GoldHMO

myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards)

Florida Blue HMO (a BlueCross BlueShield FL company)

Starting at

$1112

/month before subsidy

Key facts

myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) is a 2027 Gold HMO health insurance plan from Florida Blue HMO (a BlueCross BlueShield FL company), sold on the ACA Marketplace in Florida under plan ID 30252FL0210047. The monthly premium starts at $1,112 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,500 ($5,000 for a family), and the individual out-of-pocket maximum is $8,600 ($17,200 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.

Plan ID
30252FL0210047
Plan year
2027
State
Florida
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$2,500

Family: $5,000

Out-of-Pocket Max

$8,600

Family: $17,200

Coinsurance

25%

You pay after deductible

Network Type

HMO

FLN002

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$30.00
Specialist Visit$60.00
Urgent Care$45.00
Emergency Room25.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$15.00
Brand Name Drugs$60.00
Specialty Drugs$250.00
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
3.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$4,430

your estimated cost

Deductible
$2,500
Copays
$70
Coinsurance
$1,800

Managing type 2 diabetes

A year of routine care

$1,500

your estimated cost

Deductible
$100
Copays
$1,400
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,200

your estimated cost

Deductible
$2,000
Copays
$200
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Florida Blue HMO (a BlueCross BlueShield FL company). These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,829/month

Annual Premium

$13,344

OOP Maximum

$8,600

💡 What this means:

With a $2,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,600 total. Then insurance covers everything else for the year.

More plans from Florida Blue HMO (a BlueCross BlueShield FL company) in Florida

View all Marketplace plans in Florida

Frequently asked questions about myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards)

How much does myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) cost per month?

myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) from Florida Blue HMO (a BlueCross BlueShield FL company) starts at $1,112 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 myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards)?

The individual medical deductible is $2,500, and the family deductible is $5,000. 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 myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards)?

The most you would pay in a year for covered in-network care is $8,600 for an individual and $17,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) HSA-eligible?

No. myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) use?

myBlue Essentials Gold 27M07-97S ($30 PCP Visits / $60 Specialist Visits / Rewards) 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

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.