Silver Simple Chronic Care CKM
Silver · HMO · Oscar Health Maintenance Organization of Florida · Florida
At age 40 it costs between $657.66 and $930.68 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 | $5,900 | $10,150 | No Charge | $3 |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $800 | $3,350 | No Charge | No Charge |
| 200% to 250% | $5,000 | $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 | 21525FL0020010 |
|---|---|
| Insurer | Oscar Health Maintenance Organization of Florida |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,900 |
| Deductible (family) | $11,800 |
| 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 | $35 |
| 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 | $514.61 | $584.07 | $657.66 | $919.08 | $1,396.63 |
| Palm Beach County | $535.33 | $607.59 | $684.15 | $956.09 | $1,452.87 |
| Broward County | $541.07 | $614.11 | $691.48 | $966.34 | $1,468.45 |
| Bay County | $541.17 | $614.21 | $691.60 | $966.50 | $1,468.70 |
| Duval County | $541.17 | $614.21 | $691.60 | $966.50 | $1,468.70 |
| Escambia County | $541.17 | $614.21 | $691.60 | $966.50 | $1,468.70 |
| Miami-Dade County | $541.65 | $614.77 | $692.22 | $967.38 | $1,470.02 |
| Clay County | $557.40 | $632.64 | $712.34 | $995.50 | $1,512.76 |
| Brevard County | $576.43 | $654.23 | $736.66 | $1,029.48 | $1,564.40 |
| Walton County | $579.73 | $657.98 | $740.88 | $1,035.38 | $1,573.36 |
| Saint Johns County | $587.59 | $666.90 | $750.93 | $1,049.42 | $1,594.69 |
| Martin County | $592.33 | $672.28 | $756.99 | $1,057.88 | $1,607.56 |
| Manatee County | $593.52 | $673.63 | $758.50 | $1,060 | $1,610.77 |
| Citrus County | $607.16 | $689.12 | $775.94 | $1,084.37 | $1,647.81 |
| Leon County | $623.30 | $707.43 | $796.56 | $1,113.19 | $1,691.60 |
| Okaloosa County | $629.55 | $714.53 | $804.56 | $1,124.37 | $1,708.58 |
| Alachua County | $639.24 | $725.53 | $816.94 | $1,141.66 | $1,734.87 |
| Sarasota County | $644.91 | $731.96 | $824.19 | $1,151.80 | $1,750.26 |
| Saint Lucie County | $650.52 | $738.33 | $831.35 | $1,161.81 | $1,765.48 |
| Santa Rosa County | $728.24 | $826.54 | $930.68 | $1,300.62 | $1,976.43 |
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.
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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.