AmeriHealth Caritas Next Gold Premier + No Referrals
Gold · HMO · AmeriHealth Caritas Next · Florida
At age 40 it costs between $769.50 and $867.77 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 | 67926FL0010009 |
|---|---|
| Insurer | AmeriHealth Caritas Next |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $850 |
| Deductible (family) | $1,700 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $60 |
| Specialty drugs | 50% Coinsurance 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 | $602.11 | $683.40 | $769.50 | $1,075.37 | $1,634.12 |
| Osceola County | $613.92 | $696.80 | $784.59 | $1,096.45 | $1,666.16 |
| Orange County | $625.72 | $710.20 | $799.67 | $1,117.54 | $1,698.21 |
| Broward County | $626.41 | $710.98 | $800.55 | $1,118.77 | $1,700.08 |
| Miami-Dade County | $629.72 | $714.73 | $804.78 | $1,124.67 | $1,709.05 |
| Seminole County | $635.40 | $721.18 | $812.05 | $1,134.83 | $1,724.48 |
| Palm Beach County | $679.01 | $770.68 | $867.77 | $1,212.71 | $1,842.83 |
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.