Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Silver · HMO · Ambetter Health · Florida
At age 40 it costs between $624.63 and $1,335.29 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 | 49004FL0020008 |
|---|---|
| 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 | 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 | $488.77 | $554.74 | $624.63 | $872.92 | $1,326.49 |
| Brevard County | $494.03 | $560.71 | $631.35 | $882.31 | $1,340.76 |
| Jefferson County | $516.02 | $585.67 | $659.46 | $921.59 | $1,400.45 |
| Wakulla County | $521.64 | $592.05 | $666.64 | $931.63 | $1,415.70 |
| Calhoun County | $527.74 | $598.98 | $674.44 | $942.53 | $1,432.26 |
| Leon County | $532.03 | $603.84 | $679.92 | $950.19 | $1,443.91 |
| Sumter County | $532.03 | $603.84 | $679.92 | $950.19 | $1,443.91 |
| Madison County | $539.64 | $612.49 | $689.65 | $963.79 | $1,464.57 |
| Franklin County | $540.31 | $613.24 | $690.50 | $964.97 | $1,466.37 |
| Holmes County | $544.54 | $618.04 | $695.91 | $972.53 | $1,477.85 |
| Liberty County | $551.55 | $626 | $704.87 | $985.05 | $1,496.87 |
| Lake County | $553.24 | $627.92 | $707.03 | $988.07 | $1,501.47 |
| Highlands County | $555.35 | $630.32 | $709.73 | $991.85 | $1,507.20 |
| Gadsden County | $561.64 | $637.45 | $717.76 | $1,003.07 | $1,524.26 |
| Duval County | $563.51 | $639.57 | $720.15 | $1,006.41 | $1,529.34 |
| Bay County | $564.30 | $640.47 | $721.16 | $1,007.82 | $1,531.47 |
| Escambia County | $564.90 | $641.15 | $721.93 | $1,008.90 | $1,533.11 |
| Gulf County | $565.38 | $641.70 | $722.55 | $1,009.76 | $1,534.43 |
| Polk County | $570.58 | $647.60 | $729.19 | $1,019.04 | $1,548.53 |
| Hillsborough County | $571.91 | $649.11 | $730.89 | $1,021.41 | $1,552.14 |
| Pinellas County | $572.94 | $650.27 | $732.20 | $1,023.25 | $1,554.92 |
| Bradford County | $576.62 | $654.46 | $736.91 | $1,029.83 | $1,564.93 |
| Saint Johns County | $576.80 | $654.66 | $737.14 | $1,030.15 | $1,565.42 |
| Osceola County | $577.41 | $655.35 | $737.92 | $1,031.23 | $1,567.06 |
| Marion County | $578.13 | $656.17 | $738.84 | $1,032.53 | $1,569.03 |
| Citrus County | $580.61 | $658.98 | $742.01 | $1,036.95 | $1,575.75 |
| Charlotte County | $580.85 | $659.26 | $742.32 | $1,037.39 | $1,576.41 |
| Baker County | $581.94 | $660.49 | $743.71 | $1,039.33 | $1,579.36 |
| Pasco County | $582.30 | $660.90 | $744.17 | $1,039.98 | $1,580.34 |
| Manatee County | $583.09 | $661.79 | $745.17 | $1,041.38 | $1,582.47 |
| Walton County | $586.96 | $666.18 | $750.12 | $1,048.28 | $1,592.97 |
| Desoto County | $588.95 | $668.45 | $752.66 | $1,051.85 | $1,598.38 |
| Okaloosa County | $590.16 | $669.82 | $754.21 | $1,054 | $1,601.66 |
| Sarasota County | $593.66 | $673.80 | $758.69 | $1,060.26 | $1,611.17 |
| Orange County | $595.96 | $676.40 | $761.62 | $1,064.36 | $1,617.40 |
| Alachua County | $612.03 | $694.64 | $782.16 | $1,093.07 | $1,661.02 |
| Hernando County | $620.31 | $704.04 | $792.74 | $1,107.85 | $1,683.49 |
| Volusia County | $621.52 | $705.41 | $794.29 | $1,110.01 | $1,686.77 |
| Martin County | $623.27 | $707.40 | $796.53 | $1,113.14 | $1,691.53 |
| Putnam County | $635.23 | $720.98 | $811.82 | $1,134.51 | $1,724 |
| Jackson County | $638.86 | $725.09 | $816.45 | $1,140.98 | $1,733.83 |
| Levy County | $640.13 | $726.53 | $818.07 | $1,143.25 | $1,737.28 |
| Okeechobee County | $641.46 | $728.04 | $819.77 | $1,145.62 | $1,740.89 |
| Collier County | $643.15 | $729.96 | $821.93 | $1,148.65 | $1,745.48 |
| Lee County | $649.43 | $737.09 | $829.96 | $1,159.87 | $1,762.53 |
| Santa Rosa County | $650.40 | $738.19 | $831.20 | $1,161.60 | $1,765.16 |
| Suwannee County | $655.47 | $743.95 | $837.68 | $1,170.66 | $1,778.93 |
| Gilchrist County | $656.74 | $745.39 | $839.31 | $1,172.93 | $1,782.37 |
| Columbia County | $658.74 | $747.66 | $841.85 | $1,176.49 | $1,787.79 |
| Clay County | $664.24 | $753.90 | $848.88 | $1,186.31 | $1,802.71 |
| Dixie County | $669.37 | $759.73 | $855.44 | $1,195.48 | $1,816.65 |
| Palm Beach County | $674.39 | $765.42 | $861.85 | $1,204.44 | $1,830.26 |
| Broward County | $687.98 | $780.85 | $879.23 | $1,228.72 | $1,867.16 |
| Nassau County | $688.41 | $781.33 | $879.77 | $1,229.47 | $1,868.30 |
| Glades County | $717.29 | $814.11 | $916.68 | $1,281.06 | $1,946.69 |
| Seminole County | $723.93 | $821.65 | $925.17 | $1,292.93 | $1,964.73 |
| Hardee County | $732.76 | $831.67 | $936.45 | $1,308.68 | $1,988.67 |
| Saint Lucie County | $742.54 | $842.78 | $948.96 | $1,326.17 | $2,015.24 |
| Washington County | $743.15 | $843.46 | $949.73 | $1,327.24 | $2,016.88 |
| Union County | $785.26 | $891.26 | $1,003.55 | $1,402.46 | $2,131.18 |
| Lafayette County | $819.52 | $930.15 | $1,047.34 | $1,463.65 | $2,224.16 |
| Hamilton County | $1,044.84 | $1,185.88 | $1,335.29 | $1,866.06 | $2,835.66 |
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.