Bronze Simple Diabetes
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $529.50 and $627.71 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 | 21525FL0010008 |
|---|---|
| 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 | $414.33 | $470.25 | $529.50 | $739.97 | $1,124.46 |
| Hillsborough County | $419.04 | $475.60 | $535.53 | $748.40 | $1,137.26 |
| Pasco County | $423.46 | $480.61 | $541.17 | $756.28 | $1,149.24 |
| Osceola County | $432.93 | $491.37 | $553.28 | $773.20 | $1,174.95 |
| Volusia County | $437.33 | $496.36 | $558.90 | $781.06 | $1,186.89 |
| Orange County | $439.28 | $498.57 | $561.39 | $784.54 | $1,192.18 |
| Lake County | $443.96 | $503.88 | $567.36 | $792.89 | $1,204.87 |
| Seminole County | $444.98 | $505.04 | $568.67 | $794.71 | $1,207.64 |
| Flagler County | $445.37 | $505.48 | $569.17 | $795.41 | $1,208.71 |
| Marion County | $450.62 | $511.45 | $575.88 | $804.80 | $1,222.97 |
| Charlotte County | $483.56 | $548.83 | $617.98 | $863.63 | $1,312.36 |
| Polk County | $491.17 | $557.47 | $627.71 | $877.22 | $1,333.02 |
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.