Gold Elite Saver Plus | with AdventHealth
Gold · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $589.96 and $699.38 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 | 21525FL0010022 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $3,000 |
| Most you could pay in a year | $9,500 |
| Family maximum | $19,000 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 35% |
| Inpatient stay | 35% |
| Generic drugs | $3 |
| Preferred brand drugs | 50% Coinsurance 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 | $461.64 | $523.94 | $589.96 | $824.46 | $1,252.85 |
| Hillsborough County | $466.89 | $529.91 | $596.67 | $833.85 | $1,267.11 |
| Pasco County | $471.81 | $535.49 | $602.96 | $842.63 | $1,280.46 |
| Osceola County | $482.36 | $547.47 | $616.45 | $861.48 | $1,309.11 |
| Volusia County | $487.26 | $553.03 | $622.71 | $870.24 | $1,322.41 |
| Orange County | $489.44 | $555.50 | $625.49 | $874.12 | $1,328.30 |
| Lake County | $494.65 | $561.41 | $632.15 | $883.42 | $1,342.44 |
| Seminole County | $495.78 | $562.70 | $633.60 | $885.45 | $1,345.53 |
| Flagler County | $496.22 | $563.20 | $634.16 | $886.23 | $1,346.72 |
| Marion County | $502.07 | $569.84 | $641.64 | $896.69 | $1,362.60 |
| Charlotte County | $538.78 | $611.50 | $688.54 | $962.23 | $1,462.21 |
| Polk County | $547.25 | $621.12 | $699.38 | $977.38 | $1,485.22 |
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.