GoldPOS

Gym Access IND Gold POS 55001

Florida Health Care Plans

Starting at

$794

/month before subsidy

Key facts

Gym Access IND Gold POS 55001 is a 2026 Gold POS health insurance plan from Florida Health Care Plans, sold on the ACA Marketplace in Florida under plan ID 56503FL2010001. The monthly premium starts at $794 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,800 ($5,600 for a family), and the individual out-of-pocket maximum is $8,100 ($16,200 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
56503FL2010001
Plan year
2026
State
Florida
Metal level
Gold
Plan type
POS
HSA-eligible
No

Individual Deductible

$2,800

Family: $5,600

Out-of-Pocket Max

$8,100

Family: $16,200

Coinsurance

20%

You pay after deductible

Network Type

POS

FLN001

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

Medical Services

Primary Care VisitNo Charge
Specialist Visit$35.00
Urgent Care$75.00
Emergency Room$200.00

Prescription Drugs

Generic Drugs$10.00
Brand Name Drugs$55.00
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

$4,360

your estimated cost

Deductible
$2,800
Copays
$400
Coinsurance
$1,100

Managing type 2 diabetes

A year of routine care

$1,120

your estimated cost

Deductible
$0
Copays
$1,100
Coinsurance
$0

A simple fracture

ER visit + follow-up

$890

your estimated cost

Deductible
$40
Copays
$800
Coinsurance
$50
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 Health Care Plans. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold POS 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

$1,469/month

Annual Premium

$9,528

OOP Maximum

$8,100

💡 What this means:

With a $2,800 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $8,100 total. Then insurance covers everything else for the year.

More plans from Florida Health Care Plans in Florida

View all Marketplace plans in Florida

Frequently asked questions about Gym Access IND Gold POS 55001

How much does Gym Access IND Gold POS 55001 cost per month?

Gym Access IND Gold POS 55001 from Florida Health Care Plans starts at $794 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 Gym Access IND Gold POS 55001?

The individual medical deductible is $2,800, and the family deductible is $5,600. 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 Gym Access IND Gold POS 55001?

The most you would pay in a year for covered in-network care is $8,100 for an individual and $16,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Gym Access IND Gold POS 55001 HSA-eligible?

No. Gym Access IND Gold POS 55001 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 Gym Access IND Gold POS 55001 use?

Gym Access IND Gold POS 55001 is a POS plan. POS plans blend HMO and PPO features: you pick a primary care provider and can go out of network at a higher cost.

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.