Silver 12 with First 4 Primary Care Visits Free - 79363NV0010003 Health Insurance Plan

79363 health insurance plan with the Plan ID 79363NV0010003. The plan is called Silver 12 with First 4 Primary Care Visits Free.

Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 100.00% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 0.00% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.

Health Insurance Plan ID 79363NV0010003
Health Insurance Plan Year 2024
State Nevada
Health Insurance Issuer 79363
Health Insurance Plan Variant 79363NV0010003-02
Provider Network(s) PREFERRED
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 15 Oct 2024 06:16 GMT).

Providers Nevada All US States
All 89 95
PCP 8 8
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard On Exchange Plan - 79363NV0010003-01

Open to Indians below 300% FPL - 79363NV0010003-02

Open to Indians above 300% FPL - 79363NV0010003-03

73% AV Silver Plan - 79363NV0010003-04

87% AV Silver Plan - 79363NV0010003-05

94% AV Silver Plan - 79363NV0010003-06

Last Plan Update Date Mon, 12 Feb 2024 00:00 GMT
Last Import Date Tue, 15 Oct 2024 06:16 GMT

Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 Attributes

Plan Attribute Value
AV Calculator Output Number 1
Begin Primary Care Cost-Sharing After Number Of Visits 4
Business Year 2024
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Zero Cost Sharing Plan Variation
Dental Only Plan No
Design Type Not Applicable
Disease Management Programs Offered Pregnancy, Weight Loss Programs, Depression, Diabetes, Heart Disease, Asthma
EHB Percent of Total Premium 100%
First Tier Utilization 100%
Formulary ID NVF003
HIOS Product ID 79363NV001
Import Date 2/12/2024
HSA Eligible No
IsItANewPlan New
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer ID 79363
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Silver
Multiple In Network Tiers No
National Network No
Network ID NVN001
Out of Country Coverage No
Out of Service Area Coverage No
Out of Service Area Coverage Description Except Emergency
Plan Effective Date 1/1/2024
Plan Expiration Date 12/31/2024
Plan ID (Standard Component ID with Variant) 79363NV0010003-02
Plan Marketing Name Silver 12 with First 4 Primary Care Visits Free
Plan Type HMO
Plan Variant Marketing Name Silver 12 Zero
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $0
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $0
SBC Scenario, Having a Baby, Limit $0
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $0
SBC Scenario, Having Diabetes, Deductible $0
SBC Scenario, Having Diabetes, Limit $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
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Service Area ID NVS001
Source Name SERFF
Plan ID 79363NV0010003
State Code NV
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, 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), Default Coinsurance 0.00%
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
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
Unique Plan Design No
Version Number 1
Wellness Program Offered Yes

Copay & Coinsurance of Silver 12 with First 4 Primary Care Visits Free Health Insurance Plan, 79363NV0010003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about Silver 12 with First 4 Primary Care Visits Free, 79363NV0010003 Health Insurance Plan, 79363NV0010003

  • Does Silver 12 with First 4 Primary Care Visits Free Health Insurance Plan, 79363NV0010003 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (79363NV0010003) Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs?

    Yes, and here is the list of available programs: Pregnancy, Weight Loss Programs, Depression, Diabetes, Heart Disease, Asthma

    Does (79363NV0010003) Health Insurance Plan, Variant (79363NV0010003-02) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan).

    Does (79363NV0010003) Health Insurance Plan, Variant (79363NV0010003-02) have Out of Service Area Coverage?

    No, unfortunately there is no Out of Service Area Coverage for this Health Insurance Plan (variant of plan). Details: Except Emergency

    Does (79363NV0010003) Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs?

    Yes, and here is the list of available programs: Pregnancy, Weight Loss Programs, Depression, Diabetes, Heart Disease, Asthma

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Asthma?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Asthma.

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Heart disease?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Heart disease.

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Depression?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Depression.

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Diabetes?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Diabetes.

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Pregnancy?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Pregnancy.

    Does Silver 12 Zero Health Insurance Plan, Variant (79363NV0010003-02) offer Disease Management Programs for Weight loss programs?

    Yes, the Silver 12 Zero Health Insurance Plan Variant 79363NV0010003-02 offers Disease Management Program for Weight loss programs.

 

Disclaimer: This is based on the import(Date: Tue, 15 Oct 2024 06:16 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API