SilverHMO

Gym Access IND Silver HMO OA 1009

Florida Health Care Plans

Starting at

$645

/month before subsidy

Key facts

Gym Access IND Silver HMO OA 1009 is a 2026 Silver HMO health insurance plan from Florida Health Care Plans, sold on the ACA Marketplace in Florida under plan ID 56503FL2940001. The monthly premium starts at $645 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $9,000 ($18,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.

Plan ID
56503FL2940001
Plan year
2026
State
Florida
Metal level
Silver
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$9,000

Family: $18,000

Coinsurance

50%

You pay after deductible

Network Type

HMO

FLN001

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

Medical Services

Primary Care VisitNo Charge
Specialist Visit$70.00
Urgent Care$75.00
Emergency Room50.00%

Prescription Drugs

Generic Drugs$35.00
Brand Name Drugs50.00% 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.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

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

$4,560

your estimated cost

Deductible
$0
Copays
$4,500
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$3,620

your estimated cost

Deductible
$0
Copays
$3,600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,800

your estimated cost

Deductible
$0
Copays
$1,300
Coinsurance
$500
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 Silver HMO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

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

$1,395/month

Annual Premium

$7,740

OOP Maximum

$9,000

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $9,000 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 Silver HMO OA 1009

How much does Gym Access IND Silver HMO OA 1009 cost per month?

Gym Access IND Silver HMO OA 1009 from Florida Health Care Plans starts at $645 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 Silver HMO OA 1009?

The individual medical deductible is $0. 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 Silver HMO OA 1009?

The most you would pay in a year for covered in-network care is $9,000 for an individual and $18,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Gym Access IND Silver HMO OA 1009 HSA-eligible?

No. Gym Access IND Silver HMO OA 1009 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 Silver HMO OA 1009 use?

Gym Access IND Silver HMO OA 1009 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.