Capital Health Plan HMO Silver 2100
Starting at
$662
/month before subsidy
Capital Health Plan HMO Silver 2100 is a 2026 Silver HMO health insurance plan from Capital Health Plan, sold on the ACA Marketplace in Florida under plan ID 66966FL0050002. The monthly premium starts at $662 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,800 ($11,600 for a family), and the individual out-of-pocket maximum is $8,500 ($17,000 for a family). After the deductible, coinsurance is 35% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 66966FL0050002
- Plan year
- 2026
- State
- Florida
- Metal level
- Silver
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$5,800
Family: $11,600
Out-of-Pocket Max
$8,500
Family: $17,000
Coinsurance
35%
You pay after deductible
Network Type
HMO
FLN002
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$7,860
your estimated cost
- Deductible
- $5,800
- Copays
- $200
- Coinsurance
- $1,800
Managing type 2 diabetes
A year of routine care
$1,820
your estimated cost
- Deductible
- $800
- Copays
- $1,000
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,300
your estimated cost
- Deductible
- $1,400
- Copays
- $900
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
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.
If you max out this year
$1,370/month
Annual Premium
$7,944
OOP Maximum
$8,500
💡 What this means:
With a $5,800 deductible, you pay 100% of costs until you've spent that much. After that, you pay 35% (coinsurance) until you hit $8,500 total. Then insurance covers everything else for the year.
More plans from Capital Health Plan in Florida
- Capital Health Plan HMO Bronze 1100from $458/mo
- Capital Health Plan HMO Bronze 1000from $478/mo
- Capital Health Plan HMO Silver 2300from $633/mo
- Capital Health Plan HMO Silver 2400from $599/mo
- Capital Health Plan HMO Gold 3000from $676/mo
- Capital Health Plan HMO Gold 3100from $618/mo
- Capital Health Plan HMO Platinum 4000from $900/mo
Frequently asked questions about Capital Health Plan HMO Silver 2100
How much does Capital Health Plan HMO Silver 2100 cost per month?
Capital Health Plan HMO Silver 2100 from Capital Health Plan starts at $662 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 Capital Health Plan HMO Silver 2100?
The individual medical deductible is $5,800, and the family deductible is $11,600. 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 Capital Health Plan HMO Silver 2100?
The most you would pay in a year for covered in-network care is $8,500 for an individual and $17,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Capital Health Plan HMO Silver 2100 HSA-eligible?
No. Capital Health Plan HMO Silver 2100 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 Capital Health Plan HMO Silver 2100 use?
Capital Health Plan HMO Silver 2100 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.