myBlue Silver 26M06-03E ($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 $652.30 and $1,096.41 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 | 30252FL0200012 |
|---|---|
| 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 | 98.25% |
| 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
44 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 | $510.41 | $579.32 | $652.30 | $911.59 | $1,385.25 |
| Calhoun County | $519.41 | $589.53 | $663.81 | $927.67 | $1,409.68 |
| Holmes County | $524.76 | $595.60 | $670.64 | $937.22 | $1,424.20 |
| Pasco County | $527.54 | $598.76 | $674.20 | $942.19 | $1,431.74 |
| Escambia County | $534.09 | $606.19 | $682.57 | $953.88 | $1,449.52 |
| Franklin County | $541.56 | $614.67 | $692.11 | $967.23 | $1,469.79 |
| Bay County | $545.66 | $619.32 | $697.35 | $974.55 | $1,480.92 |
| Liberty County | $545.93 | $619.63 | $697.70 | $975.03 | $1,481.65 |
| Duval County | $548.57 | $622.63 | $701.07 | $979.75 | $1,488.82 |
| Gulf County | $548.64 | $622.71 | $701.16 | $979.87 | $1,489.01 |
| Polk County | $553.40 | $628.11 | $707.25 | $988.37 | $1,501.93 |
| Hernando County | $555.65 | $630.66 | $710.12 | $992.39 | $1,508.03 |
| Sumter County | $559.02 | $634.49 | $714.43 | $998.41 | $1,517.18 |
| Madison County | $559.35 | $634.86 | $714.85 | $999 | $1,518.08 |
| Citrus County | $563.92 | $640.05 | $720.69 | $1,007.16 | $1,530.48 |
| Manatee County | $565.44 | $641.77 | $722.63 | $1,009.88 | $1,534.60 |
| Clay County | $568.02 | $644.70 | $725.93 | $1,014.48 | $1,541.61 |
| Walton County | $571.26 | $648.38 | $730.07 | $1,020.27 | $1,550.40 |
| Saint Johns County | $577.74 | $655.73 | $738.35 | $1,031.84 | $1,567.99 |
| Okaloosa County | $578.01 | $656.04 | $738.70 | $1,032.33 | $1,568.72 |
| Martin County | $580.98 | $659.41 | $742.49 | $1,037.63 | $1,576.78 |
| Alachua County | $583.76 | $662.57 | $746.05 | $1,042.60 | $1,584.32 |
| Charlotte County | $590.90 | $670.67 | $755.17 | $1,055.35 | $1,603.70 |
| Levy County | $591.04 | $670.83 | $755.35 | $1,055.60 | $1,604.08 |
| Gadsden County | $593.75 | $673.91 | $758.81 | $1,060.44 | $1,611.44 |
| Bradford County | $598.31 | $679.08 | $764.64 | $1,068.58 | $1,623.81 |
| Baker County | $602.15 | $683.44 | $769.55 | $1,075.44 | $1,634.24 |
| Santa Rosa County | $602.54 | $683.88 | $770.05 | $1,076.14 | $1,635.29 |
| Highlands County | $610.42 | $692.83 | $780.12 | $1,090.21 | $1,656.68 |
| Putnam County | $614.05 | $696.95 | $784.76 | $1,096.69 | $1,666.53 |
| Suwannee County | $614.19 | $697.11 | $784.93 | $1,096.94 | $1,666.91 |
| Columbia County | $618.29 | $701.76 | $790.17 | $1,104.27 | $1,678.04 |
| Jackson County | $618.75 | $702.28 | $790.76 | $1,105.09 | $1,679.29 |
| Dixie County | $621.46 | $705.36 | $794.23 | $1,109.93 | $1,686.64 |
| Okeechobee County | $621.99 | $705.96 | $794.90 | $1,110.87 | $1,688.08 |
| Gilchrist County | $625.89 | $710.39 | $799.89 | $1,117.84 | $1,698.67 |
| Saint Lucie County | $626.42 | $710.99 | $800.56 | $1,118.79 | $1,700.10 |
| Lake County | $634.23 | $719.85 | $810.55 | $1,132.73 | $1,721.30 |
| Marion County | $650.63 | $738.47 | $831.51 | $1,162.03 | $1,765.81 |
| Taylor County | $653.08 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Washington County | $716.44 | $813.16 | $915.61 | $1,279.56 | $1,944.42 |
| Union County | $757.78 | $860.08 | $968.44 | $1,353.40 | $2,056.61 |
| Lafayette County | $789.72 | $896.33 | $1,009.26 | $1,410.44 | $2,143.30 |
| Hardee County | $857.91 | $973.73 | $1,096.41 | $1,532.23 | $2,328.37 |
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.