QHP Index

Gym Access IND Gold HMO 4500

Gold · HMO · Florida Health Care Plans · Florida

At age 40 it costs between $686.22 and $870.46 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 ID56503FL2090002
InsurerFlorida Health Care Plans
Metal levelGold
Plan typeHMO
Deductible (individual)$2,550
Deductible (family)$5,100
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$5,600
Family maximum$11,200
Primary care visitNo Charge
Specialist visit$35
Emergency room10% Coinsurance after deductible
Inpatient stay$250 Copay per Day
Generic drugs$10
Preferred brand drugs$30
Specialty drugs50%
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-800-232-0578 · TTY 1-800-955-8771

Where it is sold, and what it costs there

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

CountyAt 21At 30At 40At 50At 60
Brevard County $536.95$609.44 $686.22$958.99 $1,457.28
Saint Johns County $605.12$686.81 $773.34$1,080.74 $1,642.30
Volusia County $624.59$708.91 $798.23$1,115.52 $1,695.14
Flagler County $652.55$740.64 $833.96$1,165.45 $1,771.02
Seminole County $681.11$773.06 $870.46$1,216.46 $1,848.53

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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When this plan’s price or benefits change.

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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.