Bronze Simple Diabetes
Starting at
$530
/month before subsidy
Bronze Simple Diabetes is a 2026 Expanded_bronze HMO health insurance plan from Oscar Health Maintenance Organization of Florida, sold on the ACA Marketplace in Florida under plan ID 21525FL0010008. The monthly premium starts at $530 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,500 ($11,000 for a family), and the individual out-of-pocket maximum is $10,150 ($20,300 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.
- Plan ID
- 21525FL0010008
- Plan year
- 2026
- State
- Florida
- Metal level
- Expanded_bronze
- Plan type
- HMO
- HSA-eligible
- Yes
Individual Deductible
$5,500
Family: $11,000
Out-of-Pocket Max
$10,150
Family: $20,300
Coinsurance
50%
You pay after deductible
Network Type
HMO
FLN003
Medical Services
Prescription Drugs
Having a baby
Normal delivery
$8,000
your estimated cost
- Deductible
- $5,500
- Copays
- $300
- Coinsurance
- $2,200
Managing type 2 diabetes
A year of routine care
$4,800
your estimated cost
- Deductible
- $4,200
- Copays
- $600
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,800
your estimated cost
- Deductible
- $2,600
- Copays
- $200
- Coinsurance
- $0
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Review the plan details above to determine if this plan fits your healthcare needs and budget.
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,376/month
Annual Premium
$6,360
OOP Maximum
$10,150
💡 What this means:
With a $5,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.
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Frequently asked questions about Bronze Simple Diabetes
How much does Bronze Simple Diabetes cost per month?
Bronze Simple Diabetes from Oscar Health Maintenance Organization of Florida starts at $530 per month before any subsidy in Florida. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Bronze Simple Diabetes?
The individual medical deductible is $5,500, and the family deductible is $11,000. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Bronze Simple Diabetes?
The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Bronze Simple Diabetes HSA-eligible?
Yes. Bronze Simple Diabetes is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.
What type of network does Bronze Simple Diabetes use?
Bronze Simple Diabetes is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.