QHP Index

Gym Access IND Bronze HMO OA Standard 2450

Expanded Bronze · HMO · Florida Health Care Plans · Florida

At age 40 it costs between $466.92 and $592.26 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 ID56503FL3040001
InsurerFlorida Health Care Plans
Metal levelExpanded Bronze
Plan typeHMO
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$7,500
Deductible (family)$15,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,000
Family maximum$20,000
Primary care visit$50
Specialist visit$100
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$25
Preferred brand drugs$50 Copay after deductible
Specialty drugs$500 Copay after deductible
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 $365.35$414.67 $466.92$652.52 $991.56
Saint Johns County $411.73$467.31 $526.19$735.35 $1,117.44
Volusia County $424.98$482.35 $543.12$759.01 $1,153.40
Flagler County $444$503.94 $567.43$792.98 $1,205.02
Seminole County $463.43$525.99 $592.26$827.69 $1,257.75

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.