Capital Health Plan HMO Silver 2400
Silver · HMO · Capital Health Plan · Florida
At age 40 it costs between $599.37 and $828.84 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $7,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,300 | No Charge | No Charge |
| 150% to 200% | $750 | $3,350 | $20 | $10 |
| 200% to 250% | $3,300 | $7,250 | $40 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 66966FL0050010 |
|---|---|
| Insurer | Capital Health Plan |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $7,000 |
| Deductible (family) | $14,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 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 | $468.99 | $532.31 | $599.37 | $837.62 | $1,272.85 |
| Wakulla County | $477.39 | $541.84 | $610.11 | $852.62 | $1,295.64 |
| Jefferson County | $484.03 | $549.37 | $618.59 | $864.47 | $1,313.65 |
| Calhoun County | $491.30 | $557.62 | $627.88 | $877.46 | $1,333.38 |
| Franklin County | $510.79 | $579.75 | $652.80 | $912.28 | $1,386.30 |
| Liberty County | $517.92 | $587.84 | $661.91 | $925.01 | $1,405.64 |
| Madison County | $518.21 | $588.16 | $662.27 | $925.52 | $1,406.41 |
| Gadsden County | $532.27 | $604.13 | $680.24 | $950.64 | $1,444.59 |
| Taylor County | $648.55 | $736.10 | $828.84 | $1,158.31 | $1,760.16 |
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.