QHP Index

Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

Gold · HMO · WellPoint · Florida

At age 40 it costs between $729.51 and $977.62 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 ID44228FL0040003
InsurerWellPoint
Metal levelGold
Plan typeHMO
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$2,000
Deductible (family)$4,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,200
Family maximum$16,400
Primary care visit$30
Specialist visit$60
Emergency room25% Coinsurance after deductible
Inpatient stay25% Coinsurance after deductible
Generic drugs$15
Preferred brand drugs$30
Specialty drugs$250
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-476-1459 · TTY 1-711-000-0000

Where it is sold, and what it costs there

24 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Hillsborough County $570.82$647.88 $729.51$1,019.48 $1,549.21
Pinellas County $571.13$648.23 $729.90$1,020.04 $1,550.05
Polk County $577.48$655.44 $738.02$1,031.38 $1,567.28
Palm Beach County $589.08$668.61 $752.84$1,052.10 $1,598.76
Pasco County $596.85$677.42 $762.77$1,065.97 $1,619.85
Martin County $615.91$699.06 $787.13$1,100.02 $1,671.58
Broward County $625.72$710.19 $799.67$1,117.54 $1,698.20
Lee County $626.71$711.32 $800.94$1,119.30 $1,700.89
Orange County $634.73$720.42 $811.18$1,133.63 $1,722.66
Miami-Dade County $637.50$723.56 $814.73$1,138.58 $1,730.18
Brevard County $637.94$724.06 $815.29$1,139.36 $1,731.37
Manatee County $648.49$736.04 $828.77$1,158.20 $1,760
Desoto County $654.53$742.89 $836.49$1,168.99 $1,776.39
Marion County $657.80$746.60 $840.67$1,174.83 $1,785.27
Lake County $660.21$749.34 $843.75$1,179.14 $1,791.81
Sarasota County $660.27$749.41 $843.83$1,179.24 $1,791.97
Collier County $665.14$754.93 $850.05$1,187.94 $1,805.19
Seminole County $667.86$758.02 $853.53$1,192.80 $1,812.57
Volusia County $672.91$763.75 $859.98$1,201.82 $1,826.28
Hendry County $673.90$764.88 $861.24$1,203.59 $1,828.96
Osceola County $686.42$779.09 $877.24$1,225.95 $1,862.94
Indian River County $693.09$786.66 $885.77$1,237.86 $1,881.05
Saint Lucie County $738.55$838.25 $943.87$1,319.05 $2,004.42
Hardee County $764.96$868.23 $977.62$1,366.22 $2,076.10

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.