baby, Deductible
$8,895
SBC Scenario, Having Diabetes, Coinsurance
$0
SBC Scenario, Having Diabetes, Copayment
$400
SBC Scenario, Having Diabetes, Deductible
$3,200
SBC Scenario, Treatment of a Simple Fracture, Coinsurance
$0
SBC Scenario, Treatment of a Simple Fracture, Copayment
$200
SBC Scenario, Treatment of a Simple Fracture, Deductible
$2,300
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family
$9195 per person | $18390 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual
$9,195
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance
50.00%
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family
$9195 per person | $18390 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual
$9,195
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family
per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual
Not Applicable
Enrollment & documents
Issuer-provided metadata for this variant.
Formulary ID
NVF006
SBC Scenario, Having a Baby, Limit
$60
SBC Scenario, Having Diabetes, Limit
$20
SBC Scenario, Treatment of a Simple Fracture, Limit
$0
Additional attributes
Issuer-provided metadata for this variant.
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
No
Dental Only Plan
No
Design Type
Not Applicable
Disease Management Programs Offered
Pregnancy, High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma
EHB Percent of Total Premium
100%
First Tier Utilization
100%
Import Date
1/13/2025
HSA Eligible
No
IsItANewPlan
Existing
Notice Required for Pregnancy
No
Is a Referral Required for Specialist?
Yes
Plan Effective Date
1/1/2025
Plan Expiration Date
12/31/2025
Plan Type
HMO
QHP/Non QHP
Both
Source Name
SERFF
Specialist Requiring a Referral
Referral required for all physicians EXCEPT OB/GYN, ER, Internal Medicine, Family Practice, General Medicine and Pediatrician.
Plan ID
65779NV0120004
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family
$8895 per person | $17790 per group
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual
$8,895
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family
$8895 per person | $17790 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual
$8,895
TEHBDedOutofNetFamily
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual
Not Applicable
Unique Plan Design
Yes
Version Number
1
Wellness Program Offered
Yes
Copay & coinsurance
Pharmacy cost sharing by tier
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
Questions & answers
Frequently asked questions
How do I choose the right ACA plan in Nevada?
Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 (65779NV0120004) is a Expanded Bronze HMO from Aetna Health of Utah Inc. in Nevada for the 2025 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 HSA-eligible and does it include dental or vision coverage?
It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
Which disease management programs come with Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7?
The issuer lists disease management resources for: Pregnancy, High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma.
Is there out-of-country coverage for Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7?
No, out-of-country services are not covered for this plan.
Does Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7 cover care outside the service area?
No, the issuer indicates out-of-service-area care is not covered except for emergencies. Details: Except for Emergencies
How do I enroll in or manage payments for Bronze 1 Advanced: Aetna network + $0 CVS Health Virtual Care 24/7?
Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
