AmeriHealth Caritas Next Silver Premier + No Referrals
Silver · HMO · AmeriHealth Caritas Next · Florida
At age 40 it costs between $724.31 and $816.82 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 | $400 | $10,200 | $50 | $25 |
| up to 150% of the federal poverty level | $0 | $1,800 | No Charge | No Charge |
| 150% to 200% | $0 | $3,400 | $35 | $15 |
| 200% to 250% | $300 | $8,450 | $50 | $25 |
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 | 67926FL0010007 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $400 |
| Deductible (family) | $800 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,200 |
| Family maximum | $20,400 |
| Primary care visit | $50 |
| Specialist visit | $110 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| 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 | 1-833-999-3567 · 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 | $566.76 | $643.27 | $724.31 | $1,012.22 | $1,538.17 |
| Osceola County | $577.87 | $655.88 | $738.52 | $1,032.07 | $1,568.33 |
| Orange County | $588.98 | $668.49 | $752.72 | $1,051.92 | $1,598.49 |
| Broward County | $589.63 | $669.23 | $753.55 | $1,053.08 | $1,600.25 |
| Miami-Dade County | $592.74 | $672.76 | $757.52 | $1,058.63 | $1,608.69 |
| Seminole County | $598.09 | $678.84 | $764.36 | $1,068.19 | $1,623.22 |
| Palm Beach County | $639.14 | $725.42 | $816.82 | $1,141.50 | $1,734.61 |
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.