Focused Silver + Vision + Adult Dental
Silver · HMO · Ambetter Health · Florida
At age 40 it costs between $614.46 and $1,313.54 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 | $6,300 | $8,400 | $40 | $3 |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $0 | $3,350 | $20 | $3 |
| 200% to 250% | $5,150 | $7,200 | $35 | $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 | 49004FL0020006 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $6,300 |
| Deductible (family) | $12,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,400 |
| Family maximum | $16,800 |
| Primary care visit | $40 |
| Specialist visit | $85 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.37% |
| 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 | $480.81 | $545.71 | $614.46 | $858.71 | $1,304.89 |
| Brevard County | $485.98 | $551.58 | $621.07 | $867.94 | $1,318.92 |
| Jefferson County | $507.62 | $576.13 | $648.72 | $906.58 | $1,377.64 |
| Wakulla County | $513.14 | $582.41 | $655.78 | $916.46 | $1,392.64 |
| Calhoun County | $519.15 | $589.22 | $663.46 | $927.18 | $1,408.94 |
| Leon County | $523.37 | $594.01 | $668.85 | $934.71 | $1,420.39 |
| Sumter County | $523.37 | $594.01 | $668.85 | $934.71 | $1,420.39 |
| Madison County | $530.86 | $602.51 | $678.42 | $948.09 | $1,440.71 |
| Franklin County | $531.51 | $603.25 | $679.26 | $949.26 | $1,442.49 |
| Holmes County | $535.67 | $607.97 | $684.57 | $956.69 | $1,453.78 |
| Liberty County | $542.56 | $615.80 | $693.39 | $969 | $1,472.49 |
| Lake County | $544.23 | $617.69 | $695.51 | $971.98 | $1,477.01 |
| Highlands County | $546.31 | $620.05 | $698.17 | $975.69 | $1,482.66 |
| Gadsden County | $552.49 | $627.07 | $706.07 | $986.73 | $1,499.43 |
| Duval County | $554.33 | $629.16 | $708.43 | $990.02 | $1,504.43 |
| Bay County | $555.11 | $630.03 | $709.41 | $991.40 | $1,506.53 |
| Escambia County | $555.70 | $630.71 | $710.17 | $992.46 | $1,508.15 |
| Gulf County | $556.18 | $631.25 | $710.78 | $993.31 | $1,509.44 |
| Polk County | $561.29 | $637.05 | $717.31 | $1,002.44 | $1,523.31 |
| Hillsborough County | $562.60 | $638.53 | $718.98 | $1,004.78 | $1,526.86 |
| Pinellas County | $563.61 | $639.68 | $720.28 | $1,006.58 | $1,529.60 |
| Bradford County | $567.23 | $643.80 | $724.91 | $1,013.06 | $1,539.44 |
| Saint Johns County | $567.41 | $644 | $725.14 | $1,013.38 | $1,539.92 |
| Osceola County | $568 | $644.67 | $725.90 | $1,014.44 | $1,541.54 |
| Marion County | $568.72 | $645.48 | $726.81 | $1,015.71 | $1,543.47 |
| Citrus County | $571.15 | $648.25 | $729.92 | $1,020.06 | $1,550.09 |
| Charlotte County | $571.39 | $648.52 | $730.23 | $1,020.49 | $1,550.73 |
| Baker County | $572.46 | $649.73 | $731.59 | $1,022.40 | $1,553.64 |
| Pasco County | $572.82 | $650.14 | $732.05 | $1,023.04 | $1,554.60 |
| Manatee County | $573.59 | $651.02 | $733.04 | $1,024.42 | $1,556.70 |
| Walton County | $577.40 | $655.33 | $737.90 | $1,031.21 | $1,567.03 |
| Desoto County | $579.36 | $657.56 | $740.41 | $1,034.71 | $1,572.35 |
| Okaloosa County | $580.55 | $658.91 | $741.93 | $1,036.84 | $1,575.58 |
| Sarasota County | $583.99 | $662.82 | $746.33 | $1,042.99 | $1,584.93 |
| Orange County | $586.25 | $665.39 | $749.22 | $1,047.03 | $1,591.06 |
| Alachua County | $602.06 | $683.33 | $769.42 | $1,075.27 | $1,633.97 |
| Hernando County | $610.21 | $692.57 | $779.83 | $1,089.81 | $1,656.07 |
| Volusia County | $611.39 | $693.92 | $781.35 | $1,091.93 | $1,659.30 |
| Martin County | $613.12 | $695.88 | $783.55 | $1,095.01 | $1,663.98 |
| Putnam County | $624.89 | $709.24 | $798.59 | $1,116.03 | $1,695.92 |
| Jackson County | $628.45 | $713.28 | $803.15 | $1,122.40 | $1,705.60 |
| Levy County | $629.70 | $714.70 | $804.75 | $1,124.63 | $1,708.98 |
| Okeechobee County | $631.01 | $716.18 | $806.42 | $1,126.97 | $1,712.53 |
| Collier County | $632.67 | $718.07 | $808.54 | $1,129.94 | $1,717.05 |
| Lee County | $638.86 | $725.09 | $816.44 | $1,140.98 | $1,733.83 |
| Santa Rosa County | $639.81 | $726.17 | $817.66 | $1,142.68 | $1,736.41 |
| Suwannee County | $644.80 | $731.84 | $824.04 | $1,151.59 | $1,749.96 |
| Gilchrist County | $646.05 | $733.25 | $825.64 | $1,153.82 | $1,753.35 |
| Columbia County | $648.01 | $735.48 | $828.14 | $1,157.33 | $1,758.67 |
| Clay County | $653.42 | $741.62 | $835.06 | $1,166.99 | $1,773.35 |
| Dixie County | $658.47 | $747.35 | $841.51 | $1,176.01 | $1,787.06 |
| Palm Beach County | $663.40 | $752.95 | $847.82 | $1,184.82 | $1,800.45 |
| Broward County | $676.78 | $768.13 | $864.91 | $1,208.71 | $1,836.75 |
| Nassau County | $677.19 | $768.60 | $865.44 | $1,209.45 | $1,837.88 |
| Glades County | $705.60 | $800.85 | $901.75 | $1,260.19 | $1,914.98 |
| Seminole County | $712.14 | $808.27 | $910.11 | $1,271.87 | $1,932.73 |
| Hardee County | $720.82 | $818.12 | $921.20 | $1,287.37 | $1,956.28 |
| Saint Lucie County | $730.45 | $829.05 | $933.50 | $1,304.57 | $1,982.41 |
| Washington County | $731.04 | $829.72 | $934.26 | $1,305.63 | $1,984.03 |
| Union County | $772.47 | $876.75 | $987.21 | $1,379.62 | $2,096.47 |
| Lafayette County | $806.17 | $915 | $1,030.28 | $1,439.81 | $2,187.93 |
| Hamilton County | $1,027.82 | $1,166.57 | $1,313.54 | $1,835.67 | $2,789.48 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.