Bronze Simple Diabetes
Expanded Bronze · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $508.91 and $720.18 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 | 21525FL0020006 |
|---|---|
| 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
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 | $398.22 | $451.97 | $508.91 | $711.20 | $1,080.74 |
| Palm Beach County | $414.25 | $470.17 | $529.40 | $739.84 | $1,124.26 |
| Broward County | $418.69 | $475.21 | $535.08 | $747.77 | $1,136.31 |
| Bay County | $418.77 | $475.29 | $535.17 | $747.90 | $1,136.50 |
| Duval County | $418.77 | $475.29 | $535.17 | $747.90 | $1,136.50 |
| Escambia County | $418.77 | $475.29 | $535.17 | $747.90 | $1,136.50 |
| Miami-Dade County | $419.14 | $475.72 | $535.65 | $748.57 | $1,137.53 |
| Clay County | $431.33 | $489.55 | $551.22 | $770.33 | $1,170.60 |
| Brevard County | $446.05 | $506.26 | $570.04 | $796.63 | $1,210.56 |
| Walton County | $448.61 | $509.16 | $573.31 | $801.19 | $1,217.49 |
| Saint Johns County | $454.69 | $516.06 | $581.08 | $812.05 | $1,234 |
| Martin County | $458.36 | $520.22 | $585.77 | $818.61 | $1,243.95 |
| Manatee County | $459.27 | $521.26 | $586.94 | $820.25 | $1,246.44 |
| Citrus County | $469.83 | $533.25 | $600.43 | $839.11 | $1,275.10 |
| Leon County | $482.32 | $547.42 | $616.39 | $861.41 | $1,308.99 |
| Okaloosa County | $487.16 | $552.92 | $622.58 | $870.05 | $1,322.13 |
| Alachua County | $494.66 | $561.42 | $632.16 | $883.44 | $1,342.47 |
| Sarasota County | $499.05 | $566.41 | $637.77 | $891.28 | $1,354.38 |
| Saint Lucie County | $503.38 | $571.33 | $643.31 | $899.03 | $1,366.16 |
| Santa Rosa County | $563.53 | $639.59 | $720.18 | $1,006.45 | $1,529.39 |
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.