Capital Health Plan HMO Gold 3100
Gold · HMO · Capital Health Plan · Florida
At age 40 it costs between $617.54 and $853.96 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 | 66966FL0050007 |
|---|---|
| Insurer | Capital Health Plan |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.63% |
| 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 | $483.21 | $548.44 | $617.54 | $863.01 | $1,311.43 |
| Wakulla County | $491.86 | $558.26 | $628.60 | $878.46 | $1,334.91 |
| Jefferson County | $498.70 | $566.02 | $637.33 | $890.67 | $1,353.46 |
| Calhoun County | $506.19 | $574.52 | $646.91 | $904.05 | $1,373.79 |
| Franklin County | $526.28 | $597.32 | $672.58 | $939.93 | $1,428.31 |
| Liberty County | $533.62 | $605.66 | $681.97 | $953.04 | $1,448.24 |
| Madison County | $533.91 | $605.99 | $682.34 | $953.57 | $1,449.04 |
| Gadsden County | $548.40 | $622.44 | $700.86 | $979.45 | $1,488.37 |
| Taylor County | $668.20 | $758.41 | $853.96 | $1,193.41 | $1,813.51 |
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.