GoldHMO

Molina Gold Enhanced 895 Plus with Adult Vision

Molina Healthcare

Starting at

$708

/month before subsidy

Key facts

Molina Gold Enhanced 895 Plus with Adult Vision is a 2026 Gold HMO health insurance plan from Molina Healthcare, sold on the ACA Marketplace in Florida under plan ID 54172FL0040004. The monthly premium starts at $708 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $895 ($1,790 for a family), and the individual out-of-pocket maximum is $8,700 ($17,400 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
54172FL0040004
Plan year
2026
State
Florida
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$895

Family: $1,790

Out-of-Pocket Max

$8,700

Family: $17,400

Coinsurance

30%

You pay after deductible

Network Type

HMO

FLN001

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

Medical Services

Primary Care Visit$25.00
Specialist Visit$55.00
Urgent Care$40.00
Emergency Room30.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$10.00
Brand Name Drugs40.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
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

$4,595

your estimated cost

Deductible
$895
Copays
$500
Coinsurance
$3,200

Managing type 2 diabetes

A year of routine care

$2,495

your estimated cost

Deductible
$895
Copays
$1,400
Coinsurance
$200

A simple fracture

ER visit + follow-up

$1,495

your estimated cost

Deductible
$895
Copays
$400
Coinsurance
$200
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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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

$1,433/month

Annual Premium

$8,496

OOP Maximum

$8,700

💡 What this means:

With a $895 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $8,700 total. Then insurance covers everything else for the year.

More plans from Molina Healthcare in Florida

View all Marketplace plans in Florida

Frequently asked questions about Molina Gold Enhanced 895 Plus with Adult Vision

How much does Molina Gold Enhanced 895 Plus with Adult Vision cost per month?

Molina Gold Enhanced 895 Plus with Adult Vision from Molina Healthcare starts at $708 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 Molina Gold Enhanced 895 Plus with Adult Vision?

The individual medical deductible is $895, and the family deductible is $1,790. 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 Molina Gold Enhanced 895 Plus with Adult Vision?

The most you would pay in a year for covered in-network care is $8,700 for an individual and $17,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Molina Gold Enhanced 895 Plus with Adult Vision HSA-eligible?

No. Molina Gold Enhanced 895 Plus with Adult Vision 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 Molina Gold Enhanced 895 Plus with Adult Vision use?

Molina Gold Enhanced 895 Plus with Adult Vision 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.