Silver Simple Women's Health with Menopause Benefits
Silver · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $684.61 and $811.59 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,000 | $10,150 | No Charge | $3 |
| up to 150% of the federal poverty level | $0 | $1,550 | No Charge | No Charge |
| 150% to 200% | $870 | $3,350 | No Charge | $3 |
| 200% to 250% | $5,500 | $8,100 | No Charge | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 21525FL0010017 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,150 |
| Family maximum | $20,300 |
| Primary care visit | No Charge |
| Specialist visit | $40 |
| 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 | $535.70 | $608.01 | $684.61 | $956.74 | $1,453.86 |
| Hillsborough County | $541.80 | $614.93 | $692.40 | $967.63 | $1,470.41 |
| Pasco County | $547.50 | $621.40 | $699.70 | $977.82 | $1,485.89 |
| Osceola County | $559.75 | $635.31 | $715.35 | $999.70 | $1,519.15 |
| Volusia County | $565.44 | $641.76 | $722.62 | $1,009.86 | $1,534.58 |
| Orange County | $567.96 | $644.62 | $725.84 | $1,014.36 | $1,541.42 |
| Lake County | $574.01 | $651.49 | $733.57 | $1,025.16 | $1,557.83 |
| Seminole County | $575.32 | $652.98 | $735.25 | $1,027.51 | $1,561.40 |
| Flagler County | $575.83 | $653.56 | $735.90 | $1,028.42 | $1,562.79 |
| Marion County | $582.63 | $661.27 | $744.58 | $1,040.55 | $1,581.22 |
| Charlotte County | $625.22 | $709.61 | $799.01 | $1,116.62 | $1,696.81 |
| Polk County | $635.06 | $720.78 | $811.59 | $1,134.19 | $1,723.51 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.