AmeriHealth Caritas Next Gold Signature + No Referrals
Gold · HMO · AmeriHealth Caritas Next · Florida
At age 40 it costs between $747.59 and $843.07 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 | 67926FL0010004 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| 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 | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-999-3567 · TTY 711 |
Where it is sold, and what it costs there
7 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 |
|---|---|---|---|---|---|
| Lake County | $584.97 | $663.94 | $747.59 | $1,044.75 | $1,587.60 |
| Osceola County | $596.44 | $676.96 | $762.25 | $1,065.24 | $1,618.73 |
| Orange County | $607.91 | $689.98 | $776.91 | $1,085.72 | $1,649.86 |
| Broward County | $608.58 | $690.74 | $777.76 | $1,086.92 | $1,651.67 |
| Miami-Dade County | $611.79 | $694.38 | $781.87 | $1,092.65 | $1,660.39 |
| Seminole County | $617.31 | $700.65 | $788.93 | $1,102.52 | $1,675.38 |
| Palm Beach County | $659.68 | $748.73 | $843.07 | $1,178.18 | $1,790.36 |
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.