Enhanced Diabetes Care Silver with $0 Drug Options
Silver · HMO · Ambetter Health · Florida
At age 40 it costs between $608.18 and $1,300.12 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 | $5,000 | $8,650 | $30 | $3 |
| up to 150% of the federal poverty level | $0 | $1,400 | $5 | $3 |
| 150% to 200% | $750 | $3,350 | $10 | $3 |
| 200% to 250% | $4,000 | $8,000 | $25 | $3 |
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 | 49004FL0010009 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,650 |
| Family maximum | $17,300 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| 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 | 1-877-687-1169 · TTY 1-800-955-8770 |
Where it is sold, and what it costs there
62 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 |
|---|---|---|---|---|---|
| Indian River County | $475.89 | $540.13 | $608.18 | $849.93 | $1,291.55 |
| Brevard County | $481.01 | $545.94 | $614.72 | $859.07 | $1,305.44 |
| Jefferson County | $502.43 | $570.24 | $642.09 | $897.32 | $1,363.56 |
| Wakulla County | $507.90 | $576.45 | $649.08 | $907.09 | $1,378.41 |
| Calhoun County | $513.84 | $583.20 | $656.67 | $917.70 | $1,394.53 |
| Leon County | $518.02 | $587.94 | $662.01 | $925.16 | $1,405.87 |
| Sumter County | $518.02 | $587.94 | $662.01 | $925.16 | $1,405.87 |
| Madison County | $525.43 | $596.35 | $671.49 | $938.40 | $1,425.99 |
| Franklin County | $526.08 | $597.09 | $672.31 | $939.55 | $1,427.74 |
| Holmes County | $530.19 | $601.76 | $677.58 | $946.91 | $1,438.92 |
| Liberty County | $537.02 | $609.51 | $686.30 | $959.10 | $1,457.44 |
| Lake County | $538.67 | $611.37 | $688.40 | $962.04 | $1,461.91 |
| Highlands County | $540.73 | $613.71 | $691.03 | $965.72 | $1,467.50 |
| Gadsden County | $546.84 | $620.66 | $698.85 | $976.64 | $1,484.11 |
| Duval County | $548.67 | $622.73 | $701.18 | $979.90 | $1,489.06 |
| Bay County | $549.43 | $623.59 | $702.16 | $981.27 | $1,491.13 |
| Escambia County | $550.02 | $624.26 | $702.91 | $982.32 | $1,492.73 |
| Gulf County | $550.49 | $624.80 | $703.51 | $983.16 | $1,494.01 |
| Polk County | $555.55 | $630.54 | $709.98 | $992.20 | $1,507.74 |
| Hillsborough County | $556.84 | $632.01 | $711.64 | $994.51 | $1,511.25 |
| Pinellas County | $557.85 | $633.14 | $712.91 | $996.29 | $1,513.96 |
| Bradford County | $561.43 | $637.22 | $717.50 | $1,002.70 | $1,523.70 |
| Saint Johns County | $561.61 | $637.42 | $717.73 | $1,003.02 | $1,524.18 |
| Osceola County | $562.20 | $638.08 | $718.48 | $1,004.07 | $1,525.78 |
| Marion County | $562.90 | $638.89 | $719.38 | $1,005.33 | $1,527.70 |
| Citrus County | $565.32 | $641.62 | $722.46 | $1,009.64 | $1,534.24 |
| Charlotte County | $565.55 | $641.89 | $722.76 | $1,010.06 | $1,534.88 |
| Baker County | $566.61 | $643.09 | $724.12 | $1,011.95 | $1,537.75 |
| Pasco County | $566.96 | $643.49 | $724.57 | $1,012.58 | $1,538.71 |
| Manatee County | $567.73 | $644.36 | $725.54 | $1,013.95 | $1,540.79 |
| Walton County | $571.49 | $648.63 | $730.36 | $1,020.67 | $1,551.01 |
| Desoto County | $573.44 | $650.84 | $732.84 | $1,024.14 | $1,556.28 |
| Okaloosa County | $574.61 | $652.17 | $734.34 | $1,026.24 | $1,559.47 |
| Sarasota County | $578.02 | $656.05 | $738.70 | $1,032.33 | $1,568.73 |
| Orange County | $580.26 | $658.58 | $741.56 | $1,036.33 | $1,574.80 |
| Alachua County | $595.91 | $676.34 | $761.56 | $1,064.28 | $1,617.27 |
| Hernando County | $603.97 | $685.49 | $771.86 | $1,078.67 | $1,639.14 |
| Volusia County | $605.15 | $686.83 | $773.36 | $1,080.77 | $1,642.34 |
| Martin County | $606.85 | $688.76 | $775.54 | $1,083.82 | $1,646.97 |
| Putnam County | $618.50 | $701.99 | $790.43 | $1,104.62 | $1,678.58 |
| Jackson County | $622.03 | $705.99 | $794.94 | $1,110.93 | $1,688.16 |
| Levy County | $623.27 | $707.39 | $796.52 | $1,113.13 | $1,691.51 |
| Okeechobee County | $624.56 | $708.86 | $798.17 | $1,115.45 | $1,695.03 |
| Collier County | $626.21 | $710.73 | $800.28 | $1,118.39 | $1,699.50 |
| Lee County | $632.33 | $717.68 | $808.10 | $1,129.31 | $1,716.10 |
| Santa Rosa County | $633.27 | $718.75 | $809.30 | $1,131 | $1,718.66 |
| Suwannee County | $638.21 | $724.35 | $815.62 | $1,139.82 | $1,732.07 |
| Gilchrist County | $639.44 | $725.76 | $817.20 | $1,142.03 | $1,735.42 |
| Columbia County | $641.38 | $727.96 | $819.68 | $1,145.50 | $1,740.69 |
| Clay County | $646.74 | $734.04 | $826.52 | $1,155.06 | $1,755.22 |
| Dixie County | $651.74 | $739.71 | $832.91 | $1,163.99 | $1,768.79 |
| Palm Beach County | $656.62 | $745.25 | $839.15 | $1,172.71 | $1,782.05 |
| Broward County | $669.86 | $760.28 | $856.07 | $1,196.35 | $1,817.97 |
| Nassau County | $670.27 | $760.75 | $856.59 | $1,197.09 | $1,819.09 |
| Glades County | $698.39 | $792.66 | $892.53 | $1,247.31 | $1,895.41 |
| Seminole County | $704.86 | $800.01 | $900.80 | $1,258.87 | $1,912.97 |
| Hardee County | $713.45 | $809.76 | $911.78 | $1,274.21 | $1,936.28 |
| Saint Lucie County | $722.98 | $820.57 | $923.96 | $1,291.23 | $1,962.15 |
| Washington County | $723.57 | $821.24 | $924.71 | $1,292.28 | $1,963.75 |
| Union County | $764.58 | $867.78 | $977.12 | $1,365.52 | $2,075.03 |
| Lafayette County | $797.93 | $905.64 | $1,019.75 | $1,425.09 | $2,165.57 |
| Hamilton County | $1,017.31 | $1,154.64 | $1,300.12 | $1,816.91 | $2,760.97 |
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.