Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze · HMO · WellPoint · Florida
At age 40 it costs between $521.41 and $698.75 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 | 44228FL0040007 |
|---|---|
| Insurer | WellPoint |
| 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 | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $30 |
| Specialist visit | 35% Coinsurance after deductible |
| Emergency room | $500 Copay after deductible and 50% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | 40% Coinsurance after deductible |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 98.22% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-476-1459 · 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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Hillsborough County | $407.99 | $463.07 | $521.41 | $728.67 | $1,107.28 |
| Pinellas County | $408.21 | $463.32 | $521.69 | $729.06 | $1,107.88 |
| Polk County | $412.75 | $468.47 | $527.49 | $737.17 | $1,120.20 |
| Palm Beach County | $421.04 | $477.88 | $538.09 | $751.98 | $1,142.70 |
| Pasco County | $426.59 | $484.18 | $545.18 | $761.89 | $1,157.77 |
| Martin County | $440.22 | $499.65 | $562.60 | $786.23 | $1,194.76 |
| Broward County | $447.23 | $507.61 | $571.56 | $798.75 | $1,213.78 |
| Lee County | $447.93 | $508.40 | $572.45 | $800 | $1,215.68 |
| Orange County | $453.67 | $514.92 | $579.79 | $810.25 | $1,231.26 |
| Miami-Dade County | $455.65 | $517.16 | $582.32 | $813.79 | $1,236.63 |
| Brevard County | $455.96 | $517.51 | $582.72 | $814.34 | $1,237.48 |
| Manatee County | $463.50 | $526.07 | $592.35 | $827.81 | $1,257.94 |
| Desoto County | $467.82 | $530.98 | $597.87 | $835.53 | $1,269.66 |
| Marion County | $470.16 | $533.63 | $600.86 | $839.71 | $1,276.01 |
| Lake County | $471.88 | $535.58 | $603.06 | $842.78 | $1,280.68 |
| Sarasota County | $471.92 | $535.63 | $603.11 | $842.85 | $1,280.79 |
| Collier County | $475.40 | $539.58 | $607.56 | $849.06 | $1,290.24 |
| Seminole County | $477.34 | $541.78 | $610.04 | $852.53 | $1,295.50 |
| Volusia County | $480.96 | $545.89 | $614.67 | $858.99 | $1,305.33 |
| Hendry County | $481.67 | $546.70 | $615.57 | $860.26 | $1,307.25 |
| Osceola County | $490.62 | $556.85 | $627.01 | $876.25 | $1,331.54 |
| Indian River County | $495.38 | $562.26 | $633.10 | $884.75 | $1,344.46 |
| Saint Lucie County | $527.87 | $599.13 | $674.62 | $942.78 | $1,432.64 |
| Hardee County | $546.75 | $620.56 | $698.75 | $976.50 | $1,483.88 |
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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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.