Florida health plan · 2026

myBlue Silver 2010E (Adult Dental & Vision / Rewards) · 30252FL0200003

Health Options, Inc. offers this marketplace health insurance plan (Plan ID 30252FL0200003) 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: Silver Plan type: HMO CSR: 87% AV Level Silver Plan Issuer: Health Options, Inc.
Telehealth Data pending HSA eligible No Dental Adult Vision Adult/Child

CMS AV Calculator output: 87.96% (12.04% member share on average). Learn about AV methodology.

2026 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

$450 – $2130

Before subsidies

Estimate after subsidies

Deductible

$0

$0 per group

See deductible details

Max out-of-pocket

$3,125

$6250 per group

Review MOOP rules

Office visits

Primary care No Charge
Specialist $70.00
HSA Not eligible

Drug tiers

Generic $15.00
Preferred brand $36.00

View formulary tiers

$735 / mo before subsidies

≈ $8821 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.

$1984 / mo before subsidies

≈ $23805 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.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$2427 / mo before subsidies

≈ $29124 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.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1503 / mo before subsidies

≈ $18035 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

$650.00

Durable Medical Equipment

No Charge

Advertisement

Enrollment guidance

Stay on top of 2026 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2026 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.
  • 87% AV Level Silver 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

$650.00

Durable Medical Equipment

No Charge

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.

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 70247
PCPs in Florida 14333
Telehealth support Data pending
Nationwide providers 126620
70,247 doctors statewide 14,333 PCPs 886 OB/GYN
Providers Florida All US states
All 70247 126620
PCP 14333 15528
Allergy 56 66
OB/GYN 886 989
Dentists 200 293

Drug coverage overview

4,361 drugs tracked

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

Tier Covered drugs
NON-PREFERRED-BRAND 2,415
PREFERRED-GENERIC 990
GENERIC 560
ZERO-COST-SHARE-PREVENTIVE-DRUGS 345
BRAND 50
UNKNOWN 1
Prior authorization Drugs
Required 1,206
Not Required 3,155
Step therapy Drugs
Required 74
Not Required 4,287
Quantity limits Drugs
Has Limit 1,704
No Limit 2,657

Customer highlights

What stands out for members

  • Issuer: Health Options, Inc. · Plan ID 30252FL0200003 · 2026 filing.
  • Disease management programs available: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pain Management, Pregnancy.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 30252FL0200003-05 (87% AV Silver Plan) currently displayed.
Advertisement

Benefits

Covered services & limitations

Everyday care

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

Chiropractic Care

$70.00

Diabetes Care Management

$70.00

Diabetes Education

No Charge

Home Health Care Services

No Charge

Laboratory Outpatient and Professional Services

$15.00

Other Practitioner Office Visit (Nurse, Physician Assistant)

$70.00

Preventive Care/Screening/Immunization

No Charge

Primary Care Visit to Treat an Injury or Illness

No Charge

Rehabilitative Occupational and Rehabilitative Physical Therapy

$70.00

Rehabilitative Speech Therapy

$70.00

Specialist Visit

$70.00

Urgent Care Centers or Facilities

$70.00

X-rays and Diagnostic Imaging

$50.00

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

40.00%

Delivery and All Inpatient Services for Maternity Care

40.00%

Dialysis

40.00%

Durable Medical Equipment

No Charge

Emergency Room Services

$650.00

Emergency Transportation/Ambulance

40.00%

Hospice Services

No Charge

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

40.00%

Inpatient Physician and Surgical Services

No Charge

Mental/Behavioral Health Inpatient Services

40.00%

Mental/Behavioral Health Outpatient Services

$40.00

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

40.00%

Outpatient Rehabilitation Services

$70.00

Outpatient Surgery Physician/Surgical Services

No Charge

Radiation

40.00%

Skilled Nursing Facility

$350.00 Copay per Stay

Substance Abuse Disorder Inpatient Services

40.00%

Substance Abuse Disorder Outpatient Services

$40.00

Transplant

40.00%

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Hearing Aids

Coverage details pending

Major Dental Care - Child

Coverage details pending

Prenatal and Postnatal Care

$70.00

Routine Eye Exam for Children

No Charge

Well Baby Visits and Care

No Charge

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$15.00

Non-Preferred Brand Drugs

50.00%

Off Label Prescription Drugs

50.00%

Preferred Brand Drugs

$36.00

Specialty Drugs

50.00%

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

$70.00

Basic Dental Care - Adult

50.00% Coinsurance after deductible

Dental Anesthesia

$70.00

Dental Check-Up for Children

Coverage details pending

Infusion Therapy

40.00%

Major Dental Care - Adult

50.00% Coinsurance after deductible

Nutritional Counseling

$70.00

Nutrition/Formulas

40.00%

Orthodontia - Adult

Coverage details pending

Orthodontia - Child

Coverage details pending

Prosthetic Devices

No Charge

Routine Dental Services (Adult)

No Charge

Weight Loss Programs

Coverage details pending

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Acupuncture

Coverage details pending

Allergy Testing

$70.00

Bariatric Surgery

Coverage details pending

Bone Marrow Testing

40.00%

Congenital Anomaly, including Cleft Lip/Palate

40.00%

Cosmetic Surgery

Coverage details pending

Eye Glasses for Children

No Charge

Habilitation Services

$70.00

Imaging (CT/PET Scans, MRIs)

40.00%

Infertility Treatment

Coverage details pending

Long-Term/Custodial Nursing Home Care

Coverage details pending

Osteoporosis

$70.00

Private-Duty Nursing

Coverage details pending

Reconstructive Surgery

40.00%

Routine Eye Exam (Adult)

No Charge

Routine Foot Care

$70.00

Treatment for Temporomandibular Joint Disorders

$70.00

Variant attributes

myBlue Silver 2010E (Adult Dental & Vision / Rewards) · Variant 30252FL0200003-05

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2026

CSR Variation Type

87% AV Level Silver Plan

HIOS Product ID

30252FL020

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

30252FL0200003-05

Plan Marketing Name

myBlue Silver 2010E (Adult Dental & Vision / Rewards)

Plan Variant Marketing Name

myBlue Silver 2010BE ($0 Deductible / $40 PCP Visits / $70 Specialist Visits / $15 Labs /Adult Dental & Vision / Rewards)

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

30252

Issuer Marketplace Marketing Name

Florida Blue HMO (a BlueCross BlueShield FL company)

Market Coverage

Individual

Multiple In Network Tiers

Yes

National Network

No

Network ID

FLN002

Out of Country Coverage

Yes

Out of Country Coverage Description

Accident and emergency services.

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Accident and emergency services.

Service Area ID

FLS004

State Code

FL

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.879630246

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

$2,800

SBC Scenario, Having a Baby, Copayment

$100

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$1,600

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$400

SBC Scenario, Treatment of a Simple Fracture, Copayment

$600

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

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

40.00%

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

40.00%

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

$6250 per group

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

$3125 per person

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

$3,125

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

$6250 per group

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

$3125 per person

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

$3,125

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

FLF030

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$0

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

Disease Management Programs Offered

Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pain Management, Pregnancy

EHB Percent of Total Premium

0.9832

First Tier Utilization

0%

Import Date

10/15/2025

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

1/1/2026

Plan Expiration Date

12/31/2026

Plan Type

HMO

QHP/Non QHP

Both

Second Tier Utilization

100%

Source Name

HIOS

Specialist Requiring a Referral

All Specialists require a referral with the exception of Chiropractors, Podiatrists, Dermatologists, Obstetric/Gynecologists, Behavioral Health Services, Physical Therapy, Occupational Therapy, and Speech Therapy.

Plan ID

30252FL0200003

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

$0 per group

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

$0 per person

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

$0

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

$0 per group

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

$0 per person

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

$0

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

No

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?

myBlue Silver 2010E (Adult Dental & Vision / Rewards) (30252FL0200003) is a Silver HMO from Health Options, Inc. in Florida for the 2026 coverage year.

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

Does myBlue Silver 2010E (Adult Dental & Vision / Rewards) 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 myBlue Silver 2010E (Adult Dental & Vision / Rewards) 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.

Vision add-ons: Adult, Child.

Does myBlue Silver 2010E (Adult Dental & Vision / Rewards) support mail-order prescriptions?

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

Which disease management programs come with myBlue Silver 2010E (Adult Dental & Vision / Rewards)?

The issuer lists disease management resources for: Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pain Management, Pregnancy.

Is there out-of-country coverage for myBlue Silver 2010E (Adult Dental & Vision / Rewards)?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Accident and emergency services.

Does myBlue Silver 2010E (Adult Dental & Vision / Rewards) 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: Accident and emergency services.

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.
Open comparison tray

Add at least two plans to launch side-by-side comparisons.