Benchmark $497/mo · +22.3% approved · Nevada Health Link
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A 40-year-old personal trainer in Nevada faces a benchmark premium of $497/month for 2026, up from $414 in 2025. That is 20% below the national benchmark of $625. Carriers were approved for an average increase of +22.3%.
Nevada runs its own exchange, Nevada Health Link, rather than healthcare.gov. CMS therefore excludes it from the Qualified Health Plan Landscape file that powers most of this site, so there is no public plan-by-county premium table for Nevada the way there is for Florida or Texas. What you get instead — approved rate changes, carrier concentration and the benchmark series — comes straight from state filings, and in some ways says more, because these are rates a regulator actually approved rather than rates an insurer filed.
Nevada is the rare case where approved rates came in above what carriers requested — a 17.5% average request became 22.3% approved. Two new carriers, CareSource and Community Care Health Plans, entered for 2026 while rates rose.
| Nevada — 2026 | Figure |
|---|---|
| Benchmark premium, age 40 (2026) | $497 |
| Benchmark premium, age 40 (2025) | $414 |
| Year-over-year change | +20.0% |
| Approved average rate increase | +22.3% |
| Versus the national benchmark ($625) | -20% |
| Rank among your 21 licensed states | 4 of 21 |
| Counties | 17 |
| Carriers on the exchange | 8 |
| Exchange | Nevada Health Link (state-run since 2020) |
| Carrier | Network | Members | 2026 approved |
|---|---|---|---|
| SilverSummit | — | 24,801 | +26.7% |
| Sierra Health & Life | — | 10,013 | +26.6% |
| Hometown Health Plan | — | 5,139 | +10.4% |
| Hometown Health Providers | — | 2,509 | +0.0% |
| Health Plan of Nevada | — | — | +20.7% |
| HMO Nevada | — | — | +25.7% |
| Molina Healthcare | — | 21 | -18.5% |
Eight carriers filed 140 qualified health plans for 2026, but Nevada is heavily concentrated in Clark and Washoe counties; the 15 rural counties have far less choice.
Sources: Nevada Division of Insurance 2026 approved rate filings; Nevada Health Link. KFF, “Marketplace Average Benchmark Premiums,” 2026. Benchmark is the second-lowest-cost Silver plan for a 40-year-old, weighted by plan selections.
Steady, predictable utilization means copay design and network breadth drive annual cost more than the sticker premium.
Occupational context: Musculoskeletal injury from demonstration and spotting.
To be clear about what this does and does not affect: a Nevada carrier cannot ask your occupation, cannot charge a personal trainer more than anyone else of the same age in the same ZIP, and cannot exclude a condition you already have. Occupation only tells you which plan structure to shop for.
Ranked on the benchmark premium, the one measure published on the same basis for every state. Cheaper: Maryland ($414), Virginia ($455), Indiana ($474). More expensive: Ohio ($513), Michigan ($523), Colorado ($557).
You buy where you live, not where you work, so treat this as context rather than a shopping list. A genuine move does open a special enrollment period.
Expense categories that typically apply to this trade: Certification, gym rental, equipment, liability insurance. Health premiums are generally deductible above the line under IRC §162(l) when no employer plan is available to you or a spouse. The deduction lowers your AGI, and AGI sets your premium tax credit, so the two calculate against each other — worth raising with your CPA before you enroll rather than after.
8 carriers offer individual plans on Nevada Health Link for 2026: Ambetter from SilverSummit, Anthem Blue Cross Blue Shield, CareSource, Health Plan of Nevada, Hometown Health, Imperial Insurance Companies, Molina Healthcare, Select Health. Availability varies by county.
The 2026 benchmark premium in Nevada is $497 per month for a 40-year-old, up from $414 in 2025. That is full price before premium tax credits; most buyers pay less after subsidies.
Carriers in Nevada were approved for an average increase of 22.3%. Filings across the country cited the expiry of the enhanced federal premium tax credits at the end of 2025, rising medical and drug costs, and expectations that healthier people would drop coverage.
No. Exchange plans are guaranteed issue and community rated. Price varies only by age, ZIP code, tobacco use and household size. Occupation is not a rating factor.
No. Nevada runs its own exchange, Nevada Health Link, state-operated since 2020. You enrolll there rather than on healthcare.gov.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation is below the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Exercise Trainers and Group Fitness Instructors (SOC 39-9031) in Nevada. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed personal trainer. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Nevada specifically — county-level carriers and enrollment help — I publish that on Coverage by County, including a page written for Personal Trainers in Nevada and a blog covering deductibles, subsidies and special enrollment.
Because Nevada operates a state-based exchange, its 2027 data is published separately from the federal landscape files. If you are a personal trainer here, the national summaries are usually either late or simply wrong about this state.
Rate filings for 2027 point to roughly a 15% median increase nationally, from −1% at one end to 54% at the other. Nevada has not finalised, so treat exact local 2027 pricing as unavailable rather than unknown.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Nevada included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
Nevada publishes its 2027 plan data on its own schedule rather than in the federal files, so the earlier you get a read on your options the less you are relying on national summaries that may not apply here.
Give me a ZIP and I will tell you three things:
Two Personal Trainers on opposite sides of Nevada can be quoted very different premiums for the same plan. Your ZIP is what decides it.