Capital Health Plan HMO Bronze 1000
Expanded Bronze · HMO · Capital Health Plan · Florida
At age 40 it costs between $478.26 and $661.37 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 ID | 66966FL0050005 |
|---|---|
| Insurer | Capital Health Plan |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Standardised design | Design 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 deductible | Included 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 room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-877-247-6512 · TTY 1-877-870-8943 |
Where it is sold, and what it costs there
9 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 |
|---|---|---|---|---|---|
| Leon County | $374.23 | $424.75 | $478.26 | $668.37 | $1,015.66 |
| Wakulla County | $380.93 | $432.36 | $486.83 | $680.34 | $1,033.84 |
| Jefferson County | $386.22 | $438.36 | $493.59 | $689.80 | $1,048.21 |
| Calhoun County | $392.02 | $444.95 | $501.01 | $700.16 | $1,063.96 |
| Franklin County | $407.58 | $462.61 | $520.89 | $727.94 | $1,106.18 |
| Liberty County | $413.27 | $469.06 | $528.16 | $738.10 | $1,121.62 |
| Madison County | $413.50 | $469.32 | $528.45 | $738.50 | $1,122.23 |
| Gadsden County | $424.72 | $482.06 | $542.79 | $758.55 | $1,152.69 |
| Taylor County | $517.50 | $587.36 | $661.37 | $924.26 | $1,404.50 |
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.