Aetna Health Inc. (a PA corp.) offers this marketplace health insurance plan (Plan ID 93187VA0070033 ) 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.
Telehealth
Data pending
HSA eligible
No
Dental
Not listed
Vision
Not listed
Issuer actuarial value: 100.00% . Expect to pay roughly 0.00% of covered costs out of pocket, based on issuer reporting.
Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.
Office visits
Primary care
See benefits
Specialist
See benefits
HSA Not eligible
Open Enrollment window
Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Virginia). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Zero Cost Sharing Plan Variation plans like this one keep deductibles and copays lower if you qualify.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Need more options? Browse the Virginia directory or jump back into plan search.
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).
All providers in Virginia
13061
PCPs in Virginia
1636
Telehealth support
Data pending
Nationwide providers
19684
13,061 doctors statewide1,636 PCPs
82 OB/GYN
Providers
Virginia
All US states
All
13061
19684
PCP
1636
1730
Allergy
13
14
OB/GYN
82
90
Dentists
690
784
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
NON-PREFERRED-GENERIC-NON-PREFERRED-BRAND
2,428
ZERO-COST-SHARE-PREVENTIVE-DRUGS
421
NON-PREFERRED-BRAND-SPECIALTY-DRUGS
258
PREFERRED-BRAND
212
Prior authorization
Drugs
Required
586
Not Required
2,733
Step therapy
Drugs
Required
186
Not Required
3,133
Quantity limits
Drugs
Has Limit
960
No Limit
2,359
Aetna Health Inc. (a PA corp.) · Plan ID 93187VA0070033 · 2025 filing.here .marketing repository .
Plan identifiers & tier
Issuer-provided metadata for this variant.
CSR Variation Type
Zero Cost Sharing Plan Variation
HIOS Product ID
93187VA007
Plan ID (Standard Component ID with Variant)
93187VA0070033-02
Plan Marketing Name
Silver 5 Advanced: HMO Aetna network
Plan Variant Marketing Name
Silver 5 Advanced: HMO Aetna network
Issuer & service area
Issuer-provided metadata for this variant.
Issuer Actuarial Value
100.00%
Market Coverage
Individual
Multiple In Network Tiers
No
Out of Country Coverage
No
Out of Service Area Coverage
No
Out of Service Area Coverage Description
Except for Emergencies
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
$0
SBC Scenario, Having a Baby, Copayment
$0
SBC Scenario, Having a Baby, Deductible
$0
SBC Scenario, Having Diabetes, Coinsurance
$0
SBC Scenario, Having Diabetes, Copayment
$0
SBC Scenario, Having Diabetes, Deductible
$0
SBC Scenario, Treatment of a Simple Fracture, Coinsurance
$0
SBC Scenario, Treatment of a Simple Fracture, Copayment
$0
SBC Scenario, Treatment of a Simple Fracture, Deductible
$0
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family
per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual
Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance
0.00%
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family
$0 per person | $0 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual
$0
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.
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
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%
Notice Required for Pregnancy
No
Is a Referral Required for Specialist?
No
Plan Effective Date
1/1/2025
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual
Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family
$0 per person | $0 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual
$0
TEHBDedOutofNetFamily
per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual
Not Applicable
Wellness Program Offered
Yes
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
How do I choose the right ACA plan in Virginia?
Silver 5 Advanced: HMO Aetna network (93187VA0070033) is a Silver HMO from Aetna Health Inc. (a PA corp.) in Virginia 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 Silver 5 Advanced: HMO Aetna network 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 Silver 5 Advanced: HMO Aetna network 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 Silver 5 Advanced: HMO Aetna network 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 Silver 5 Advanced: HMO Aetna network?
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 Silver 5 Advanced: HMO Aetna network?
No, out-of-country services are not covered for this plan.
Does Silver 5 Advanced: HMO Aetna network 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 Silver 5 Advanced: HMO Aetna network?
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 .
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