Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze · HMO · WellPoint · Florida
At age 40 it costs between $511.93 and $686.04 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 | 44228FL0040008 |
|---|---|
| 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 | 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 | 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 | $400.57 | $454.65 | $511.93 | $715.42 | $1,087.15 |
| Pinellas County | $400.79 | $454.90 | $512.21 | $715.81 | $1,087.74 |
| Polk County | $405.25 | $459.96 | $517.91 | $723.78 | $1,099.85 |
| Palm Beach County | $413.39 | $469.20 | $528.31 | $738.31 | $1,121.94 |
| Pasco County | $418.84 | $475.38 | $535.28 | $748.05 | $1,136.73 |
| Martin County | $432.22 | $490.57 | $552.38 | $771.94 | $1,173.05 |
| Broward County | $439.10 | $498.38 | $561.17 | $784.23 | $1,191.72 |
| Lee County | $439.79 | $499.16 | $562.05 | $785.46 | $1,193.59 |
| Orange County | $445.42 | $505.55 | $569.25 | $795.52 | $1,208.87 |
| Miami-Dade County | $447.37 | $507.76 | $571.74 | $799 | $1,214.16 |
| Brevard County | $447.67 | $508.11 | $572.12 | $799.54 | $1,214.98 |
| Manatee County | $455.08 | $516.52 | $581.59 | $812.77 | $1,235.09 |
| Desoto County | $459.32 | $521.33 | $587.01 | $820.35 | $1,246.59 |
| Marion County | $461.61 | $523.93 | $589.94 | $824.44 | $1,252.81 |
| Lake County | $463.30 | $525.85 | $592.10 | $827.45 | $1,257.40 |
| Sarasota County | $463.34 | $525.89 | $592.15 | $827.53 | $1,257.50 |
| Collier County | $466.76 | $529.77 | $596.52 | $833.63 | $1,266.79 |
| Seminole County | $468.67 | $531.94 | $598.96 | $837.04 | $1,271.97 |
| Volusia County | $472.22 | $535.97 | $603.50 | $843.38 | $1,281.61 |
| Hendry County | $472.91 | $536.75 | $604.38 | $844.62 | $1,283.48 |
| Osceola County | $481.70 | $546.73 | $615.61 | $860.32 | $1,307.33 |
| Indian River County | $486.38 | $552.04 | $621.59 | $868.67 | $1,320.04 |
| Saint Lucie County | $518.28 | $588.25 | $662.36 | $925.65 | $1,406.61 |
| Hardee County | $536.81 | $609.28 | $686.04 | $958.74 | $1,456.90 |
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.