Obamacare 2017 Rates and Health Insurance Providers for Seminole County,Oviedo,FL

The health insurance rates listed below are for calendar year 2019.

2019 Rates and Providers

(click here for 2014)

(click here for 2015)

(click here for 2016)

(click here for 2017)

(click here for 2018)

This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Seminole County, Florida.

Obamacare Providers, Plans and 2019 Rates for Seminole County

Seminole County is in “Rating Area 57” of Florida.

Currently, there are 110 plans offered in Rating Area 57.

Below, you’ll find a summary of plans and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options. For detailed information on available subsidies to make your coverage affordable, you must complete an application at HealthCare.gov or contact the provider directly.

The table below shows premiums for the following scenarios for:

Individual
Couple
Couple with 1 2 or 3 children
Individual with 1 2 or 3 children
A child alone

Each scenario is covered for age

Age 21, 30, 40, 50
Age 60 (Individual and Couple only)

For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:

a summary of plan benefits and costs,
a plan brochure, and
a "Provider Directory" -- where you can find out which doctors and hospitals in the Oviedo, FL area accept this insurance coverage as within the plan's "network".

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Blue Cross and Blue Shield of Florida Local: 1-800-352-2583 \| Toll Free: 1-800-352-2583 TTY: 1-800-955-8771
Plan: (EPO) BlueOptions Silver 1423 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,950 : Family: $11,900 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$715.27 $811.83 $914.12 $1,277.47 $1,941.24	$1,430.54 $1,623.66 $1,828.24 $2,554.94 $3,882.48	$1,977.72 $2,170.84 $2,375.42 $3,102.12	$2,524.90 $2,718.02 $2,922.60 $3,649.30	$3,072.08 $3,265.20 $3,469.78 $4,196.48	$1,262.45 $1,359.01 $1,461.30 $1,824.65	$1,809.63 $1,906.19 $2,008.48 $2,371.83	$2,356.81 $2,453.37 $2,555.66 $2,919.01	$653.04
Plan: (EPO) BlueOptions Bronze 1419 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$452.94 $514.09 $578.86 $808.95 $1,229.28	$905.88 $1,028.18 $1,157.72 $1,617.90 $2,458.56	$1,252.38 $1,374.68 $1,504.22 $1,964.40	$1,598.88 $1,721.18 $1,850.72 $2,310.90	$1,945.38 $2,067.68 $2,197.22 $2,657.40	$799.44 $860.59 $925.36 $1,155.45	$1,145.94 $1,207.09 $1,271.86 $1,501.95	$1,492.44 $1,553.59 $1,618.36 $1,848.45	$413.53
Plan: (EPO) BlueOptions Silver 1431 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,650 : Family: $11,300 Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$737.10 $836.61 $942.01 $1,316.46 $2,000.49	$1,474.20 $1,673.22 $1,884.02 $2,632.92 $4,000.98	$2,038.08 $2,237.10 $2,447.90 $3,196.80	$2,601.96 $2,800.98 $3,011.78 $3,760.68	$3,165.84 $3,364.86 $3,575.66 $4,324.56	$1,300.98 $1,400.49 $1,505.89 $1,880.34	$1,864.86 $1,964.37 $2,069.77 $2,444.22	$2,428.74 $2,528.25 $2,633.65 $3,008.10	$672.97
Plan: (EPO) BlueOptions Platinum 1418 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$884.92 $1,004.38 $1,130.93 $1,580.47 $2,401.67	$1,769.84 $2,008.76 $2,261.86 $3,160.94 $4,803.34	$2,446.80 $2,685.72 $2,938.82 $3,837.90	$3,123.76 $3,362.68 $3,615.78 $4,514.86	$3,800.72 $4,039.64 $4,292.74 $5,191.82	$1,561.88 $1,681.34 $1,807.89 $2,257.43	$2,238.84 $2,358.30 $2,484.85 $2,934.39	$2,915.80 $3,035.26 $3,161.81 $3,611.35	$807.93
Plan: (EPO) BlueOptions Bronze 1416 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,200 : Family: $12,400 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$486.86 $552.59 $622.21 $869.53 $1,321.34	$973.72 $1,105.18 $1,244.42 $1,739.06 $2,642.68	$1,346.17 $1,477.63 $1,616.87 $2,111.51	$1,718.62 $1,850.08 $1,989.32 $2,483.96	$2,091.07 $2,222.53 $2,361.77 $2,856.41	$859.31 $925.04 $994.66 $1,241.98	$1,231.76 $1,297.49 $1,367.11 $1,614.43	$1,604.21 $1,669.94 $1,739.56 $1,986.88	$444.50
Plan: (EPO) BlueOptions Platinum 1424 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$930.24 $1,055.82 $1,188.85 $1,661.41 $2,524.67	$1,860.48 $2,111.64 $2,377.70 $3,322.82 $5,049.34	$2,572.11 $2,823.27 $3,089.33 $4,034.45	$3,283.74 $3,534.90 $3,800.96 $4,746.08	$3,995.37 $4,246.53 $4,512.59 $5,457.71	$1,641.87 $1,767.45 $1,900.48 $2,373.04	$2,353.50 $2,479.08 $2,612.11 $3,084.67	$3,065.13 $3,190.71 $3,323.74 $3,796.30	$849.31
Plan: (EPO) BlueOptions Silver 1410 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$661.71 $751.04 $845.67 $1,181.81 $1,795.88	$1,323.42 $1,502.08 $1,691.34 $2,363.62 $3,591.76	$1,829.63 $2,008.29 $2,197.55 $2,869.83	$2,335.84 $2,514.50 $2,703.76 $3,376.04	$2,842.05 $3,020.71 $3,209.97 $3,882.25	$1,167.92 $1,257.25 $1,351.88 $1,688.02	$1,674.13 $1,763.46 $1,858.09 $2,194.23	$2,180.34 $2,269.67 $2,364.30 $2,700.44	$604.14
Plan: (EPO) BlueOptions Gold 1505 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$718.78 $815.82 $918.60 $1,283.74 $1,950.77	$1,437.56 $1,631.64 $1,837.20 $2,567.48 $3,901.54	$1,987.43 $2,181.51 $2,387.07 $3,117.35	$2,537.30 $2,731.38 $2,936.94 $3,667.22	$3,087.17 $3,281.25 $3,486.81 $4,217.09	$1,268.65 $1,365.69 $1,468.47 $1,833.61	$1,818.52 $1,915.56 $2,018.34 $2,383.48	$2,368.39 $2,465.43 $2,568.21 $2,933.35	$656.25
Plan: (EPO) BlueOptions Bronze (HSA) 1705 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$477.72 $542.21 $610.53 $853.21 $1,296.53	$955.44 $1,084.42 $1,221.06 $1,706.42 $2,593.06	$1,320.90 $1,449.88 $1,586.52 $2,071.88	$1,686.36 $1,815.34 $1,951.98 $2,437.34	$2,051.82 $2,180.80 $2,317.44 $2,802.80	$843.18 $907.67 $975.99 $1,218.67	$1,208.64 $1,273.13 $1,341.45 $1,584.13	$1,574.10 $1,638.59 $1,706.91 $1,949.59	$436.16
Plan: (EPO) BlueOptions Silver 1706S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$727.90 $826.17 $930.26 $1,300.03 $1,975.52	$1,455.80 $1,652.34 $1,860.52 $2,600.06 $3,951.04	$2,012.64 $2,209.18 $2,417.36 $3,156.90	$2,569.48 $2,766.02 $2,974.20 $3,713.74	$3,126.32 $3,322.86 $3,531.04 $4,270.58	$1,284.74 $1,383.01 $1,487.10 $1,856.87	$1,841.58 $1,939.85 $2,043.94 $2,413.71	$2,398.42 $2,496.69 $2,600.78 $2,970.55	$664.57
Plan: (EPO) BlueOptions Bronze 1707S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,650 : Family: $13,300 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$479.42 $544.14 $612.70 $856.24 $1,301.15	$958.84 $1,088.28 $1,225.40 $1,712.48 $2,602.30	$1,325.60 $1,455.04 $1,592.16 $2,079.24	$1,692.36 $1,821.80 $1,958.92 $2,446.00	$2,059.12 $2,188.56 $2,325.68 $2,812.76	$846.18 $910.90 $979.46 $1,223.00	$1,212.94 $1,277.66 $1,346.22 $1,589.76	$1,579.70 $1,644.42 $1,712.98 $1,956.52	$437.71
Plan: (EPO) BlueOptions Gold 1805 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$687.79 $780.64 $879.00 $1,228.39 $1,866.66	$1,375.58 $1,561.28 $1,758.00 $2,456.78 $3,733.32	$1,901.74 $2,087.44 $2,284.16 $2,982.94	$2,427.90 $2,613.60 $2,810.32 $3,509.10	$2,954.06 $3,139.76 $3,336.48 $4,035.26	$1,213.95 $1,306.80 $1,405.16 $1,754.55	$1,740.11 $1,832.96 $1,931.32 $2,280.71	$2,266.27 $2,359.12 $2,457.48 $2,806.87	$627.95
Plan: (EPO) BlueSelect Silver 1456 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,950 : Family: $11,900 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$444.90 $504.96 $568.58 $794.59 $1,207.46	$889.80 $1,009.92 $1,137.16 $1,589.18 $2,414.92	$1,230.15 $1,350.27 $1,477.51 $1,929.53	$1,570.50 $1,690.62 $1,817.86 $2,269.88	$1,910.85 $2,030.97 $2,158.21 $2,610.23	$785.25 $845.31 $908.93 $1,134.94	$1,125.60 $1,185.66 $1,249.28 $1,475.29	$1,465.95 $1,526.01 $1,589.63 $1,815.64	$406.19
Plan: (EPO) BlueSelect Bronze 1452 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$322.32 $365.83 $411.92 $575.66 $874.78	$644.64 $731.66 $823.84 $1,151.32 $1,749.56	$891.21 $978.23 $1,070.41 $1,397.89	$1,137.78 $1,224.80 $1,316.98 $1,644.46	$1,384.35 $1,471.37 $1,563.55 $1,891.03	$568.89 $612.40 $658.49 $822.23	$815.46 $858.97 $905.06 $1,068.80	$1,062.03 $1,105.54 $1,151.63 $1,315.37	$294.28
Plan: (EPO) BlueSelect Silver 1464 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $5,650 : Family: $11,300 Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$465.55 $528.40 $594.97 $831.47 $1,263.50	$931.10 $1,056.80 $1,189.94 $1,662.94 $2,527.00	$1,287.25 $1,412.95 $1,546.09 $2,019.09	$1,643.40 $1,769.10 $1,902.24 $2,375.24	$1,999.55 $2,125.25 $2,258.39 $2,731.39	$821.70 $884.55 $951.12 $1,187.62	$1,177.85 $1,240.70 $1,307.27 $1,543.77	$1,534.00 $1,596.85 $1,663.42 $1,899.92	$425.05
Plan: (EPO) BlueSelect Platinum 1451 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$555.64 $630.65 $710.11 $992.37 $1,508.01	$1,111.28 $1,261.30 $1,420.22 $1,984.74 $3,016.02	$1,536.34 $1,686.36 $1,845.28 $2,409.80	$1,961.40 $2,111.42 $2,270.34 $2,834.86	$2,386.46 $2,536.48 $2,695.40 $3,259.92	$980.70 $1,055.71 $1,135.17 $1,417.43	$1,405.76 $1,480.77 $1,560.23 $1,842.49	$1,830.82 $1,905.83 $1,985.29 $2,267.55	$507.30
Plan: (EPO) BlueSelect Bronze 1449 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,200 : Family: $12,400 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$345.87 $392.56 $442.02 $617.72 $938.69	$691.74 $785.12 $884.04 $1,235.44 $1,877.38	$956.33 $1,049.71 $1,148.63 $1,500.03	$1,220.92 $1,314.30 $1,413.22 $1,764.62	$1,485.51 $1,578.89 $1,677.81 $2,029.21	$610.46 $657.15 $706.61 $882.31	$875.05 $921.74 $971.20 $1,146.90	$1,139.64 $1,186.33 $1,235.79 $1,411.49	$315.78
Plan: (EPO) BlueSelect Platinum 1457 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$589.17 $668.71 $752.96 $1,052.26 $1,599.01	$1,178.34 $1,337.42 $1,505.92 $2,104.52 $3,198.02	$1,629.06 $1,788.14 $1,956.64 $2,555.24	$2,079.78 $2,238.86 $2,407.36 $3,005.96	$2,530.50 $2,689.58 $2,858.08 $3,456.68	$1,039.89 $1,119.43 $1,203.68 $1,502.98	$1,490.61 $1,570.15 $1,654.40 $1,953.70	$1,941.33 $2,020.87 $2,105.12 $2,404.42	$537.91
Plan: (EPO) BlueSelect Silver 1443 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$413.07 $468.83 $527.90 $737.74 $1,121.07	$826.14 $937.66 $1,055.80 $1,475.48 $2,242.14	$1,142.14 $1,253.66 $1,371.80 $1,791.48	$1,458.14 $1,569.66 $1,687.80 $2,107.48	$1,774.14 $1,885.66 $2,003.80 $2,423.48	$729.07 $784.83 $843.90 $1,053.74	$1,045.07 $1,100.83 $1,159.90 $1,369.74	$1,361.07 $1,416.83 $1,475.90 $1,685.74	$377.13
Plan: (EPO) BlueSelect Gold 1535 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$482.21 $547.31 $616.26 $861.23 $1,308.72	$964.42 $1,094.62 $1,232.52 $1,722.46 $2,617.44	$1,333.31 $1,463.51 $1,601.41 $2,091.35	$1,702.20 $1,832.40 $1,970.30 $2,460.24	$2,071.09 $2,201.29 $2,339.19 $2,829.13	$851.10 $916.20 $985.15 $1,230.12	$1,219.99 $1,285.09 $1,354.04 $1,599.01	$1,588.88 $1,653.98 $1,722.93 $1,967.90	$440.26
Plan: (EPO) BlueSelect Bronze (HSA) 1735 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$339.43 $385.25 $433.79 $606.22 $921.21	$678.86 $770.50 $867.58 $1,212.44 $1,842.42	$938.52 $1,030.16 $1,127.24 $1,472.10	$1,198.18 $1,289.82 $1,386.90 $1,731.76	$1,457.84 $1,549.48 $1,646.56 $1,991.42	$599.09 $644.91 $693.45 $865.88	$858.75 $904.57 $953.11 $1,125.54	$1,118.41 $1,164.23 $1,212.77 $1,385.20	$309.90
Plan: (EPO) BlueSelect Silver 1736S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$453.73 $514.98 $579.87 $810.36 $1,231.42	$907.46 $1,029.96 $1,159.74 $1,620.72 $2,462.84	$1,254.56 $1,377.06 $1,506.84 $1,967.82	$1,601.66 $1,724.16 $1,853.94 $2,314.92	$1,948.76 $2,071.26 $2,201.04 $2,662.02	$800.83 $862.08 $926.97 $1,157.46	$1,147.93 $1,209.18 $1,274.07 $1,504.56	$1,495.03 $1,556.28 $1,621.17 $1,851.66	$414.26
Plan: (EPO) BlueSelect Bronze 1737S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $6,650 : Family: $13,300 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$340.98 $387.01 $435.77 $608.99 $925.42	$681.96 $774.02 $871.54 $1,217.98 $1,850.84	$942.81 $1,034.87 $1,132.39 $1,478.83	$1,203.66 $1,295.72 $1,393.24 $1,739.68	$1,464.51 $1,556.57 $1,654.09 $2,000.53	$601.83 $647.86 $696.62 $869.84	$862.68 $908.71 $957.47 $1,130.69	$1,123.53 $1,169.56 $1,218.32 $1,391.54	$311.31
Plan: (EPO) BlueSelect Gold 1835 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Blue Cross and Blue Shield of Florida) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$454.65 $516.03 $581.04 $812.00 $1,233.92	$909.30 $1,032.06 $1,162.08 $1,624.00 $2,467.84	$1,257.11 $1,379.87 $1,509.89 $1,971.81	$1,604.92 $1,727.68 $1,857.70 $2,319.62	$1,952.73 $2,075.49 $2,205.51 $2,667.43	$802.46 $863.84 $928.85 $1,159.81	$1,150.27 $1,211.65 $1,276.66 $1,507.62	$1,498.08 $1,559.46 $1,624.47 $1,855.43	$415.10
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Celtic Insurance Company Local: 1-877-687-1169 \| Toll Free: 1-877-687-1169 TTY: 1-800-955-8770
Plan: (EPO) Ambetter Secure Care 3 (2019) with 3 Free PCP Visits Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $1,000 : Family: $2,000 Out of Pocket Maximum per year: Individual: $6,350 : Family: $12,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$407.39 $462.38 $520.63 $727.58 $1,105.64	$814.78 $924.76 $1,041.26 $1,455.16 $2,211.28	$1,126.43 $1,236.41 $1,352.91 $1,766.81	$1,438.08 $1,548.06 $1,664.56 $2,078.46	$1,749.73 $1,859.71 $1,976.21 $2,390.11	$719.04 $774.03 $832.28 $1,039.23	$1,030.69 $1,085.68 $1,143.93 $1,350.88	$1,342.34 $1,397.33 $1,455.58 $1,662.53	$371.94
Plan: (EPO) Ambetter Balanced Care 1 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$412.54 $468.23 $527.22 $736.79 $1,119.62	$825.08 $936.46 $1,054.44 $1,473.58 $2,239.24	$1,140.67 $1,252.05 $1,370.03 $1,789.17	$1,456.26 $1,567.64 $1,685.62 $2,104.76	$1,771.85 $1,883.23 $2,001.21 $2,420.35	$728.13 $783.82 $842.81 $1,052.38	$1,043.72 $1,099.41 $1,158.40 $1,367.97	$1,359.31 $1,415.00 $1,473.99 $1,683.56	$376.64
Plan: (EPO) Ambetter Balanced Care 2 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $6,500 : Family: $13,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$408.18 $463.28 $521.65 $729.00 $1,107.79	$816.36 $926.56 $1,043.30 $1,458.00 $2,215.58	$1,128.61 $1,238.81 $1,355.55 $1,770.25	$1,440.86 $1,551.06 $1,667.80 $2,082.50	$1,753.11 $1,863.31 $1,980.05 $2,394.75	$720.43 $775.53 $833.90 $1,041.25	$1,032.68 $1,087.78 $1,146.15 $1,353.50	$1,344.93 $1,400.03 $1,458.40 $1,665.75	$372.66
Plan: (EPO) Ambetter Essential Care 1 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$284.15 $322.50 $363.13 $507.47 $771.15	$568.30 $645.00 $726.26 $1,014.94 $1,542.30	$785.66 $862.36 $943.62 $1,232.30	$1,003.02 $1,079.72 $1,160.98 $1,449.66	$1,220.38 $1,297.08 $1,378.34 $1,667.02	$501.51 $539.86 $580.49 $724.83	$718.87 $757.22 $797.85 $942.19	$936.23 $974.58 $1,015.21 $1,159.55	$259.42
Plan: (EPO) Ambetter Balanced Care 3 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $3,000 : Family: $6,000 Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$440.68 $500.16 $563.18 $787.04 $1,195.98	$881.36 $1,000.32 $1,126.36 $1,574.08 $2,391.96	$1,218.47 $1,337.43 $1,463.47 $1,911.19	$1,555.58 $1,674.54 $1,800.58 $2,248.30	$1,892.69 $2,011.65 $2,137.69 $2,585.41	$777.79 $837.27 $900.29 $1,124.15	$1,114.90 $1,174.38 $1,237.40 $1,461.26	$1,452.01 $1,511.49 $1,574.51 $1,798.37	$402.33
Plan: (EPO) Ambetter Balanced Care 4 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $7,050 : Family: $14,100 Out of Pocket Maximum per year: Individual: $7,050 : Family: $14,100 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$396.30 $449.78 $506.45 $707.77 $1,075.52	$792.60 $899.56 $1,012.90 $1,415.54 $2,151.04	$1,095.76 $1,202.72 $1,316.06 $1,718.70	$1,398.92 $1,505.88 $1,619.22 $2,021.86	$1,702.08 $1,809.04 $1,922.38 $2,325.02	$699.46 $752.94 $809.61 $1,010.93	$1,002.62 $1,056.10 $1,112.77 $1,314.09	$1,305.78 $1,359.26 $1,415.93 $1,617.25	$361.81
Plan: (EPO) Ambetter Balanced Care 11 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$376.09 $426.85 $480.62 $671.67 $1,020.67	$752.18 $853.70 $961.24 $1,343.34 $2,041.34	$1,039.88 $1,141.40 $1,248.94 $1,631.04	$1,327.58 $1,429.10 $1,536.64 $1,918.74	$1,615.28 $1,716.80 $1,824.34 $2,206.44	$663.79 $714.55 $768.32 $959.37	$951.49 $1,002.25 $1,056.02 $1,247.07	$1,239.19 $1,289.95 $1,343.72 $1,534.77	$343.36
Plan: (EPO) Ambetter Balanced Care 5 (2019) Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $7,350 : Family: $14,700 Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$382.43 $434.04 $488.73 $683.00 $1,037.88	$764.86 $868.08 $977.46 $1,366.00 $2,075.76	$1,057.41 $1,160.63 $1,270.01 $1,658.55	$1,349.96 $1,453.18 $1,562.56 $1,951.10	$1,642.51 $1,745.73 $1,855.11 $2,243.65	$674.98 $726.59 $781.28 $975.55	$967.53 $1,019.14 $1,073.83 $1,268.10	$1,260.08 $1,311.69 $1,366.38 $1,560.65	$349.15
Plan: (EPO) Ambetter Balanced Care 1 (2019) + Vision Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$416.28 $472.47 $532.00 $743.46 $1,129.76	$832.56 $944.94 $1,064.00 $1,486.92 $2,259.52	$1,151.01 $1,263.39 $1,382.45 $1,805.37	$1,469.46 $1,581.84 $1,700.90 $2,123.82	$1,787.91 $1,900.29 $2,019.35 $2,442.27	$734.73 $790.92 $850.45 $1,061.91	$1,053.18 $1,109.37 $1,168.90 $1,380.36	$1,371.63 $1,427.82 $1,487.35 $1,698.81	$380.06
Plan: (EPO) Ambetter Balanced Care 2 (2019) + Vision Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $6,500 : Family: $13,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$411.88 $467.48 $526.37 $735.61 $1,117.83	$823.76 $934.96 $1,052.74 $1,471.22 $2,235.66	$1,138.84 $1,250.04 $1,367.82 $1,786.30	$1,453.92 $1,565.12 $1,682.90 $2,101.38	$1,769.00 $1,880.20 $1,997.98 $2,416.46	$726.96 $782.56 $841.45 $1,050.69	$1,042.04 $1,097.64 $1,156.53 $1,365.77	$1,357.12 $1,412.72 $1,471.61 $1,680.85	$376.04
Plan: (EPO) Ambetter Balanced Care 3 (2019) + Vision Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $3,000 : Family: $6,000 Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$444.67 $504.69 $568.28 $794.17 $1,206.82	$889.34 $1,009.38 $1,136.56 $1,588.34 $2,413.64	$1,229.51 $1,349.55 $1,476.73 $1,928.51	$1,569.68 $1,689.72 $1,816.90 $2,268.68	$1,909.85 $2,029.89 $2,157.07 $2,608.85	$784.84 $844.86 $908.45 $1,134.34	$1,125.01 $1,185.03 $1,248.62 $1,474.51	$1,465.18 $1,525.20 $1,588.79 $1,814.68	$405.98
Plan: (EPO) Ambetter Balanced Care 1 (2019) + Vision + Adult Dental Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$425.15 $482.54 $543.33 $759.31 $1,153.84	$850.30 $965.08 $1,086.66 $1,518.62 $2,307.68	$1,175.54 $1,290.32 $1,411.90 $1,843.86	$1,500.78 $1,615.56 $1,737.14 $2,169.10	$1,826.02 $1,940.80 $2,062.38 $2,494.34	$750.39 $807.78 $868.57 $1,084.55	$1,075.63 $1,133.02 $1,193.81 $1,409.79	$1,400.87 $1,458.26 $1,519.05 $1,735.03	$388.16
Plan: (EPO) Ambetter Balanced Care 2 (2019) + Vision + Adult Dental Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $6,500 : Family: $13,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$420.66 $477.44 $537.59 $751.28 $1,141.65	$841.32 $954.88 $1,075.18 $1,502.56 $2,283.30	$1,163.12 $1,276.68 $1,396.98 $1,824.36	$1,484.92 $1,598.48 $1,718.78 $2,146.16	$1,806.72 $1,920.28 $2,040.58 $2,467.96	$742.46 $799.24 $859.39 $1,073.08	$1,064.26 $1,121.04 $1,181.19 $1,394.88	$1,386.06 $1,442.84 $1,502.99 $1,716.68	$384.06
Plan: (EPO) Ambetter Balanced Care 3 (2019) + Vision + Adult Dental Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-687-1169 - Provider Directory for This Plan: (Celtic Insurance Company) Deductible: Individual: $3,000 : Family: $6,000 Out of Pocket Maximum per year: Individual: $6,750 : Family: $13,500 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$454.15 $515.45 $580.39 $811.10 $1,232.54	$908.30 $1,030.90 $1,160.78 $1,622.20 $2,465.08	$1,255.72 $1,378.32 $1,508.20 $1,969.62	$1,603.14 $1,725.74 $1,855.62 $2,317.04	$1,950.56 $2,073.16 $2,203.04 $2,664.46	$801.57 $862.87 $927.81 $1,158.52	$1,148.99 $1,210.29 $1,275.23 $1,505.94	$1,496.41 $1,557.71 $1,622.65 $1,853.36	$414.63
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Health Options, Inc. Local: 1-800-352-2583 \| Toll Free: 1-800-352-2583 TTY: 1-800-955-8771
Plan: (HMO) myBlue Bronze 1601 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,700 : Family: $13,400 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$316.24 $358.93 $404.15 $564.80 $858.28	$632.48 $717.86 $808.30 $1,129.60 $1,716.56	$874.40 $959.78 $1,050.22 $1,371.52	$1,116.32 $1,201.70 $1,292.14 $1,613.44	$1,358.24 $1,443.62 $1,534.06 $1,855.36	$558.16 $600.85 $646.07 $806.72	$800.08 $842.77 $887.99 $1,048.64	$1,042.00 $1,084.69 $1,129.91 $1,290.56	$288.73
Plan: (HMO) myBlue Bronze 1602 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$287.79 $326.64 $367.80 $513.99 $781.06	$575.58 $653.28 $735.60 $1,027.98 $1,562.12	$795.74 $873.44 $955.76 $1,248.14	$1,015.90 $1,093.60 $1,175.92 $1,468.30	$1,236.06 $1,313.76 $1,396.08 $1,688.46	$507.95 $546.80 $587.96 $734.15	$728.11 $766.96 $808.12 $954.31	$948.27 $987.12 $1,028.28 $1,174.47	$262.75
Plan: (HMO) myBlue Silver 1603 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $5,950 : Family: $11,900 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$411.60 $467.17 $526.02 $735.12 $1,117.08	$823.20 $934.34 $1,052.04 $1,470.24 $2,234.16	$1,138.07 $1,249.21 $1,366.91 $1,785.11	$1,452.94 $1,564.08 $1,681.78 $2,099.98	$1,767.81 $1,878.95 $1,996.65 $2,414.85	$726.47 $782.04 $840.89 $1,049.99	$1,041.34 $1,096.91 $1,155.76 $1,364.86	$1,356.21 $1,411.78 $1,470.63 $1,679.73	$375.79
Plan: (HMO) myBlue Silver 1604 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $7,300 : Family: $14,600 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$371.15 $421.26 $474.33 $662.87 $1,007.30	$742.30 $842.52 $948.66 $1,325.74 $2,014.60	$1,026.23 $1,126.45 $1,232.59 $1,609.67	$1,310.16 $1,410.38 $1,516.52 $1,893.60	$1,594.09 $1,694.31 $1,800.45 $2,177.53	$655.08 $705.19 $758.26 $946.80	$939.01 $989.12 $1,042.19 $1,230.73	$1,222.94 $1,273.05 $1,326.12 $1,514.66	$338.86
Plan: (HMO) myBlue Gold 1605 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $940 : Family: $1,880 Out of Pocket Maximum per year: Individual: $4,700 : Family: $9,400 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$411.20 $466.71 $525.51 $734.40 $1,116.00	$822.40 $933.42 $1,051.02 $1,468.80 $2,232.00	$1,136.97 $1,247.99 $1,365.59 $1,783.37	$1,451.54 $1,562.56 $1,680.16 $2,097.94	$1,766.11 $1,877.13 $1,994.73 $2,412.51	$725.77 $781.28 $840.08 $1,048.97	$1,040.34 $1,095.85 $1,154.65 $1,363.54	$1,354.91 $1,410.42 $1,469.22 $1,678.11	$375.43
Plan: (HMO) myBlue Silver 1710 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,200 : Family: $12,400 Out of Pocket Maximum per year: Individual: $7,450 : Family: $14,900 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$426.08 $483.60 $544.53 $760.98 $1,156.38	$852.16 $967.20 $1,089.06 $1,521.96 $2,312.76	$1,178.11 $1,293.15 $1,415.01 $1,847.91	$1,504.06 $1,619.10 $1,740.96 $2,173.86	$1,830.01 $1,945.05 $2,066.91 $2,499.81	$752.03 $809.55 $870.48 $1,086.93	$1,077.98 $1,135.50 $1,196.43 $1,412.88	$1,403.93 $1,461.45 $1,522.38 $1,738.83	$389.01
Plan: (HMO) myBlue Bronze 1711S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $6,650 : Family: $13,300 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$310.25 $352.13 $396.50 $554.11 $842.02	$620.50 $704.26 $793.00 $1,108.22 $1,684.04	$857.84 $941.60 $1,030.34 $1,345.56	$1,095.18 $1,178.94 $1,267.68 $1,582.90	$1,332.52 $1,416.28 $1,505.02 $1,820.24	$547.59 $589.47 $633.84 $791.45	$784.93 $826.81 $871.18 $1,028.79	$1,022.27 $1,064.15 $1,108.52 $1,266.13	$283.26
Plan: (HMO) myBlue Silver 1712S Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-352-2583 - Provider Directory for This Plan: (Health Options, Inc.) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$422.41 $479.44 $539.84 $754.42 $1,146.42	$844.82 $958.88 $1,079.68 $1,508.84 $2,292.84	$1,167.96 $1,282.02 $1,402.82 $1,831.98	$1,491.10 $1,605.16 $1,725.96 $2,155.12	$1,814.24 $1,928.30 $2,049.10 $2,478.26	$745.55 $802.58 $862.98 $1,077.56	$1,068.69 $1,125.72 $1,186.12 $1,400.70	$1,391.83 $1,448.86 $1,509.26 $1,723.84	$385.66
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Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 1657 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $7,400 : Family: $14,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$343.03 $389.33 $438.39 $612.64 $930.97	$686.06 $778.66 $876.78 $1,225.28 $1,861.94	$948.47 $1,041.07 $1,139.19 $1,487.69	$1,210.88 $1,303.48 $1,401.60 $1,750.10	$1,473.29 $1,565.89 $1,664.01 $2,012.51	$605.44 $651.74 $700.80 $875.05	$867.85 $914.15 $963.21 $1,137.46	$1,130.26 $1,176.56 $1,225.62 $1,399.87	$313.18
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 100 HSA 1660 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $6,450 : Family: $12,900 Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$334.65 $379.83 $427.68 $597.69 $908.24	$669.30 $759.66 $855.36 $1,195.38 $1,816.48	$925.31 $1,015.67 $1,111.37 $1,451.39	$1,181.32 $1,271.68 $1,367.38 $1,707.40	$1,437.33 $1,527.69 $1,623.39 $1,963.41	$590.66 $635.84 $683.69 $853.70	$846.67 $891.85 $939.70 $1,109.71	$1,102.68 $1,147.86 $1,195.71 $1,365.72	$305.54
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 HSA 1663 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$334.03 $379.13 $426.90 $596.58 $906.57	$668.06 $758.26 $853.80 $1,193.16 $1,813.14	$923.60 $1,013.80 $1,109.34 $1,448.70	$1,179.14 $1,269.34 $1,364.88 $1,704.24	$1,434.68 $1,524.88 $1,620.42 $1,959.78	$589.57 $634.67 $682.44 $852.12	$845.11 $890.21 $937.98 $1,107.66	$1,100.65 $1,145.75 $1,193.52 $1,363.20	$304.97
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1668 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $5,450 : Family: $10,900 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$488.98 $554.99 $624.91 $873.31 $1,327.08	$977.96 $1,109.98 $1,249.82 $1,746.62 $2,654.16	$1,352.03 $1,484.05 $1,623.89 $2,120.69	$1,726.10 $1,858.12 $1,997.96 $2,494.76	$2,100.17 $2,232.19 $2,372.03 $2,868.83	$863.05 $929.06 $998.98 $1,247.38	$1,237.12 $1,303.13 $1,373.05 $1,621.45	$1,611.19 $1,677.20 $1,747.12 $1,995.52	$446.44
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1676 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $4,200 : Family: $8,400 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$502.71 $570.57 $642.46 $897.83 $1,364.35	$1,005.42 $1,141.14 $1,284.92 $1,795.66 $2,728.70	$1,389.99 $1,525.71 $1,669.49 $2,180.23	$1,774.56 $1,910.28 $2,054.06 $2,564.80	$2,159.13 $2,294.85 $2,438.63 $2,949.37	$887.28 $955.14 $1,027.03 $1,282.40	$1,271.85 $1,339.71 $1,411.60 $1,666.97	$1,656.42 $1,724.28 $1,796.17 $2,051.54	$458.97
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 90 1684 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $7,150 : Family: $14,300 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$513.58 $582.91 $656.36 $917.26 $1,393.86	$1,027.16 $1,165.82 $1,312.72 $1,834.52 $2,787.72	$1,420.05 $1,558.71 $1,705.61 $2,227.41	$1,812.94 $1,951.60 $2,098.50 $2,620.30	$2,205.83 $2,344.49 $2,491.39 $3,013.19	$906.47 $975.80 $1,049.25 $1,310.15	$1,299.36 $1,368.69 $1,442.14 $1,703.04	$1,692.25 $1,761.58 $1,835.03 $2,095.93	$468.90
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 1696 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $4,950 : Family: $9,900 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$466.65 $529.65 $596.38 $833.44 $1,266.50	$933.30 $1,059.30 $1,192.76 $1,666.88 $2,533.00	$1,290.29 $1,416.29 $1,549.75 $2,023.87	$1,647.28 $1,773.28 $1,906.74 $2,380.86	$2,004.27 $2,130.27 $2,263.73 $2,737.85	$823.64 $886.64 $953.37 $1,190.43	$1,180.63 $1,243.63 $1,310.36 $1,547.42	$1,537.62 $1,600.62 $1,667.35 $1,904.41	$426.05
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1712 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$494.51 $561.27 $631.98 $883.19 $1,342.09	$989.02 $1,122.54 $1,263.96 $1,766.38 $2,684.18	$1,367.32 $1,500.84 $1,642.26 $2,144.68	$1,745.62 $1,879.14 $2,020.56 $2,522.98	$2,123.92 $2,257.44 $2,398.86 $2,901.28	$872.81 $939.57 $1,010.28 $1,261.49	$1,251.11 $1,317.87 $1,388.58 $1,639.79	$1,629.41 $1,696.17 $1,766.88 $2,018.09	$451.49
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1724 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $7,000 : Family: $14,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$495.18 $562.03 $632.84 $884.39 $1,343.91	$990.36 $1,124.06 $1,265.68 $1,768.78 $2,687.82	$1,369.17 $1,502.87 $1,644.49 $2,147.59	$1,747.98 $1,881.68 $2,023.30 $2,526.40	$2,126.79 $2,260.49 $2,402.11 $2,905.21	$873.99 $940.84 $1,011.65 $1,263.20	$1,252.80 $1,319.65 $1,390.46 $1,642.01	$1,631.61 $1,698.46 $1,769.27 $2,020.82	$452.10
Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 HSA 1732 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $6,500 : Family: $13,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$496.71 $563.77 $634.80 $887.12 $1,348.07	$993.42 $1,127.54 $1,269.60 $1,774.24 $2,696.14	$1,373.40 $1,507.52 $1,649.58 $2,154.22	$1,753.38 $1,887.50 $2,029.56 $2,534.20	$2,133.36 $2,267.48 $2,409.54 $2,914.18	$876.69 $943.75 $1,014.78 $1,267.10	$1,256.67 $1,323.73 $1,394.76 $1,647.08	$1,636.65 $1,703.71 $1,774.74 $2,027.06	$453.50
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 100 1738 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $3,050 : Family: $6,100 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$436.10 $494.97 $557.34 $778.87 $1,183.58	$872.20 $989.94 $1,114.68 $1,557.74 $2,367.16	$1,205.82 $1,323.56 $1,448.30 $1,891.36	$1,539.44 $1,657.18 $1,781.92 $2,224.98	$1,873.06 $1,990.80 $2,115.54 $2,558.60	$769.72 $828.59 $890.96 $1,112.49	$1,103.34 $1,162.21 $1,224.58 $1,446.11	$1,436.96 $1,495.83 $1,558.20 $1,779.73	$398.16
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 80 1741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $3,450 : Family: $6,900 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$406.00 $460.81 $518.87 $725.12 $1,101.89	$812.00 $921.62 $1,037.74 $1,450.24 $2,203.78	$1,122.59 $1,232.21 $1,348.33 $1,760.83	$1,433.18 $1,542.80 $1,658.92 $2,071.42	$1,743.77 $1,853.39 $1,969.51 $2,382.01	$716.59 $771.40 $829.46 $1,035.71	$1,027.18 $1,081.99 $1,140.05 $1,346.30	$1,337.77 $1,392.58 $1,450.64 $1,656.89	$370.68
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 70 1743 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $3,500 : Family: $7,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$451.77 $512.76 $577.37 $806.87 $1,226.11	$903.54 $1,025.52 $1,154.74 $1,613.74 $2,452.22	$1,249.15 $1,371.13 $1,500.35 $1,959.35	$1,594.76 $1,716.74 $1,845.96 $2,304.96	$1,940.37 $2,062.35 $2,191.57 $2,650.57	$797.38 $858.37 $922.98 $1,152.48	$1,142.99 $1,203.98 $1,268.59 $1,498.09	$1,488.60 $1,549.59 $1,614.20 $1,843.70	$412.47
Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$433.02 $491.48 $553.40 $773.38 $1,175.22	$866.04 $982.96 $1,106.80 $1,546.76 $2,350.44	$1,197.30 $1,314.22 $1,438.06 $1,878.02	$1,528.56 $1,645.48 $1,769.32 $2,209.28	$1,859.82 $1,976.74 $2,100.58 $2,540.54	$764.28 $822.74 $884.66 $1,104.64	$1,095.54 $1,154.00 $1,215.92 $1,435.90	$1,426.80 $1,485.26 $1,547.18 $1,767.16	$395.35
Plan: (HMO) Florida Hospital GYM ACCESS Catastrophic HMO 1748 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$199.65 $226.61 $255.16 $356.58 $541.86	$399.30 $453.22 $510.32 $713.16 $1,083.72	$552.03 $605.95 $663.05 $865.89	$704.76 $758.68 $815.78 $1,018.62	$857.49 $911.41 $968.51 $1,171.35	$352.38 $379.34 $407.89 $509.31	$505.11 $532.07 $560.62 $662.04	$657.84 $684.80 $713.35 $814.77	$182.28
Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 50 1797 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $6,900 : Family: $13,800 Out of Pocket Maximum per year: Individual: $7,700 : Family: $15,400 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$325.68 $369.65 $416.22 $581.66 $883.90	$651.36 $739.30 $832.44 $1,163.32 $1,767.80	$900.51 $988.45 $1,081.59 $1,412.47	$1,149.66 $1,237.60 $1,330.74 $1,661.62	$1,398.81 $1,486.75 $1,579.89 $1,910.77	$574.83 $618.80 $665.37 $830.81	$823.98 $867.95 $914.52 $1,079.96	$1,073.13 $1,117.10 $1,163.67 $1,329.11	$297.35
Plan: (HMO) Florida Hospital Bronze HMO 60 1752 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $7,500 : Family: $15,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$340.29 $386.23 $434.89 $607.75 $923.54	$680.58 $772.46 $869.78 $1,215.50 $1,847.08	$940.90 $1,032.78 $1,130.10 $1,475.82	$1,201.22 $1,293.10 $1,390.42 $1,736.14	$1,461.54 $1,553.42 $1,650.74 $1,996.46	$600.61 $646.55 $695.21 $868.07	$860.93 $906.87 $955.53 $1,128.39	$1,121.25 $1,167.19 $1,215.85 $1,388.71	$310.68
Plan: (HMO) Florida Hospital Silver HMO 80 1762 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $3,900 : Family: $7,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$489.10 $555.13 $625.07 $873.54 $1,327.43	$978.20 $1,110.26 $1,250.14 $1,747.08 $2,654.86	$1,352.36 $1,484.42 $1,624.30 $2,121.24	$1,726.52 $1,858.58 $1,998.46 $2,495.40	$2,100.68 $2,232.74 $2,372.62 $2,869.56	$863.26 $929.29 $999.23 $1,247.70	$1,237.42 $1,303.45 $1,373.39 $1,621.86	$1,611.58 $1,677.61 $1,747.55 $1,996.02	$446.55
Plan: (HMO) Florida Hospital Gold HMO 80 1772 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $1,400 : Family: $2,800 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$423.38 $480.54 $541.08 $756.16 $1,149.06	$846.76 $961.08 $1,082.16 $1,512.32 $2,298.12	$1,170.65 $1,284.97 $1,406.05 $1,836.21	$1,494.54 $1,608.86 $1,729.94 $2,160.10	$1,818.43 $1,932.75 $2,053.83 $2,483.99	$747.27 $804.43 $864.97 $1,080.05	$1,071.16 $1,128.32 $1,188.86 $1,403.94	$1,395.05 $1,452.21 $1,512.75 $1,727.83	$386.55
Plan: (HMO) Florida Hospital Bronze HMO 100 1776 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$315.86 $358.51 $403.67 $564.13 $857.25	$631.72 $717.02 $807.34 $1,128.26 $1,714.50	$873.36 $958.66 $1,048.98 $1,369.90	$1,115.00 $1,200.30 $1,290.62 $1,611.54	$1,356.64 $1,441.94 $1,532.26 $1,853.18	$557.50 $600.15 $645.31 $805.77	$799.14 $841.79 $886.95 $1,047.41	$1,040.78 $1,083.43 $1,128.59 $1,289.05	$288.38
Plan: (HMO) Florida Hospital Silver HMO 80 1786 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $2,900 : Family: $5,800 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$486.68 $552.39 $621.98 $869.22 $1,320.86	$973.36 $1,104.78 $1,243.96 $1,738.44 $2,641.72	$1,345.67 $1,477.09 $1,616.27 $2,110.75	$1,717.98 $1,849.40 $1,988.58 $2,483.06	$2,090.29 $2,221.71 $2,360.89 $2,855.37	$858.99 $924.70 $994.29 $1,241.53	$1,231.30 $1,297.01 $1,366.60 $1,613.84	$1,603.61 $1,669.32 $1,738.91 $1,986.15	$444.34
Plan: (HMO) Florida Hospital Bronze HMO 100 HSA 1795 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $6,450 : Family: $12,900 Out of Pocket Maximum per year: Individual: $6,450 : Family: $12,900 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$331.04 $375.73 $423.07 $591.24 $898.45	$662.08 $751.46 $846.14 $1,182.48 $1,796.90	$915.33 $1,004.71 $1,099.39 $1,435.73	$1,168.58 $1,257.96 $1,352.64 $1,688.98	$1,421.83 $1,511.21 $1,605.89 $1,942.23	$584.29 $628.98 $676.32 $844.49	$837.54 $882.23 $929.57 $1,097.74	$1,090.79 $1,135.48 $1,182.82 $1,350.99	$302.24
Plan: (HMO) Florida Hospital Silver HMO 65 1810 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-443-4735 - Provider Directory for This Plan: (Health First Commercial Plans, Inc.) Deductible: Individual: $2,650 : Family: $5,300 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$464.57 $527.29 $593.72 $829.73 $1,260.85	$929.14 $1,054.58 $1,187.44 $1,659.46 $2,521.70	$1,284.54 $1,409.98 $1,542.84 $2,014.86	$1,639.94 $1,765.38 $1,898.24 $2,370.26	$1,995.34 $2,120.78 $2,253.64 $2,725.66	$819.97 $882.69 $949.12 $1,185.13	$1,175.37 $1,238.09 $1,304.52 $1,540.53	$1,530.77 $1,593.49 $1,659.92 $1,895.93	$424.15
ADVERTISEMENT
Oscar Insurance Company of Florida Local: 1-855-672-2755 \| Toll Free: 1-855-672-2755 TTY: 1-855-672-2755
Plan: (EPO) Oscar Classic Bronze Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$266.74 $302.75 $340.89 $476.40 $723.93	$533.48 $605.50 $681.78 $952.80 $1,447.86	$737.54 $809.56 $885.84 $1,156.86	$941.60 $1,013.62 $1,089.90 $1,360.92	$1,145.66 $1,217.68 $1,293.96 $1,564.98	$470.80 $506.81 $544.95 $680.46	$674.86 $710.87 $749.01 $884.52	$878.92 $914.93 $953.07 $1,088.58	$243.53
Plan: (EPO) Oscar Classic Gold Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$416.50 $472.73 $532.29 $743.87 $1,130.39	$833.00 $945.46 $1,064.58 $1,487.74 $2,260.78	$1,151.62 $1,264.08 $1,383.20 $1,806.36	$1,470.24 $1,582.70 $1,701.82 $2,124.98	$1,788.86 $1,901.32 $2,020.44 $2,443.60	$735.12 $791.35 $850.91 $1,062.49	$1,053.74 $1,109.97 $1,169.53 $1,381.11	$1,372.36 $1,428.59 $1,488.15 $1,699.73	$380.27
Plan: (EPO) Oscar Classic Silver Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $4,400 : Family: $8,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$363.22 $412.26 $464.20 $648.71 $985.78	$726.44 $824.52 $928.40 $1,297.42 $1,971.56	$1,004.30 $1,102.38 $1,206.26 $1,575.28	$1,282.16 $1,380.24 $1,484.12 $1,853.14	$1,560.02 $1,658.10 $1,761.98 $2,131.00	$641.08 $690.12 $742.06 $926.57	$918.94 $967.98 $1,019.92 $1,204.43	$1,196.80 $1,245.84 $1,297.78 $1,482.29	$331.62
Plan: (EPO) Oscar Saver Bronze Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $5,500 : Family: $11,000 Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$278.04 $315.58 $355.34 $496.58 $754.61	$556.08 $631.16 $710.68 $993.16 $1,509.22	$768.78 $843.86 $923.38 $1,205.86	$981.48 $1,056.56 $1,136.08 $1,418.56	$1,194.18 $1,269.26 $1,348.78 $1,631.26	$490.74 $528.28 $568.04 $709.28	$703.44 $740.98 $780.74 $921.98	$916.14 $953.68 $993.44 $1,134.68	$253.85
Plan: (EPO) Oscar Saver Silver Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $3,000 : Family: $6,000 Out of Pocket Maximum per year: Individual: $6,650 : Family: $13,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$359.19 $407.68 $459.05 $641.52 $974.85	$718.38 $815.36 $918.10 $1,283.04 $1,949.70	$993.16 $1,090.14 $1,192.88 $1,557.82	$1,267.94 $1,364.92 $1,467.66 $1,832.60	$1,542.72 $1,639.70 $1,742.44 $2,107.38	$633.97 $682.46 $733.83 $916.30	$908.75 $957.24 $1,008.61 $1,191.08	$1,183.53 $1,232.02 $1,283.39 $1,465.86	$327.94
Plan: (EPO) Oscar Simple Bronze Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$260.60 $295.78 $333.05 $465.43 $707.27	$521.20 $591.56 $666.10 $930.86 $1,414.54	$720.56 $790.92 $865.46 $1,130.22	$919.92 $990.28 $1,064.82 $1,329.58	$1,119.28 $1,189.64 $1,264.18 $1,528.94	$459.96 $495.14 $532.41 $664.79	$659.32 $694.50 $731.77 $864.15	$858.68 $893.86 $931.13 $1,063.51	$237.93
Plan: (EPO) Oscar Simple Secure Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$204.37 $231.96 $261.19 $365.01 $554.67	$408.74 $463.92 $522.38 $730.02 $1,109.34	$565.08 $620.26 $678.72 $886.36	$721.42 $776.60 $835.06 $1,042.70	$877.76 $932.94 $991.40 $1,199.04	$360.71 $388.30 $417.53 $521.35	$517.05 $544.64 $573.87 $677.69	$673.39 $700.98 $730.21 $834.03	$186.59
Plan: (EPO) Oscar Simple Silver Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-672-2755 - Provider Directory for This Plan: (Oscar Insurance Company of Florida) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$405.94 $460.74 $518.79 $725.01 $1,101.73	$811.88 $921.48 $1,037.58 $1,450.02 $2,203.46	$1,122.43 $1,232.03 $1,348.13 $1,760.57	$1,432.98 $1,542.58 $1,658.68 $2,071.12	$1,743.53 $1,853.13 $1,969.23 $2,381.67	$716.49 $771.29 $829.34 $1,035.56	$1,027.04 $1,081.84 $1,139.89 $1,346.11	$1,337.59 $1,392.39 $1,450.44 $1,656.66	$370.63
ADVERTISEMENT
Florida Health Care Plan, Inc. Local: 1-386-676-7110 \| Toll Free: 1-800-232-0578 TTY: 1-800-955-8771
Plan: (HMO) Gym Access IND Essential Plus Catastrophic HMO 36 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$243.86 $276.78 $311.65 $435.53 $661.84	$487.72 $553.56 $623.30 $871.06 $1,323.68	$674.27 $740.11 $809.85 $1,057.61	$860.82 $926.66 $996.40 $1,244.16	$1,047.37 $1,113.21 $1,182.95 $1,430.71	$430.41 $463.33 $498.20 $622.08	$616.96 $649.88 $684.75 $808.63	$803.51 $836.43 $871.30 $995.18	$222.64
Plan: (POS) Gym Access IND Essential Plus Catastrophic POS 37 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Catastrophic	21 30 40 50 60	$268.24 $304.45 $342.81 $479.08 $728.01	$536.48 $608.90 $685.62 $958.16 $1,456.02	$741.68 $814.10 $890.82 $1,163.36	$946.88 $1,019.30 $1,096.02 $1,368.56	$1,152.08 $1,224.50 $1,301.22 $1,573.76	$473.44 $509.65 $548.01 $684.28	$678.64 $714.85 $753.21 $889.48	$883.84 $920.05 $958.41 $1,094.68	$244.90
Plan: (HMO) Gym Access IND Essential Plus Silver HMO 53 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$415.61 $471.72 $531.15 $742.28 $1,127.96	$831.22 $943.44 $1,062.30 $1,484.56 $2,255.92	$1,149.16 $1,261.38 $1,380.24 $1,802.50	$1,467.10 $1,579.32 $1,698.18 $2,120.44	$1,785.04 $1,897.26 $2,016.12 $2,438.38	$733.55 $789.66 $849.09 $1,060.22	$1,051.49 $1,107.60 $1,167.03 $1,378.16	$1,369.43 $1,425.54 $1,484.97 $1,696.10	$379.45
Plan: (HMO) Gym Access IND Essential Plus Gold HMO 63 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,400 : Family: $2,800 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$409.19 $464.43 $522.94 $730.81 $1,110.54	$818.38 $928.86 $1,045.88 $1,461.62 $2,221.08	$1,131.41 $1,241.89 $1,358.91 $1,774.65	$1,444.44 $1,554.92 $1,671.94 $2,087.68	$1,757.47 $1,867.95 $1,984.97 $2,400.71	$722.22 $777.46 $835.97 $1,043.84	$1,035.25 $1,090.49 $1,149.00 $1,356.87	$1,348.28 $1,403.52 $1,462.03 $1,669.90	$373.59
Plan: (HMO) Gym Access IND Essential Plus Platinum HMO 65 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$534.52 $606.68 $683.12 $954.66 $1,450.69	$1,069.04 $1,213.36 $1,366.24 $1,909.32 $2,901.38	$1,477.95 $1,622.27 $1,775.15 $2,318.23	$1,886.86 $2,031.18 $2,184.06 $2,727.14	$2,295.77 $2,440.09 $2,592.97 $3,136.05	$943.43 $1,015.59 $1,092.03 $1,363.57	$1,352.34 $1,424.50 $1,500.94 $1,772.48	$1,761.25 $1,833.41 $1,909.85 $2,181.39	$488.02
Plan: (POS) Gym Access IND Essential Plus Silver POS 54 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$437.29 $496.32 $558.86 $781.00 $1,186.81	$874.58 $992.64 $1,117.72 $1,562.00 $2,373.62	$1,209.11 $1,327.17 $1,452.25 $1,896.53	$1,543.64 $1,661.70 $1,786.78 $2,231.06	$1,878.17 $1,996.23 $2,121.31 $2,565.59	$771.82 $830.85 $893.39 $1,115.53	$1,106.35 $1,165.38 $1,227.92 $1,450.06	$1,440.88 $1,499.91 $1,562.45 $1,784.59	$399.25
Plan: (HMO) Gym Access IND Platinum HMO 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$523.11 $593.73 $668.54 $934.28 $1,419.72	$1,046.22 $1,187.46 $1,337.08 $1,868.56 $2,839.44	$1,446.40 $1,587.64 $1,737.26 $2,268.74	$1,846.58 $1,987.82 $2,137.44 $2,668.92	$2,246.76 $2,388.00 $2,537.62 $3,069.10	$923.29 $993.91 $1,068.72 $1,334.46	$1,323.47 $1,394.09 $1,468.90 $1,734.64	$1,723.65 $1,794.27 $1,869.08 $2,134.82	$477.60
Plan: (POS) Gym Access IND Platinum POS 4000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$575.42 $653.10 $735.39 $1,027.70 $1,561.69	$1,150.84 $1,306.20 $1,470.78 $2,055.40 $3,123.38	$1,591.04 $1,746.40 $1,910.98 $2,495.60	$2,031.24 $2,186.60 $2,351.18 $2,935.80	$2,471.44 $2,626.80 $2,791.38 $3,376.00	$1,015.62 $1,093.30 $1,175.59 $1,467.90	$1,455.82 $1,533.50 $1,615.79 $1,908.10	$1,896.02 $1,973.70 $2,055.99 $2,348.30	$525.36
Plan: (HMO) Gym Access IND Gold HMO 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$408.15 $463.25 $521.62 $728.96 $1,107.72	$816.30 $926.50 $1,043.24 $1,457.92 $2,215.44	$1,128.54 $1,238.74 $1,355.48 $1,770.16	$1,440.78 $1,550.98 $1,667.72 $2,082.40	$1,753.02 $1,863.22 $1,979.96 $2,394.64	$720.39 $775.49 $833.86 $1,041.20	$1,032.63 $1,087.73 $1,146.10 $1,353.44	$1,344.87 $1,399.97 $1,458.34 $1,665.68	$372.64
Plan: (POS) Gym Access IND Gold POS 5500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,500 : Family: $5,000 Out of Pocket Maximum per year: Individual: $5,500 : Family: $11,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$448.97 $509.58 $573.78 $801.85 $1,218.49	$897.94 $1,019.16 $1,147.56 $1,603.70 $2,436.98	$1,241.40 $1,362.62 $1,491.02 $1,947.16	$1,584.86 $1,706.08 $1,834.48 $2,290.62	$1,928.32 $2,049.54 $2,177.94 $2,634.08	$792.43 $853.04 $917.24 $1,145.31	$1,135.89 $1,196.50 $1,260.70 $1,488.77	$1,479.35 $1,539.96 $1,604.16 $1,832.23	$409.91
Plan: (HMO) Gym Access IND Gold HMO 4500 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $2,000 : Family: $4,000 Out of Pocket Maximum per year: Individual: $4,500 : Family: $9,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$409.66 $464.97 $523.55 $731.66 $1,111.83	$819.32 $929.94 $1,047.10 $1,463.32 $2,223.66	$1,132.71 $1,243.33 $1,360.49 $1,776.71	$1,446.10 $1,556.72 $1,673.88 $2,090.10	$1,759.49 $1,870.11 $1,987.27 $2,403.49	$723.05 $778.36 $836.94 $1,045.05	$1,036.44 $1,091.75 $1,150.33 $1,358.44	$1,349.83 $1,405.14 $1,463.72 $1,671.83	$374.02
Plan: (HMO) Gym Access IND Bronze HMO HSA 5000/6550 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: Individual: $6,550 : Family: $13,100 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$280.01 $317.81 $357.85 $500.09 $759.94	$560.02 $635.62 $715.70 $1,000.18 $1,519.88	$774.22 $849.82 $929.90 $1,214.38	$988.42 $1,064.02 $1,144.10 $1,428.58	$1,202.62 $1,278.22 $1,358.30 $1,642.78	$494.21 $532.01 $572.05 $714.29	$708.41 $746.21 $786.25 $928.49	$922.61 $960.41 $1,000.45 $1,142.69	$255.65
Plan: (HMO) Gym Access IND Bronze HMO HSA 6000/6000 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $6,000 : Family: $12,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$284.89 $323.35 $364.09 $508.81 $773.19	$569.78 $646.70 $728.18 $1,017.62 $1,546.38	$787.72 $864.64 $946.12 $1,235.56	$1,005.66 $1,082.58 $1,164.06 $1,453.50	$1,223.60 $1,300.52 $1,382.00 $1,671.44	$502.83 $541.29 $582.03 $726.75	$720.77 $759.23 $799.97 $944.69	$938.71 $977.17 $1,017.91 $1,162.63	$260.10
Plan: (HMO) Gym Access IND Bronze HMO BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,400 : Family: $12,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$298.79 $339.13 $381.85 $533.64 $810.92	$597.58 $678.26 $763.70 $1,067.28 $1,621.84	$826.15 $906.83 $992.27 $1,295.85	$1,054.72 $1,135.40 $1,220.84 $1,524.42	$1,283.29 $1,363.97 $1,449.41 $1,752.99	$527.36 $567.70 $610.42 $762.21	$755.93 $796.27 $838.99 $990.78	$984.50 $1,024.84 $1,067.56 $1,219.35	$272.80
Plan: (POS) Gym Access IND Bronze POS BC 3841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,400 : Family: $12,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$328.67 $373.04 $420.04 $587.01 $892.02	$657.34 $746.08 $840.08 $1,174.02 $1,784.04	$908.77 $997.51 $1,091.51 $1,425.45	$1,160.20 $1,248.94 $1,342.94 $1,676.88	$1,411.63 $1,500.37 $1,594.37 $1,928.31	$580.10 $624.47 $671.47 $838.44	$831.53 $875.90 $922.90 $1,089.87	$1,082.96 $1,127.33 $1,174.33 $1,341.30	$300.08
Plan: (HMO) Gym Access IND Silver HMO BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,600 : Family: $11,200 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$400.06 $454.07 $511.28 $714.52 $1,085.78	$800.12 $908.14 $1,022.56 $1,429.04 $2,171.56	$1,106.17 $1,214.19 $1,328.61 $1,735.09	$1,412.22 $1,520.24 $1,634.66 $2,041.14	$1,718.27 $1,826.29 $1,940.71 $2,347.19	$706.11 $760.12 $817.33 $1,020.57	$1,012.16 $1,066.17 $1,123.38 $1,326.62	$1,318.21 $1,372.22 $1,429.43 $1,632.67	$365.26
Plan: (POS) Gym Access IND Silver POS BC 0941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,600 : Family: $11,200 Out of Pocket Maximum per year: Individual: $7,150 : Family: $14,300 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$440.07 $499.48 $562.41 $785.97 $1,194.36	$880.14 $998.96 $1,124.82 $1,571.94 $2,388.72	$1,216.80 $1,335.62 $1,461.48 $1,908.60	$1,553.46 $1,672.28 $1,798.14 $2,245.26	$1,890.12 $2,008.94 $2,134.80 $2,581.92	$776.73 $836.14 $899.07 $1,122.63	$1,113.39 $1,172.80 $1,235.73 $1,459.29	$1,450.05 $1,509.46 $1,572.39 $1,795.95	$401.79
Plan: (HMO) IND Silver HMO BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$385.89 $437.98 $493.17 $689.20 $1,047.30	$771.78 $875.96 $986.34 $1,378.40 $2,094.60	$1,066.98 $1,171.16 $1,281.54 $1,673.60	$1,362.18 $1,466.36 $1,576.74 $1,968.80	$1,657.38 $1,761.56 $1,871.94 $2,264.00	$681.09 $733.18 $788.37 $984.40	$976.29 $1,028.38 $1,083.57 $1,279.60	$1,271.49 $1,323.58 $1,378.77 $1,574.80	$352.32
Plan: (POS) Gym Access IND Silver POS BC 7741 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,000 : Family: $12,000 Out of Pocket Maximum per year: Individual: $7,300 : Family: $14,600 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$425.33 $482.75 $543.57 $759.64 $1,154.34	$850.66 $965.50 $1,087.14 $1,519.28 $2,308.68	$1,176.04 $1,290.88 $1,412.52 $1,844.66	$1,501.42 $1,616.26 $1,737.90 $2,170.04	$1,826.80 $1,941.64 $2,063.28 $2,495.42	$750.71 $808.13 $868.95 $1,085.02	$1,076.09 $1,133.51 $1,194.33 $1,410.40	$1,401.47 $1,458.89 $1,519.71 $1,735.78	$388.32
Plan: (HMO) Gym Access IND Gold HMO BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$429.58 $487.57 $549.00 $767.22 $1,165.87	$859.16 $975.14 $1,098.00 $1,534.44 $2,331.74	$1,187.79 $1,303.77 $1,426.63 $1,863.07	$1,516.42 $1,632.40 $1,755.26 $2,191.70	$1,845.05 $1,961.03 $2,083.89 $2,520.33	$758.21 $816.20 $877.63 $1,095.85	$1,086.84 $1,144.83 $1,206.26 $1,424.48	$1,415.47 $1,473.46 $1,534.89 $1,753.11	$392.20
Plan: (POS) Gym Access IND Gold POS BC 5651 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $5,000 : Family: $10,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$472.53 $536.32 $603.89 $843.94 $1,282.45	$945.06 $1,072.64 $1,207.78 $1,687.88 $2,564.90	$1,306.55 $1,434.13 $1,569.27 $2,049.37	$1,668.04 $1,795.62 $1,930.76 $2,410.86	$2,029.53 $2,157.11 $2,292.25 $2,772.35	$834.02 $897.81 $965.38 $1,205.43	$1,195.51 $1,259.30 $1,326.87 $1,566.92	$1,557.00 $1,620.79 $1,688.36 $1,928.41	$431.42
Plan: (HMO) Gym Access IND Platinum HMO BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$513.09 $582.35 $655.72 $916.37 $1,392.52	$1,026.18 $1,164.70 $1,311.44 $1,832.74 $2,785.04	$1,418.69 $1,557.21 $1,703.95 $2,225.25	$1,811.20 $1,949.72 $2,096.46 $2,617.76	$2,203.71 $2,342.23 $2,488.97 $3,010.27	$905.60 $974.86 $1,048.23 $1,308.88	$1,298.11 $1,367.37 $1,440.74 $1,701.39	$1,690.62 $1,759.88 $1,833.25 $2,093.90	$468.45
Plan: (POS) Gym Access IND Platinum POS BC 5841 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $800 : Family: $1,600 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$564.40 $640.59 $721.30 $1,008.02 $1,531.78	$1,128.80 $1,281.18 $1,442.60 $2,016.04 $3,063.56	$1,560.56 $1,712.94 $1,874.36 $2,447.80	$1,992.32 $2,144.70 $2,306.12 $2,879.56	$2,424.08 $2,576.46 $2,737.88 $3,311.32	$996.16 $1,072.35 $1,153.06 $1,439.78	$1,427.92 $1,504.11 $1,584.82 $1,871.54	$1,859.68 $1,935.87 $2,016.58 $2,303.30	$515.30
Plan: (HMO) Gym Access IND Platinum HMO BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$534.34 $606.47 $682.88 $954.32 $1,450.19	$1,068.68 $1,212.94 $1,365.76 $1,908.64 $2,900.38	$1,477.45 $1,621.71 $1,774.53 $2,317.41	$1,886.22 $2,030.48 $2,183.30 $2,726.18	$2,294.99 $2,439.25 $2,592.07 $3,134.95	$943.11 $1,015.24 $1,091.65 $1,363.09	$1,351.88 $1,424.01 $1,500.42 $1,771.86	$1,760.65 $1,832.78 $1,909.19 $2,180.63	$487.85
Plan: (POS) Gym Access IND Platinum POS BC 1941 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $0 : Family: $0 Out of Pocket Maximum per year: Individual: $2,000 : Family: $4,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$587.77 $667.11 $751.16 $1,049.75 $1,595.20	$1,175.54 $1,334.22 $1,502.32 $2,099.50 $3,190.40	$1,625.18 $1,783.86 $1,951.96 $2,549.14	$2,074.82 $2,233.50 $2,401.60 $2,998.78	$2,524.46 $2,683.14 $2,851.24 $3,448.42	$1,037.41 $1,116.75 $1,200.80 $1,499.39	$1,487.05 $1,566.39 $1,650.44 $1,949.03	$1,936.69 $2,016.03 $2,100.08 $2,398.67	$536.63
Plan: (HMO) Gym Access IND Platinum HMO 91 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $250 : Family: $500 Out of Pocket Maximum per year: Individual: $2,500 : Family: $5,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$532.32 $604.18 $680.30 $950.72 $1,444.72	$1,064.64 $1,208.36 $1,360.60 $1,901.44 $2,889.44	$1,471.86 $1,615.58 $1,767.82 $2,308.66	$1,879.08 $2,022.80 $2,175.04 $2,715.88	$2,286.30 $2,430.02 $2,582.26 $3,123.10	$939.54 $1,011.40 $1,087.52 $1,357.94	$1,346.76 $1,418.62 $1,494.74 $1,765.16	$1,753.98 $1,825.84 $1,901.96 $2,172.38	$486.01
Plan: (HMO) Gym Acccess IND Platinum HMO 92 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $500 : Family: $1,000 Out of Pocket Maximum per year: Individual: $3,000 : Family: $6,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Platinum	21 30 40 50 60	$531.08 $602.78 $678.73 $948.52 $1,441.36	$1,062.16 $1,205.56 $1,357.46 $1,897.04 $2,882.72	$1,468.44 $1,611.84 $1,763.74 $2,303.32	$1,874.72 $2,018.12 $2,170.02 $2,709.60	$2,281.00 $2,424.40 $2,576.30 $3,115.88	$937.36 $1,009.06 $1,085.01 $1,354.80	$1,343.64 $1,415.34 $1,491.29 $1,761.08	$1,749.92 $1,821.62 $1,897.57 $2,167.36	$484.88
Plan: (HMO) Gym Access IND Bronze Standardized HMO Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $6,650 : Family: $13,300 Out of Pocket Maximum per year: Individual: $7,350 : Family: $14,700 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$284.35 $322.74 $363.40 $507.85 $771.73	$568.70 $645.48 $726.80 $1,015.70 $1,543.46	$786.23 $863.01 $944.33 $1,233.23	$1,003.76 $1,080.54 $1,161.86 $1,450.76	$1,221.29 $1,298.07 $1,379.39 $1,668.29	$501.88 $540.27 $580.93 $725.38	$719.41 $757.80 $798.46 $942.91	$936.94 $975.33 $1,015.99 $1,160.44	$259.61
Plan: (HMO) Gym Access IND Silver Standardized HMO 1 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $3,500 : Family: $7,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Silver	21 30 40 50 60	$418.90 $475.45 $535.36 $748.16 $1,136.90	$837.80 $950.90 $1,070.72 $1,496.32 $2,273.80	$1,158.26 $1,271.36 $1,391.18 $1,816.78	$1,478.72 $1,591.82 $1,711.64 $2,137.24	$1,799.18 $1,912.28 $2,032.10 $2,457.70	$739.36 $795.91 $855.82 $1,068.62	$1,059.82 $1,116.37 $1,176.28 $1,389.08	$1,380.28 $1,436.83 $1,496.74 $1,709.54	$382.46
Plan: (HMO) Gym Access IND Bronze HMO 1340 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $7,900 : Family: $15,800 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Bronze	21 30 40 50 60	$259.02 $293.99 $331.03 $462.61 $702.98	$518.04 $587.98 $662.06 $925.22 $1,405.96	$716.19 $786.13 $860.21 $1,123.37	$914.34 $984.28 $1,058.36 $1,321.52	$1,112.49 $1,182.43 $1,256.51 $1,519.67	$457.17 $492.14 $529.18 $660.76	$655.32 $690.29 $727.33 $858.91	$853.47 $888.44 $925.48 $1,057.06	$236.49
Plan: (HMO) Gym Access IND Bronze HMO 1041 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $4,500 : Family: $9,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$291.38 $330.72 $372.38 $520.41 $790.81	$582.76 $661.44 $744.76 $1,040.82 $1,581.62	$805.67 $884.35 $967.67 $1,263.73	$1,028.58 $1,107.26 $1,190.58 $1,486.64	$1,251.49 $1,330.17 $1,413.49 $1,709.55	$514.29 $553.63 $595.29 $743.32	$737.20 $776.54 $818.20 $966.23	$960.11 $999.45 $1,041.11 $1,189.14	$266.03
Plan: (POS) Gym Access IND Bronze POS 1042 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $5,000 : Family: $10,000 Out of Pocket Maximum per year: Individual: $7,900 : Family: $15,800 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Expanded Bronze	21 30 40 50 60	$320.52 $363.79 $409.62 $572.45 $869.89	$641.04 $727.58 $819.24 $1,144.90 $1,739.78	$886.24 $972.78 $1,064.44 $1,390.10	$1,131.44 $1,217.98 $1,309.64 $1,635.30	$1,376.64 $1,463.18 $1,554.84 $1,880.50	$565.72 $608.99 $654.82 $817.65	$810.92 $854.19 $900.02 $1,062.85	$1,056.12 $1,099.39 $1,145.22 $1,308.05	$292.63
Plan: (HMO) Gym Access IND Gold HMO H.S.A 9010 Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-800-232-0578 - Provider Directory for This Plan: (Florida Health Care Plan, Inc.) Deductible: Individual: $1,500 : Family: $3,000 Out of Pocket Maximum per year: Individual: $4,000 : Family: $8,000 Monthly Premiums:
Metal level	Age	Individual	Couple	Couple w 1 Kid	Couple w 2 Kids	Couple w3+Kids	Single w 1 Kid	Single w 2 Kids	Single w3+Kids	Child any age
Gold	21 30 40 50 60	$396.36 $449.87 $506.54 $707.89 $1,075.71	$792.72 $899.74 $1,013.08 $1,415.78 $2,151.42	$1,095.93 $1,202.95 $1,316.29 $1,718.99	$1,399.14 $1,506.16 $1,619.50 $2,022.20	$1,702.35 $1,809.37 $1,922.71 $2,325.41	$699.57 $753.08 $809.75 $1,011.10	$1,002.78 $1,056.29 $1,112.96 $1,314.31	$1,305.99 $1,359.50 $1,416.17 $1,617.52	$361.87

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Seminole County here.

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Obamacare 2019 Marketplace Rates For Seminole County, Florida

2019 Rates and Providers

Obamacare Providers, Plans and 2019 Rates for Seminole County

Blue Cross and Blue Shield of Florida

Plan: (EPO) BlueOptions Silver 1423

Plan: (EPO) BlueOptions Bronze 1419

Plan: (EPO) BlueOptions Silver 1431

Plan: (EPO) BlueOptions Platinum 1418

Plan: (EPO) BlueOptions Bronze 1416

Plan: (EPO) BlueOptions Platinum 1424

Plan: (EPO) BlueOptions Silver 1410

Plan: (EPO) BlueOptions Gold 1505

Plan: (EPO) BlueOptions Bronze (HSA) 1705

Plan: (EPO) BlueOptions Silver 1706S

Plan: (EPO) BlueOptions Bronze 1707S

Plan: (EPO) BlueOptions Gold 1805

Plan: (EPO) BlueSelect Silver 1456

Plan: (EPO) BlueSelect Bronze 1452

Plan: (EPO) BlueSelect Silver 1464

Plan: (EPO) BlueSelect Platinum 1451

Plan: (EPO) BlueSelect Bronze 1449

Plan: (EPO) BlueSelect Platinum 1457

Plan: (EPO) BlueSelect Silver 1443

Plan: (EPO) BlueSelect Gold 1535

Plan: (EPO) BlueSelect Bronze (HSA) 1735

Plan: (EPO) BlueSelect Silver 1736S

Plan: (EPO) BlueSelect Bronze 1737S

Plan: (EPO) BlueSelect Gold 1835

Celtic Insurance Company

Plan: (EPO) Ambetter Secure Care 3 (2019) with 3 Free PCP Visits

Plan: (EPO) Ambetter Balanced Care 1 (2019)

Plan: (EPO) Ambetter Balanced Care 2 (2019)

Plan: (EPO) Ambetter Essential Care 1 (2019)

Plan: (EPO) Ambetter Balanced Care 3 (2019)

Plan: (EPO) Ambetter Balanced Care 4 (2019)

Plan: (EPO) Ambetter Balanced Care 11 (2019)

Plan: (EPO) Ambetter Balanced Care 5 (2019)

Plan: (EPO) Ambetter Balanced Care 1 (2019) + Vision

Plan: (EPO) Ambetter Balanced Care 2 (2019) + Vision

Plan: (EPO) Ambetter Balanced Care 3 (2019) + Vision

Plan: (EPO) Ambetter Balanced Care 1 (2019) + Vision + Adult Dental

Plan: (EPO) Ambetter Balanced Care 2 (2019) + Vision + Adult Dental

Plan: (EPO) Ambetter Balanced Care 3 (2019) + Vision + Adult Dental

Health Options, Inc.

Plan: (HMO) myBlue Bronze 1601

Plan: (HMO) myBlue Bronze 1602

Plan: (HMO) myBlue Silver 1603

Plan: (HMO) myBlue Silver 1604

Plan: (HMO) myBlue Gold 1605

Plan: (HMO) myBlue Silver 1710

Plan: (HMO) myBlue Bronze 1711S

Plan: (HMO) myBlue Silver 1712S

Health First Commercial Plans, Inc.

Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 1657

Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 100 HSA 1660

Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 70 HSA 1663

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1668

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 100 1676

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 90 1684

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 1696

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1712

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 70 1724

Plan: (HMO) Florida Hospital GYM ACCESS Silver HMO 80 HSA 1732

Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 100 1738

Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 80 1741

Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 70 1743

Plan: (HMO) Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745

Plan: (HMO) Florida Hospital GYM ACCESS Catastrophic HMO 1748

Plan: (HMO) Florida Hospital GYM ACCESS Bronze HMO 50 1797

Plan: (HMO) Florida Hospital Bronze HMO 60 1752

Plan: (HMO) Florida Hospital Silver HMO 80 1762

Plan: (HMO) Florida Hospital Gold HMO 80 1772

Plan: (HMO) Florida Hospital Bronze HMO 100 1776

Plan: (HMO) Florida Hospital Silver HMO 80 1786

Plan: (HMO) Florida Hospital Bronze HMO 100 HSA 1795

Plan: (HMO) Florida Hospital Silver HMO 65 1810

Oscar Insurance Company of Florida

Plan: (EPO) Oscar Classic Bronze