myBlue Silver 26M02-04E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)
Silver · HMO · Florida Blue HMO (a BlueCross BlueShield FL company) · Florida
At age 40 it costs between $693.15 and $836.92 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 | $9,500 | $10,150 | No Charge | $35 Copay after deductible |
| up to 150% of the federal poverty level | $0 | $1,975 | No Charge | No Charge |
| 150% to 200% | $550 | $3,350 | No Charge | $35 |
| 200% to 250% | $8,075 | $8,100 | No Charge | $35 Copay after deductible |
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 | 30252FL0200008 |
|---|---|
| Insurer | Florida Blue HMO (a BlueCross BlueShield FL company) |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $9,500 |
| Deductible (family) | $19,000 |
| 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 | $70 Copay after deductible |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $35 Copay after deductible |
| Preferred brand drugs | $70 Copay after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 98.18% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-352-2583 · TTY 1-800-955-8771 |
Where it is sold, and what it costs there
7 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 |
|---|---|---|---|---|---|
| Indian River County | $542.37 | $615.59 | $693.15 | $968.67 | $1,471.99 |
| Sarasota County | $579.81 | $658.08 | $741 | $1,035.54 | $1,573.60 |
| Collier County | $581.52 | $660.03 | $743.18 | $1,038.59 | $1,578.25 |
| Nassau County | $622.38 | $706.40 | $795.40 | $1,111.57 | $1,689.14 |
| Wakulla County | $647 | $734.35 | $826.87 | $1,155.54 | $1,755.96 |
| Lee County | $653.79 | $742.05 | $835.54 | $1,167.67 | $1,774.39 |
| Jefferson County | $654.87 | $743.28 | $836.92 | $1,169.60 | $1,777.32 |
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.