Bronze Simple Chronic Care CKM
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $536.01 and $635.42 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 | 21525FL0010007 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | $50 |
| Specialist visit | $150 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% 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 | $419.42 | $476.03 | $536.01 | $749.06 | $1,138.28 |
| Hillsborough County | $424.19 | $481.45 | $542.11 | $757.59 | $1,151.23 |
| Pasco County | $428.66 | $486.52 | $547.81 | $765.57 | $1,163.36 |
| Osceola County | $438.25 | $497.40 | $560.07 | $782.70 | $1,189.39 |
| Volusia County | $442.70 | $502.46 | $565.76 | $790.65 | $1,201.47 |
| Orange County | $444.68 | $504.70 | $568.29 | $794.18 | $1,206.83 |
| Lake County | $449.41 | $510.07 | $574.34 | $802.63 | $1,219.68 |
| Seminole County | $450.44 | $511.24 | $575.65 | $804.47 | $1,222.48 |
| Flagler County | $450.84 | $511.69 | $576.16 | $805.19 | $1,223.56 |
| Marion County | $456.16 | $517.73 | $582.96 | $814.68 | $1,237.99 |
| Charlotte County | $489.50 | $555.58 | $625.57 | $874.24 | $1,328.49 |
| Polk County | $497.21 | $564.32 | $635.42 | $888 | $1,349.40 |
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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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.