Bronze Simple Breathe Easy with Enhanced COPD Benefits
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $476.66 and $674.53 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 | 21525FL0020004 |
|---|---|
| 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
20 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 |
|---|---|---|---|---|---|
| Hernando County | $372.98 | $423.32 | $476.66 | $666.13 | $1,012.24 |
| Palm Beach County | $388 | $440.37 | $495.85 | $692.95 | $1,053 |
| Broward County | $392.16 | $445.09 | $501.17 | $700.38 | $1,064.29 |
| Bay County | $392.22 | $445.16 | $501.25 | $700.50 | $1,064.47 |
| Duval County | $392.22 | $445.16 | $501.25 | $700.50 | $1,064.47 |
| Escambia County | $392.22 | $445.16 | $501.25 | $700.50 | $1,064.47 |
| Miami-Dade County | $392.58 | $445.57 | $501.70 | $701.13 | $1,065.43 |
| Clay County | $403.99 | $458.52 | $516.29 | $721.51 | $1,096.41 |
| Brevard County | $417.78 | $474.17 | $533.91 | $746.14 | $1,133.83 |
| Walton County | $420.17 | $476.89 | $536.97 | $750.41 | $1,140.33 |
| Saint Johns County | $425.87 | $483.35 | $544.25 | $760.59 | $1,155.79 |
| Martin County | $429.31 | $487.25 | $548.64 | $766.73 | $1,165.11 |
| Manatee County | $430.17 | $488.23 | $549.74 | $768.26 | $1,167.44 |
| Citrus County | $440.06 | $499.45 | $562.38 | $785.92 | $1,194.29 |
| Leon County | $451.75 | $512.73 | $577.33 | $806.81 | $1,226.03 |
| Okaloosa County | $456.29 | $517.87 | $583.12 | $814.91 | $1,238.33 |
| Alachua County | $463.31 | $525.84 | $592.09 | $827.45 | $1,257.39 |
| Sarasota County | $467.42 | $530.51 | $597.35 | $834.79 | $1,268.54 |
| Saint Lucie County | $471.48 | $535.12 | $602.54 | $842.05 | $1,279.57 |
| Santa Rosa County | $527.81 | $599.06 | $674.53 | $942.66 | $1,432.46 |
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.