Bronze Elite + PCP Saver Plus | with AdventHealth
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $542.35 and $642.95 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 21525FL0010005 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $7,000 |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $50 |
| Specialist visit | $125 |
| Emergency room | $2,500 |
| Inpatient stay | $3,000 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $125 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service |
Where it is sold, and what it costs there
12 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Pinellas County | $424.39 | $481.67 | $542.35 | $757.94 | $1,151.76 |
| Hillsborough County | $429.22 | $487.15 | $548.53 | $766.56 | $1,164.87 |
| Pasco County | $433.74 | $492.28 | $554.30 | $774.64 | $1,177.14 |
| Osceola County | $443.44 | $503.30 | $566.71 | $791.97 | $1,203.48 |
| Volusia County | $447.95 | $508.41 | $572.46 | $800.02 | $1,215.70 |
| Orange County | $449.94 | $510.68 | $575.02 | $803.58 | $1,221.12 |
| Lake County | $454.73 | $516.11 | $581.14 | $812.14 | $1,234.12 |
| Seminole County | $455.78 | $517.30 | $582.47 | $814 | $1,236.96 |
| Flagler County | $456.18 | $517.76 | $582.99 | $814.72 | $1,238.05 |
| Marion County | $461.56 | $523.86 | $589.86 | $824.33 | $1,252.65 |
| Charlotte County | $495.30 | $562.16 | $632.98 | $884.59 | $1,344.22 |
| Polk County | $503.10 | $571 | $642.95 | $898.51 | $1,365.38 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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When this plan’s price or benefits change.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.