Standard Silver VALUE
Silver · HMO · Ambetter Health · Florida
At age 40 it costs between $745.42 and $944.05 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $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 | 86382FL0050018 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| 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 | 40% Coinsurance after deductible |
| Inpatient stay | 40% 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 | 1-877-687-1169 · TTY 1-800-955-8770 |
Where it is sold, and what it costs there
11 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 |
|---|---|---|---|---|---|
| Osceola County | $583.28 | $662.01 | $745.42 | $1,041.72 | $1,582.99 |
| Pasco County | $605.09 | $686.77 | $773.30 | $1,080.68 | $1,642.20 |
| Orange County | $606.91 | $688.83 | $775.62 | $1,083.93 | $1,647.13 |
| Miami-Dade County | $613.01 | $695.76 | $783.42 | $1,094.83 | $1,663.69 |
| Duval County | $618.99 | $702.54 | $791.05 | $1,105.49 | $1,679.90 |
| Hillsborough County | $622.49 | $706.52 | $795.53 | $1,111.75 | $1,689.42 |
| Lake County | $634.50 | $720.15 | $810.88 | $1,133.21 | $1,722.02 |
| Broward County | $697.09 | $791.19 | $890.87 | $1,244.98 | $1,891.87 |
| Clay County | $709.55 | $805.33 | $906.80 | $1,267.25 | $1,925.70 |
| Seminole County | $722.02 | $819.48 | $922.73 | $1,289.51 | $1,959.54 |
| Palm Beach County | $738.71 | $838.42 | $944.05 | $1,319.31 | $2,004.82 |
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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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.