Bronze Simple Breathe Easy with Enhanced COPD Benefits
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $472.94 and $560.66 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 | 21525FL0010006 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $9,000 |
| Deductible (family) | $18,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | 40% Coinsurance after deductible |
| Specialist visit | 40% Coinsurance after deductible |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 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 | $370.07 | $420.02 | $472.94 | $660.93 | $1,004.35 |
| Hillsborough County | $374.28 | $424.80 | $478.32 | $668.45 | $1,015.78 |
| Pasco County | $378.22 | $429.27 | $483.36 | $675.49 | $1,026.48 |
| Osceola County | $386.69 | $438.88 | $494.18 | $690.61 | $1,049.45 |
| Volusia County | $390.62 | $443.34 | $499.20 | $697.62 | $1,060.11 |
| Orange County | $392.36 | $445.31 | $501.42 | $700.73 | $1,064.83 |
| Lake County | $396.53 | $450.06 | $506.76 | $708.19 | $1,076.17 |
| Seminole County | $397.45 | $451.09 | $507.92 | $709.82 | $1,078.64 |
| Flagler County | $397.80 | $451.49 | $508.37 | $710.45 | $1,079.59 |
| Marion County | $402.49 | $456.81 | $514.37 | $718.83 | $1,092.33 |
| Charlotte County | $431.91 | $490.21 | $551.97 | $771.37 | $1,172.18 |
| Polk County | $438.71 | $497.92 | $560.66 | $783.51 | $1,190.63 |
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.