Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · HMO · WellPoint · Florida
At age 40 it costs between $721.87 and $967.37 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 | 44228FL0040014 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,000 |
| Family maximum | $18,000 |
| Primary care visit | $10 |
| Specialist visit | $45 |
| Emergency room | $500 Copay after deductible and 30% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 30% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $50 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.04% |
| 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 | $564.84 | $641.09 | $721.87 | $1,008.80 | $1,532.98 |
| Pinellas County | $565.14 | $641.43 | $722.25 | $1,009.34 | $1,533.79 |
| Polk County | $571.43 | $648.57 | $730.29 | $1,020.57 | $1,550.86 |
| Palm Beach County | $582.91 | $661.60 | $744.96 | $1,041.08 | $1,582.02 |
| Pasco County | $590.60 | $670.33 | $754.79 | $1,054.81 | $1,602.89 |
| Martin County | $609.46 | $691.74 | $778.89 | $1,088.50 | $1,654.07 |
| Broward County | $619.17 | $702.76 | $791.30 | $1,105.84 | $1,680.43 |
| Lee County | $620.14 | $703.86 | $792.54 | $1,107.57 | $1,683.06 |
| Orange County | $628.08 | $712.87 | $802.69 | $1,121.75 | $1,704.61 |
| Miami-Dade County | $630.83 | $715.99 | $806.20 | $1,126.66 | $1,712.07 |
| Brevard County | $631.25 | $716.47 | $806.74 | $1,127.41 | $1,713.21 |
| Manatee County | $641.69 | $728.32 | $820.08 | $1,146.06 | $1,741.55 |
| Desoto County | $647.67 | $735.11 | $827.72 | $1,156.74 | $1,757.78 |
| Marion County | $650.91 | $738.78 | $831.86 | $1,162.53 | $1,766.57 |
| Lake County | $653.29 | $741.48 | $834.90 | $1,166.78 | $1,773.03 |
| Sarasota County | $653.35 | $741.55 | $834.98 | $1,166.88 | $1,773.19 |
| Collier County | $658.17 | $747.02 | $841.14 | $1,175.49 | $1,786.27 |
| Seminole County | $660.86 | $750.08 | $844.58 | $1,180.30 | $1,793.57 |
| Volusia County | $665.87 | $755.76 | $850.98 | $1,189.24 | $1,807.17 |
| Hendry County | $666.84 | $756.86 | $852.22 | $1,190.98 | $1,809.80 |
| Osceola County | $679.23 | $770.93 | $868.06 | $1,213.10 | $1,843.43 |
| Indian River County | $685.83 | $778.42 | $876.49 | $1,224.89 | $1,861.34 |
| Saint Lucie County | $730.82 | $829.48 | $933.99 | $1,305.24 | $1,983.45 |
| Hardee County | $756.94 | $859.13 | $967.37 | $1,351.89 | $2,054.34 |
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.