QHP Index

Molina Gold Enhanced 895 Pluswith Adult Vision

Gold · HMO · Molina Healthcare · Florida

At age 40 it costs between $708.40 and $1,012.30 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 ID54172FL0040004
InsurerMolina Healthcare
Metal levelGold
Plan typeHMO
Deductible (individual)$895
Deductible (family)$1,790
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,700
Family maximum$17,400
Primary care visit$25
Specialist visit$55
Emergency room30% Coinsurance after deductible
Inpatient stay30% Coinsurance after deductible
Generic drugs$10
Preferred brand drugs$75 Copay after deductible
Specialty drugs50% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.42%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-560-5716 · TTY 1-800-955-8771

Where it is sold, and what it costs there

20 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Osceola County $554.31$629.14 $708.40$989.99 $1,504.39
Marion County $576.75$654.61 $737.08$1,030.07 $1,565.29
Lake County $582.18$660.77 $744.02$1,039.77 $1,580.03
Bradford County $586.11$665.24 $749.05$1,046.80 $1,590.71
Broward County $590.29$669.97 $754.39$1,054.25 $1,602.04
Baker County $594.54$674.80 $759.82$1,061.84 $1,613.57
Desoto County $594.92$675.23 $760.31$1,062.53 $1,614.61
Miami-Dade County $597.69$678.38 $763.85$1,067.47 $1,622.13
Palm Beach County $600.78$681.89 $767.80$1,073 $1,630.52
Polk County $623.92$708.15 $797.37$1,114.32 $1,693.32
Hillsborough County $629.31$714.26 $804.26$1,123.94 $1,707.94
Pasco County $633.87$719.44 $810.08$1,132.09 $1,720.32
Collier County $640.40$726.85 $818.43$1,143.75 $1,738.03
Seminole County $642.63$729.38 $821.28$1,147.74 $1,744.10
Orange County $653.71$741.96 $835.44$1,167.52 $1,774.16
Hendry County $669.50$759.89 $855.63$1,195.74 $1,817.04
Pinellas County $676.37$767.68 $864.40$1,207.99 $1,835.66
Duval County $692.31$785.77 $884.77$1,236.46 $1,878.92
Clay County $700.51$795.08 $895.26$1,251.12 $1,901.19
Hardee County $792.10$899.03 $1,012.30$1,414.69 $2,149.75

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.