Florida health plan · 2025

AvMed Entrust Gold 125 Dental+Vision (2025) · 19898FL0350021

AvMed, Inc. offers this marketplace health insurance plan (Plan ID 19898FL0350021) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Gold Plan type: HMO CSR: Standard Gold Off Exchange Plan Issuer: AvMed, Inc.
Telehealth Data pending HSA eligible No Dental Adult/Child Vision Adult/Child
Pay / Manage Plan View issuer site

Issuer actuarial value: 80.01%. Expect to pay roughly 19.99% of covered costs out of pocket, based on issuer reporting.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$382 – $1692

Before subsidies

Estimate after subsidies

Deductible

$2,000

$4000 per group

See deductible details

Max out-of-pocket

$4,700

$9400 per group

Review MOOP rules

Office visits

Primary care $35.00
Specialist $70.00
HSA Not eligible

Drug tiers

Generic $30.00
Preferred brand $60.00

View formulary tiers

$533 / mo before subsidies

≈ $6401 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1709 / mo before subsidies

≈ $20508 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$2108 / mo before subsidies

≈ $25300 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$1278 / mo before subsidies

≈ $15332 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

$500.00 Copay after deductible

Durable Medical Equipment

$100.00 Copay after deductible

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Enrollment guidance

Stay on top of 2025 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Florida). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Standard Gold Off Exchange Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

$500.00 Copay after deductible

Durable Medical Equipment

$100.00 Copay after deductible

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 19898FL0350021
Coverage year 2025
State Florida
Issuer AvMed, Inc.
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 19898FL0350021-00
Available variants

Standard Off Exchange Plan · 19898FL0350021-00

Standard On Exchange Plan · 19898FL0350021-01

Open to Indians below 300% FPL · 19898FL0350021-02

Open to Indians above 300% FPL · 19898FL0350021-03
Last plan update Tue, 15 Oct 2024 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Florida 2677
PCPs in Florida 591
Telehealth support Data pending
Nationwide providers 2782
2,677 doctors statewide 591 PCPs 37 OB/GYN

Provider network(s)

Providers Florida All US states
All 2677 2782
PCP 591 615
Allergy 1 1
OB/GYN 37 38
Dentists 3 3

Drug coverage overview

4,359 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
GENERIC 1,566
NON-PREFERRED-BRAND 1,314
SPECIALTY-DRUGS 1,176
PREFERRED-GENERIC 185
ZERO-COST-SHARE-PREVENTIVE-DRUGS 118
Prior authorization Drugs
Required 1,463
Not Required 2,896
Step therapy Drugs
Required 89
Not Required 4,270
Quantity limits Drugs
Has Limit 1,537
No Limit 2,822

Customer highlights

What stands out for members

  • Issuer: AvMed, Inc. · Plan ID 19898FL0350021 · 2025 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 19898FL0350021-00 (Standard Off Exchange Plan) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Benefit Period

Combined limit for all outpatient therapy plus chiropractic.

Exclusions: nan

Diabetes Care Management

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

nan

Exclusions: In order for services to be covered, diabetes care management must be provided under the direct supervision of a certified diabetes educator or board certified physician specializing in endocrinology.

Diabetes Education

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

nan

Exclusions: nan

Home Health Care Services

$70.00 Copay after deductible
Tier 1 in-network $70.00 Copay after deductible
Out-of-network 100.00%

Limit: 20.0 Visit(s) per Benefit Period

nan

Exclusions: nan

Laboratory Outpatient and Professional Services

$10.00
Tier 1 in-network $10.00
Out-of-network 100.00%

nan

Exclusions: nan

Other Practitioner Office Visit (Nurse, Physician Assistant)

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

nan

Exclusions: nan

Preventive Care/Screening/Immunization

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Preventive colonoscopy (age 50+) 1 every 10 years. High risk colonoscopy - 1 every 2 years.

Exclusions: nan

Primary Care Visit to Treat an Injury or Illness

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

nan

Exclusions: nan

Rehabilitative Occupational and Rehabilitative Physical Therapy

$70.00
Tier 1 in-network $70.00
Tier 2 in-network $70.00 Copay after deductible
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Benefit Period

Combined limit for all outpatient therapy plus chiropractic.

Exclusions: nan

Rehabilitative Speech Therapy

$70.00
Tier 1 in-network $70.00
Tier 2 in-network $70.00 Copay after deductible
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Benefit Period

Combined limit for all outpatient therapy plus chiropractic.

Exclusions: nan

Specialist Visit

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

nan

Exclusions: nan

Urgent Care Centers or Facilities

$125.00
Tier 1 in-network $125.00
Tier 2 in-network $250.00
Out-of-network $250.00

nan

Exclusions: nan

X-rays and Diagnostic Imaging

$75.00
Tier 1 in-network $75.00
Tier 2 in-network $150.00
Out-of-network 100.00%

nan

Exclusions: nan

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Bone Marrow Transplant

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Chemotherapy

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Delivery and All Inpatient Services for Maternity Care

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Dialysis

$650.00 Copay after deductible
Tier 1 in-network $650.00 Copay after deductible
Tier 2 in-network $650.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Durable Medical Equipment

$100.00 Copay after deductible
Tier 1 in-network $100.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Emergency Room Services

$500.00 Copay after deductible
Tier 1 in-network $500.00 Copay after deductible
Out-of-network $500.00 Copay after deductible

nan

Exclusions: nan

Emergency Transportation/Ambulance

$200.00
Tier 1 in-network $200.00
Out-of-network $200.00

nan

Exclusions: nan

Hospice Services

No Charge after deductible
Tier 1 in-network No Charge after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Inpatient Hospital Services (e.g., Hospital Stay)

$850.00 Copay per Stay after deductible
Tier 1 in-network $850.00 Copay per Stay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Inpatient Physician and Surgical Services

No Charge after deductible
Tier 1 in-network No Charge after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Mental/Behavioral Health Inpatient Services

$850.00 Copay per Stay after deductible
Tier 1 in-network $850.00 Copay per Stay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Mental/Behavioral Health Outpatient Services

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

The cost sharing applies to outpatient office visits only. All other outpatient services [e.g., Detox, Neuropsychology, Psychological Testing] may be subject to additional cost sharing.

Exclusions: nan

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

$650.00 Copay after deductible
Tier 1 in-network $650.00 Copay after deductible
Tier 2 in-network $650.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Outpatient Rehabilitation Services

$70.00
Tier 1 in-network $70.00
Tier 2 in-network $70.00 Copay after deductible
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Benefit Period

Combined limit for all outpatient therapy plus chiropractic.

Exclusions: nan

Outpatient Surgery Physician/Surgical Services

No Charge after deductible
Tier 1 in-network No Charge after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Radiation

$650.00 Copay after deductible
Tier 1 in-network $650.00 Copay after deductible
Tier 2 in-network $650.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Skilled Nursing Facility

$250.00 Copay per Day after deductible
Tier 1 in-network $250.00 Copay per Day after deductible
Out-of-network 100.00%

Limit: 60.0 Days per Benefit Period

nan

Exclusions: nan

Substance Abuse Disorder Inpatient Services

$850.00 Copay per Stay after deductible
Tier 1 in-network $850.00 Copay per Stay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Substance Abuse Disorder Outpatient Services

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

nan

Exclusions: nan

Transplant

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Bundled with medical through separate dental provider

Exclusions: nan

Hearing Aids

Coverage details pending

nan

Exclusions: nan

Major Dental Care - Child

$400.00
Tier 1 in-network $400.00
Out-of-network 100.00%

Bundled with medical through separate dental provider

Exclusions: nan

Prenatal and Postnatal Care

$35.00
Tier 1 in-network $35.00
Out-of-network 100.00%

nan

Exclusions: nan

Routine Eye Exam for Children

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Exam(s) per Benefit Period

nan

Exclusions: nan

Well Baby Visits and Care

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

nan

Exclusions: nan

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$30.00
Tier 1 in-network $30.00
Out-of-network 100.00%

nan

Exclusions: nan

Non-Preferred Brand Drugs

$120.00
Tier 1 in-network $120.00
Out-of-network 100.00%

nan

Exclusions: nan

Preferred Brand Drugs

$60.00
Tier 1 in-network $60.00
Out-of-network 100.00%

nan

Exclusions: nan

Specialty Drugs

50.00% Coinsurance after deductible
Tier 1 in-network 50.00% Coinsurance after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Basic Dental Care - Adult

$15.00
Tier 1 in-network $15.00
Out-of-network 100.00%

Bundled with medical through separate dental provider

Exclusions: nan

Dental Anesthesia

No Charge after deductible
Tier 1 in-network No Charge after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Dental Check-Up for Children

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Exam(s) per 6 Months

Bundled with medical through separate dental provider

Exclusions: nan

Infusion Therapy

$70.00
Tier 1 in-network $70.00
Tier 2 in-network 50.00% Coinsurance after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Major Dental Care - Adult

Coverage details pending

nan

Exclusions: nan

Nutritional Counseling

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

Limit: 3.0 Visit(s) per Benefit Period

Diabetes coverage includes 'nutrition counseling'; home health services include 'nutritional guidance.'

Exclusions: nan

Nutrition/Formulas

$100.00 Copay after deductible
Tier 1 in-network $100.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Orthodontia - Adult

Coverage details pending

nan

Exclusions: nan

Orthodontia - Child

$400.00
Tier 1 in-network $400.00
Out-of-network 100.00%

Bundled with medical through separate dental provider

Exclusions: nan

Prosthetic Devices

$100.00 Copay after deductible
Tier 1 in-network $100.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Routine Dental Services (Adult)

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Exam(s) per 6 Months

Bundled with medical through separate dental provider

Exclusions: nan

Weight Loss Programs

Coverage details pending

nan

Exclusions: nan

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

nan

Exclusions: nan

Acupuncture

Coverage details pending

nan

Exclusions: nan

Allergy Testing

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

nan

Exclusions: nan

Bariatric Surgery

Coverage details pending

nan

Exclusions: nan

Congenital Anomaly, including Cleft Lip/Palate

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

nan

Exclusions: nan

Cosmetic Surgery

Coverage details pending

nan

Exclusions: nan

Eye Glasses for Children

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Item(s) per Benefit Period

nan

Exclusions: nan

Gender Affirming Care

Coverage details pending

nan

Exclusions: nan

Habilitation Services

$70.00
Tier 1 in-network $70.00
Tier 2 in-network $70.00 Copay after deductible
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Benefit Period

Supplementing with the federal definition of habilitative services: Health care services that help a person keep, learn, or improve skills and functioning for daily living. Examples include therapy for a child who is not walking or talking at the expected age. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient and/or outpatient settings.

Exclusions: nan

Imaging (CT/PET Scans, MRIs)

$250.00
Tier 1 in-network $250.00
Tier 2 in-network $500.00
Out-of-network 100.00%

nan

Exclusions: nan

Infertility Treatment

Coverage details pending

nan

Exclusions: nan

Long-Term/Custodial Nursing Home Care

Coverage details pending

nan

Exclusions: nan

Osteoporosis

$250.00
Tier 1 in-network $250.00
Tier 2 in-network $500.00
Out-of-network 100.00%

nan

Exclusions: nan

Private-Duty Nursing

Coverage details pending

nan

Exclusions: nan

Reconstructive Surgery

$850.00 Copay after deductible
Tier 1 in-network $850.00 Copay after deductible
Out-of-network 100.00%

Only for Breast reconstruction following a Mastectomy.

Exclusions: nan

Routine Eye Exam (Adult)

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Exam(s) per Benefit Period

nan

Exclusions: nan

Routine Foot Care

Coverage details pending

nan

Exclusions: nan

Treatment for Temporomandibular Joint Disorders

$70.00
Tier 1 in-network $70.00
Out-of-network 100.00%

nan

Exclusions: nan

Variant attributes

AvMed Entrust Gold 125 Dental+Vision (2025) · Variant 19898FL0350021-00

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

Standard Gold Off Exchange Plan

HIOS Product ID

19898FL035

Metal Level

Gold

Plan ID (Standard Component ID with Variant)

19898FL0350021-00

Plan Marketing Name

AvMed Entrust Gold 125 Dental+Vision (2025)

Plan Variant Marketing Name

AvMed Entrust Gold 125 Dental+Vision (2025)

Issuer & service area

Issuer-provided metadata for this variant.

Issuer Actuarial Value

80.01%

Issuer ID

19898

Issuer Marketplace Marketing Name

AvMed

Market Coverage

Individual

Multiple In Network Tiers

Yes

National Network

No

Network ID

FLN001

Out of Country Coverage

Yes

Out of Country Coverage Description

Emergency Only

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Emergency Only

Service Area ID

FLS003

State Code

FL

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$1,100

SBC Scenario, Having a Baby, Deductible

$2,000

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$1,800

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$800

SBC Scenario, Treatment of a Simple Fracture, Deductible

$1,000

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

50.00%

Combined Medical and Drug EHB Deductible, In Network (Tier 2), Default Coinsurance

50.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$9400 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$4700 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$4,700

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Group

$9400 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Person

$4700 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Individual

$4,700

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

FLF001

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$20

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

EHB Percent of Total Premium

0.99049574209246

First Tier Utilization

40%

Import Date

2024-10-15 01:01:19

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

No

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

Yes

Plan Effective Date

2025-01-01

Plan Expiration Date

2025-12-31

Plan Type

HMO

QHP/Non QHP

Both

Second Tier Utilization

60%

Source Name

HIOS

Specialist Requiring a Referral

All except OB/Gyn, Chiropractor, and Podiatrist for diabetic foot care.

Plan ID

19898FL0350021

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group

$4000 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person

$2000 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$2,000

Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Group

$4000 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Person

$2000 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 2), Individual

$2,000

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

Yes

Wellness Program Offered

No

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Florida?

AvMed Entrust Gold 125 Dental+Vision (2025) (19898FL0350021) is a Gold HMO from AvMed, Inc. in Florida for the 2025 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does AvMed Entrust Gold 125 Dental+Vision (2025) support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is AvMed Entrust Gold 125 Dental+Vision (2025) HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental add-ons: Adult, Child.

Vision add-ons: Adult, Child.

Does AvMed Entrust Gold 125 Dental+Vision (2025) support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Is there out-of-country coverage for AvMed Entrust Gold 125 Dental+Vision (2025)?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Emergency Only

Does AvMed Entrust Gold 125 Dental+Vision (2025) cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Emergency Only

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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