Capital Health Plan HMO Platinum 4000
Platinum · HMO · Capital Health Plan · Florida
At age 40 it costs between $900.16 and $1,244.78 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 | 66966FL0050008 |
|---|---|
| Insurer | Capital Health Plan |
| Metal level | Platinum |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,200 |
| Family maximum | $10,400 |
| Primary care visit | $10 |
| Specialist visit | $20 |
| Emergency room | $100 |
| Inpatient stay | $350 Copay per Stay |
| Generic drugs | $5 |
| Preferred brand drugs | $10 |
| Specialty drugs | $150 |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.75% |
| 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 | $704.35 | $799.44 | $900.16 | $1,257.97 | $1,911.60 |
| Wakulla County | $716.96 | $813.75 | $916.28 | $1,280.49 | $1,945.83 |
| Jefferson County | $726.93 | $825.06 | $929.01 | $1,298.29 | $1,972.88 |
| Calhoun County | $737.84 | $837.45 | $942.96 | $1,317.79 | $2,002.51 |
| Franklin County | $767.13 | $870.69 | $980.39 | $1,370.09 | $2,081.98 |
| Liberty County | $777.83 | $882.84 | $994.07 | $1,389.21 | $2,111.03 |
| Madison County | $778.26 | $883.32 | $994.61 | $1,389.97 | $2,112.19 |
| Gadsden County | $799.38 | $907.30 | $1,021.61 | $1,427.69 | $2,169.52 |
| Taylor County | $974.01 | $1,105.50 | $1,244.78 | $1,739.58 | $2,643.46 |
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.
Get told when this changes
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.