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BronzeHMOHSA Eligible

Capital Health Plan HMO Bronze 1100

Capital Health Plan

Starting at

$458

/month before subsidy

Key facts

Capital Health Plan HMO Bronze 1100 is a 2026 Bronze HMO health insurance plan from Capital Health Plan, sold on the ACA Marketplace in Florida under plan ID 66966FL0050009. The monthly premium starts at $458 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,000 ($16,000 for a family), and the individual out-of-pocket maximum is $10,150 ($20,300 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
66966FL0050009
Plan year
2026
State
Florida
Metal level
Bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$8,000

Family: $16,000

Out-of-Pocket Max

$10,150

Family: $20,300

Coinsurance

50%

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$60.00
Specialist Visit$150.00 Copay with deductible
Urgent Care$100.00
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$35.00
Brand Name Drugs$150.00 Copay after deductible
Specialty Drugs$600.00 Copay 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.
5.0overall
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

$10,260

your estimated cost

Deductible
$8,000
Copays
$0
Coinsurance
$2,200

Managing type 2 diabetes

A year of routine care

$1,420

your estimated cost

Deductible
$400
Copays
$1,000
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,510

your estimated cost

Deductible
$2,500
Copays
$10
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 Capital Health Plan. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Bronze HMO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $8,000 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

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

$1,304/month

Annual Premium

$5,496

OOP Maximum

$10,150

💡 What this means:

With a $8,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from Capital Health Plan in Florida

View all Marketplace plans in Florida

Frequently asked questions about Capital Health Plan HMO Bronze 1100

How much does Capital Health Plan HMO Bronze 1100 cost per month?

Capital Health Plan HMO Bronze 1100 from Capital Health Plan starts at $458 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 Bronze 1100?

The individual medical deductible is $8,000, and the family deductible is $16,000. 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 Capital Health Plan HMO Bronze 1100?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 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 Bronze 1100 HSA-eligible?

Yes. Capital Health Plan HMO Bronze 1100 is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Capital Health Plan HMO Bronze 1100 use?

Capital Health Plan HMO Bronze 1100 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

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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.